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Third party liability identification

Publication Date
12/19/2018 02:44 PM EST
Closing Date
01/30/2019 12:00 PM EST
Issuing Organization
State of Minnesota - Department of Human Services (DHS)
Solicitation Number

Specifications include, but are not limited to: Supplement DHS’s Third Party Liability activities under its approved State plan and according to Federal regulations including the Health Insurance Portability and Accountability Act (HIPAA) of 1996 Data Privacy and Security Standards, and Title IV of the American Recovery and Reinvestment Act (ARRA) of 2009, and State laws regarding TPL. Enroll as a Minnesota Health Care Program (MHCP) provider by completing the MHCP Provider Application and signing the MHCP Provider Agreement as described in the MHCP Provider Manual. This will enable DHS to assign a State Unique Provider Identifier (UMPI) for the selected vendor. Register for DHS’s HIPAA-compliant Web portal (MN-ITS) and accept the conditions of the DHS’s Electronic Data Interchange (EDI) biller agreement. On behalf of DHS, take reasonable measures to determine the legal liabilities of third parties for medical costs incurred by MHCP. Engage in data exchange with carriers and other identified third parties specifically necessary to facilitate recovery of third party resources in accordance with the standards of confidentiality imposed by § 1902(a)(7) of the Social Security Act, for the purposes of TPL recovery. The vendor and subcontractors are bound by the Regulations safeguarding information on applicants and recipients found at 42 C.F.R., Part 431, Subpart F and 45 C.F.R., Part 164.

http://www.mmd.admin.state.mn.us/process/admin/ptList.asp (opens in a new window)

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