Originally published in the June 2018 Issue of CLM Magazine

TIME TO GET PAID

In 1965, President Johnson signed into law the Medicaid program, establishing the state-based healthcare safety net system in place today. Although since that time Congress has undertaken dozens of efforts to streamline and improve Medicaid, historically there has not been considerable focus to improve states’ Medicaid “Third Party Liability” (TPL) programs. Additionally, primary plans responsible for reimbursement to a state Medicaid agency frequently are not aware that Medicaid may hold a lien for treatment that it paid for as a secondary payer.

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