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COMAR 10.09.24.04

330 State of Maryland Medical Assistance Manual Revised July 2012

The case manager will:

Verify the client’s indication of incurred medical expenses for the retro months by requesting to see the actual bills. The CM will proceed with the retroactive eligibility determination using current procedures. The CM must make the application date the date of the retro period month

400.10 Category Selection

A person may select any federal category for which technical eligibility may be established. This means that any person who qualifies as both FAC and ABD has a choice as to which of the two categories he/she wishes to apply for assistance in.

400.11 Third Party Liability

All applicants and recipients are require to :

1.Notify the LDSS/LHD within 10 working days when medical treatment has been provided as a result of a motor vehicle accident or other occurrence in which a third party might be liable for the applicants or recipients medical expenses. 2. Cooperate with the LDSS/LHD in completing the form designated by the Department to report all pertinent information and in collecting available health insurance and other third party payments and 3. In accident situations, notify the LDSS/LHD of the time, date, and location of the accident, the name and address of the attorney, the names and address of all parties and witness to the accident, and the police report number if an investigation is made.

In addition to the above requirements, it is necessary that the LDSS/LHD question applicants at the time of applicant and recipients at the time of redetermination as to whether or not they have received treatment as a result of an accident. If they have, the LDSS/LHD must complete the appropriate reporting form and forward it to the following address regardless of how the fact became known:

Division of Recoveries and Financial Services 201 West Preston Street Baltimore MD 21201-2301