Md. Code Regs. 10.09.14.08 - Recovery and Reimbursement
A.
If the recipient has insurance or other coverage, or if any other person is
obligated, either legally or contractually, to pay for or to reimburse the
recipient for services covered by this chapter, the provider shall seek payment
from that source first. If an insurance carrier rejects the claim or pays less
than the amount allowed by the Medical Assistance Program, the provider may
submit a claim to the Program. The provider shall submit a copy of the
insurance carrier's notice or remittance advice with his invoice. If payment is
made by both the Program and the insurance or other source for the same
service, the provider shall refund to the Department, within 60 days of
receipt, the amount paid by the Program, or the insurance or other source,
whichever is less.
B. A provider
shall reimburse the Department for any overpayment.
Notes
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