Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Administration of Medical Assistance Services [12 VAC 30 ‑ 20]
Third Party Liability - Payment of Claims
Action 5466
[Withdrawn 8/8/2022]
General Information
Action Summary Under current law, Medicaid is generally the “payer of last resort,” meaning that Medicaid only pays for covered care and services if there are no other sources of payment available. Section 1902(a)(25) of the Social Security Act (the Act) requires that states take “all reasonable measures to ascertain the legal liability of third parties.” This new law makes changes to the special treatment of certain types of care and payment, delays the implementation changes to the time period for payment of claims, repeals a provision regarding recoveries from settlements, and applies TPL to CHIP.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [006275]
New Periodic Review This action will not be used to conduct a new periodic review.
There are currently no stages to display

Contact Information
Name / Title: Emily McClellan  / Regulatory Supervisor
Address: Policy Division, DMAS
600 E. Broad Street, Suite 1300
Richmond, VA 23219
Email Address:
Phone: (804)371-4300    FAX: (804)786-1680    TDD: ()-

This person is the primary contact for this chapter.