1 TAC § 361.109. Third-party Resources

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Texas Administrative Code › Title 1 ADMINISTRATION › Part 15 TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 361 MEDICAID BUY-IN FOR CHILDREN PROGRAM › 1 TAC § 361.109

This text was captured on Aug 14, 2026. It is a snapshot, not a live feed, so check the official code before relying on it.

Text

Medicaid is considered the payor of last resort for a person's medical expenses. As a condition of eligibility, in accordance with

42 CFR §§433.138

- 433.148, an applicant or recipient must:

(1) assign to HHSC the applicant's or recipient's right to recover any third-party resources available for payment of medical expenses covered under the Texas State Plan for Medical Assistance; and

(2) report to HHSC any third-party resource within 60 days after learning about the third-party resource.

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