Alert: Third Party Liability – Requirements for Medicaid Managed Care Providers

11/18/2024

Important Information

Blue Cross and Blue Shield of Texas reminders our providers per the Texas Health and Human Services Commission, and the Office of Inspector General-Third Party Recoveries division, providers cannot refuse services to an eligible Medicaid Member, because they have other health insurance coverage.

Our Medicaid members are not held responsible for charges exceeding the third-party liability payment for services covered by Texas Medicaid.

Resources:

Texas Medicaid Provider Procedures Manual, SECTION 8:3:  Third Party Liability, TPR Sources TMHP

Questions

Providers, for questions or additional information, please: