Medicaid: Legislation Needed to Improve Collections From Private Insurers

Abstract

This report responds to your request that we review problems experienced by state Medicaid agencies in collecting from certain third parties. As a public assistance program, it was intended that Medicaid would pay for health care only after Medicaid recipients had used all their other health care resources. As agreed with your office we focused our review on out-state insurers and employee health benefit plan covered under the Employee Retirement Income Security Act of 1974 (ERISA). State Medicaid agencies have reported problems collecting from these types of insurers. We agreed to provide information on the type and extent of the problems and discuss any potential legislative remedies needed to resolve them

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Document Details

Document Type
Technical Report
Publication Date
Nov 01, 1990
Accession Number
ADA267351

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  • United States Government Accountability Office

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