Code of Federal Regulations (Last Updated: February 15, 2024) |
Title 45 - Public Welfare |
Subtitle A - Department of Health and Human Services |
SubChapter C - Administrative Data Standards and Related Requirements |
Part 162 - Administrative Requirements |
Subpart S - Medicaid Pharmacy Subrogation |
§ 162.1901 - Medicaid pharmacy subrogation transaction.
Latest version.
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§ 162.1901 Medicaid pharmacy subrogation transaction.
The Medicaid pharmacy subrogation transaction is the transmission of a claim from a Medicaid agency to a payer for the purpose of seeking reimbursement from the responsible health plan for a pharmacy claim the State has paid on behalf of a Medicaid recipient.