2-011.03 Cooperation Requirements

469 NAC 2-011.03

The client must cooperate in obtaining third party payments unless s/he has good cause for non-cooperation (see 469 NAC 2-011.03B3).

Cooperation includes any or all of the following:

1. Providing complete information to the Department about third party medical coverage which s/he has or may have or on children in their care. This includes third party medical coverage provided by any other person or agency;

2. Providing any additional information or signing claim forms which may be necessary for identification and collection of potential third party payments;

3. Appearing as a witness in a court or another proceeding, if necessary;

4. Notifying the Department of any action s/he is initiating to recover money from a liable third party for medical care or services. This includes the identity of the third party and the entire amount of any settlement, court award, or judgment; and

5. Reimbursing the Department or paying the provider from any payments received directly from a third party for any services payable by NMAP; and

6. Taking any other reasonable steps to secure medical support payments.

2-011.03A Refusal to Cooperate

2-011.03B Opportunity to Claim Good Cause

2-011.03C Sanction for Refusal to Cooperate