TPL3
Information to Determine Legal Liability
CMS-required outcome
The system uses electronic exchange state wage information collection agency. The system(s) regularly updates the member file with any third-party liability information, how long it is valid, and for what services, through regular automated checks with these databases.
Default metrics
- Cadence of updates to member files with TPL information by database.
Regulatory sources
- 42 CFR 433.138(d) and (f)
- 42 CFR 435.4
- State Plan