Bill
HB 25-1033
Overview: HB 25-1033, Medicaid Third-Party Liability Payments, Governor Signed, Introduced January 08, 2025Purpose and Intent: This bill aims to improve the state's ability to reco
Overview: HB 25-1033, Medicaid Third-Party Liability Payments, Governor Signed, Introduced January 08, 2025
Purpose and Intent: This bill aims to improve the state's ability to recover Medicaid payments from third-party payers, such as private insurance companies or other liable parties. By strengthening the state's third-party liability recovery efforts, the legislation seeks to reduce the overall cost of the Medicaid program.
Key Provisions:
- Requires Medicaid providers to submit claims to third-party payers before billing Medicaid
- Authorizes the state Medicaid agency to pursue recovery of payments from third-party payers for up to 3 years after the date of service
- Allows the state to withhold Medicaid payments to providers who fail to comply with third-party liability requirements
- Mandates that third-party payers respond to state requests for information within 60 days
Affected Parties and Impacts:
- Medicaid providers will be required to bill third-party payers before submitting claims to Medicaid
- Third-party payers, such as private insurance companies, will be compelled to cooperate with the state's recovery efforts
- The state Medicaid program is expected to see increased cost savings through improved third-party liability recoveries
Procedural and Timeline Considerations:
- The bill was signed into law by the Governor and the new requirements will take effect on July 1, 2025.
Compiled from official sources — confirm details with the bill’s official record.
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