Basic Considerations

TPLs are medical benefits and include, but are not limited to, the following:

TriCare (formerly known as CHAMPUS) - active-duty insurance

TriCare (formerly known as CHAMPVA) or TriCare for Life for veterans enrolled in Medicare Part A & Part B - disabled veteran insurance

Court ordered payments of medical costs by a non-custodial parent (NCP)

Court awards or trusts which provide for payment of medical expenses

Commercial Health insurance policies (including a NCP’s policy) private indemnity group liability Long Term Care Medicare Supplement Plans Managed Care Plans (i.e., HMO, PPO, etc.)

Health Reimbursement Accounts

Medicare (does not have to be reported as a TPL)

Worker’s Compensation

Any trust

Any legal document that specifies monies are due to the State (including lawsuit settlements, workers' compensation benefits, etc.)

Casualty Unit Contact numbers: Phone: 678-564-1163; Fax: 855-467-3970 or email gacasualty@gainwelltechnologies.com

Payments from TPLs are assigned to DCH when the A/R signs the application/renewal forms or the DMA 285 form for Medicaid.