SECTION 366.229. Third-party Resources  


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  • Medicaid is considered the payor of last resort for an individual's medical expenses. As a condition of eligibility, in accordance with 42 C.F.R. §§433.138 - 433.148, an applicant or recipient must:

    (1) assign to HHSC the applicant's or recipient's right to recover any third-party resources available for payment of medical expenses covered under the Texas State Plan for Medical Assistance; and

    (2) report to HHSC any third-party resource within 60 days after learning about the third-party resource.

Source Note: The provisions of this §366.229 adopted to be effective January 18, 2015, 40 TexReg 31