Third Party Liability Enforcement: This evidence captures details about a Household Member's compliance with the State in providing information about any possible third party who may be responsible to pay his/her medical expenses.

Third party liability Enforcement captures whether or not a Household Member, and his/her assignee, if one exists, is cooperating with the State in providing information about any possible third party who may be responsible to pay his/her medical expenses. An assignee is another household member acting on behalf of the Household Member. Third party means any individual, entity or program that is, or may be liable to pay all or part of the expenditures for Medical Assistance. Examples of third party resources include private health insurance and group health insurance. The State's primary purpose is to identify and collect monies from any available medical resource that can pay all or part of a given medical expense, for the household.

Example

A case worker creates a Third Party Liability Enforcement record for Linda Smith. Linda Smith has private health insurance. The insurance provider is responsible for her medical expenses. Linda Smith is cooperating with the State in providing information on her private health insurance.