New York State's Medicaid Third-Party Liability (TPL) Match and Recovery Services
Agency: | The New York State Contract Reporter |
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Level of Government: | State & Local |
Category: |
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Opps ID: | NBD15621207347472673 |
Posted Date: | Jul 10, 2023 |
Due Date: | Aug 14, 2023 |
Source: | https://www.nyscr.ny.gov/ifram... |
Description: In its performance of the requirements of this RFP, the Contractor must meet and fulfill all federally mandated and state required actions regarding TPL Contractors, including, but not limited to, the Code of Federal Regulations 42 CFR Part 433, the Social Security Act Title XIX Section 1902 (a) (25), Health Insurance Portability and Accountability Act of 1996, the Deficit Reduction Act of 2005, State Social Services Law Section 367-a, Insurance Law Section 3212 and New York Codes Rules and Regulations Title 18 NYCRR Section 540.6. Federal laws and regulations require that states take all reasonable measures to ascertain the legal liability of third parties to pay for medical services provided to Medicaid Enrollees. To comply with these requirements, OMIG is seeking proposals from Offerors to assist and supplement OMIG’s mission to identify, verify, and recover Medicaid overpayments from liable third parties for cost savings and recovery purposes. The goal is to ensure that Medicaid is the payor of last resort for health care services and supports, that liable third- parties cover their appropriate share of the costs and that the State recover on paid Medicaid claims for which TPL was not known or available at the time of Medicaid payment. Due Date: 08/14/2023 2:30 PMContract Term: Three (3) years with two (2), 1-year extensions Location: 800 North Pearl St., Albany, NY 12204 Ad Type: General
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