Third Party Liability and Recovery - Laws and Regulations

Applicable Laws and Regulations

Federal

  • Social Security Act Title XIX Section 1902 (a) (25)
  • Code of Federal Regulations (CFR) 42CFR Chapter IV Subpart D Third Party Liability 433.135 – 433.1147

State

  • Social Services Law 367-a, Medical Assistance Payments; insurance
  • NYCRR Title 18 Section 540.6 – Billing for Medical Assistance
  • NYCRR Title 18 Section 542 – Subrogated Claims to Liable Third Parties
  • State Insurance Law Section 3213

Related Third Party Liability and Recovery Resources