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  • Third Party Liability and Recovery - Online Forms - DHCS
    The Department of Health Care Services' (DHCS) Personal Injury (PI) Program is required by federal and state law to recover funds for Medi-Cal paid services related to a liable third party action when a member receives a settlement, judgment, or award
  • Third Party Liability and Recovery Division - DHCS
    The Third Party Liability and Recovery Division (TPLRD) ensures that the Medi-Cal program is the payer of last resort by identifying, cost avoiding, and recovering from liable third parties You have the option to pay as an Enrolled User or a One-Time Payment User
  • TPLRD Online Inquiries - DHCS
    You must be an authorized party to receive the Medi-Cal member's information through the Online Inquiry Status Request Form links Authorized parties include the Medi-Cal member or member's attorney, a first or third party insurance company, or member's personal representative
  • TPLRD Personal Injury Program - DHCS
    When a Medi-Cal member receives a settlement, judgment or award from a liable third party as compensation for injuries they incurred, the PI Program is required by federal and state law to recover funds for any related services paid by Medi-Cal
  • TPLRD EFT Payments - DHCS
    The Third Party Liability and Recovery Division (TPLRD) accepts online payment from your checking or savings account through the secured Electronic Funds Transfer (EFT) EFTs offer a faster, more secure, and cost-effective alternative to traditional payment methods
  • Potential Third Party Liability Notification - DHCS
    If a Medi-Cal beneficiary filed or plans to file a lawsuit or insurance claim against a liable third party, DHCS must be notified of the matter pursuant to Welfare and Institutions (W I) Code Section 14124 70 et seq
  • Coordination of Benefits Third Party Liability | Medicaid
    Third Party Liability (TPL) refers to the legal obligation of third parties (for example, certain individuals, entities, insurers, or programs) to pay part or all of the expenditures for medical assistance furnished under a Medicaid state plan
  • Third Party Liability - Santa Clara County
    Advise the applicant client of the requirement to report potential third party liability information Complete the appropriate Third Party Liability page in CalSAWS Deny the Medi-Cal application if an applicant refuses to supply the information requested
  • Third-Party Liability
    This section contains general information on third-party liability responsibilities
  • Quality Assurance Fee
    The Department of Health Care Services (DHCS) Third Party Liability and Recovery Division (TPLRD) is responsible for collecting Quality Assurance Fees (QAF) from specified providers TPLRD is also responsible for collecting a Managed Care Organization (MCO) tax on health care plans





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