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Adminstrative Manual Section: General Administrative Procedures and Compliance Policy Manual Number: 200.025 Chapter: Assignment of Third Party Medical Support

January 29, 2016 HCFA 3 The individual is required to report within 10 days the receipt of any cash reimbursement for medical expenses including the following: • Insurance settlement and refunds; • Medical support paid by an absent parent; and • Medical trust fund proceeds. 7. Reporting Third Party Medical Support a. Overview TPL information is collected at application and renewal. The individual is required to provide information about third party support and the information is collected in interChange. 8. Reporting Changes in Third Party Medical Support Individuals must report any changes in third party support. Types of changes that must be reported include: • Addition of third party support (e.g. purchase of health insurance or gaining Medicare eligibility); • Deletion of third party support (e.g. termination of health insurance coverage for any reason); • Third party change (e.g. coverage changed from one insurance company to another); and • Receipt of cash reimbursement for medical expenses. 9. HCFA TPL Unit The HCFA TPL Unit is responsible for pursuing TPL collection. All third party medical support is entered into interChange. If TPL information must be submitted via mail or fax, the individual should send the information to Tennessee Health Connection (TNHC) at: Tennessee Health Connection P.O. Box 305240 Nashville, TN 37230-5240 FAX: 1-855-315-0669