Maryland Statutes
Subtitle 1 - Medical and Pharmacy Assistance Programs
Section 15-120 - Subrogation Claims

(a)    If a Program recipient has a cause of action against a person, the Department shall be subrogated to that cause of action to the extent of any payments made by the Department on behalf of the Program recipient that result from the occurrence that gave rise to the cause of action.
    (b)    (1)    An attorney representing a Program recipient in a cause of action to which the Department has a right of subrogation shall notify the Department prior to filing a claim, commencing an action, or negotiating a settlement.
        (2)    The attorney shall notify the Department in advance of the resolution of a cause of action and shall allow the Department 3 business days from the receipt of the notice to establish its subrogated interest.
        (3)    This subsection may not be construed to create a cause of action for notifying or failing to notify the Department.
    (c)    (1)    Any Program recipient or attorney, guardian, or personal representative of a Program recipient who receives money in settlement of or under a judgment or award in a cause of action in which the Department has a subrogation claim shall, after receiving written notice of the subrogation claim, hold that money, for the benefit of the Department, to the extent required for the subrogation claim, after deducting applicable attorney’s fees and litigation costs.
        (2)    A person who, after written notice of a subrogation claim and possible liability under this paragraph, disposes of the money, without the written approval of the Department, is liable to the Department for any amount that, because of the disposition, is not recoverable by the Department.
        (3)    The Department may compromise or settle and release its subrogation claim if, in its judgment, collection of the claim will cause substantial hardship:
            (i)    To the Program recipient; or
            (ii)    In a wrongful death action, to the surviving dependents of a deceased Program recipient.
        (4)    (i)    The Department is not liable for payment of or contribution to any attorney’s fees or litigation costs of any Program recipient or attorney, guardian, or personal representative of any Program recipient.
            (ii)    The deduction of applicable attorney’s fees and litigation costs under paragraph (1) of this subsection may not be considered as payment for or contribution to those fees or costs by the Department.
    (d)    Any action brought under this section is not exclusive and is independent of and in addition to any right, remedy, or cause of action available to the State, the Department, any other State agency, or a Program recipient or any other individual.
    (e)    (1)    (i)    In this subsection the following words have the meanings indicated.
            (ii)    “Cigarette” means any roll of tobacco wrapped in:
                1.    Paper;
                2.    A substance not containing tobacco; or
                3.    A substance containing tobacco which because of its appearance, the type of tobacco used in the filler, or its packaging and labeling, is likely to be used by the consumers of ordinary paper–wrapped cigarettes.
            (iii)    1.    “Manufacturer of a tobacco product” means a designer, producer, or processor of a tobacco product engaged in the marketing or promotion of a tobacco product.
                2.    “Manufacturer of a tobacco product” includes an entity not otherwise a manufacturer of a tobacco product that imports a tobacco product or otherwise holds itself out as a manufacturer of a tobacco product.
                3.    “Manufacturer of a tobacco product” does not include:
                A.    A grower, buyer, dealer, distributor, or wholesaler of leaf tobacco; or
                B.    A retailer, distributor, or wholesaler of a tobacco product.
            (iv)    “Smokeless tobacco” means a product that consists of cut, ground, powdered, or leaf tobacco that is intended to be placed in the oral cavity.
            (v)    “Tobacco product” means cigarettes or smokeless tobacco.
        (2)    In any action under this section or pursuant to any other right, remedy, or cause of action brought by the State against a manufacturer of a tobacco product, the causation and the amount of medical assistance expenditures attributable to the use of a tobacco product may be proved or disproved by evidence of statistical analysis, without proof of the causation or the amount of expenditures for any particular Program recipient or any other individual.
        (3)    Nothing contained in paragraph (2) of this subsection prohibits or limits the right of any party to introduce any other evidence, otherwise admissible, that supports or rebuts the evidence of statistical analysis described in paragraph (2) of this subsection.

Structure Maryland Statutes

Maryland Statutes

Health - General

Title 15 - Assistance Programs

Subtitle 1 - Medical and Pharmacy Assistance Programs

Section 15-101 - Definitions

Section 15-101.1 - Applicability of Other Provisions to a Managed Care Organization

Section 15-102 - Indigent and Medically Indigent -- Preventive and Home Care Services; Educational Opportunities

Section 15-102.1 - Indigent and Medically Indigent -- Comprehensive System of Health Care

Section 15-102.2 - Applicability of Certain Provisions -- Claims of Subrogation

Section 15-102.3 - Applicability of Certain Provisions -- Examination of Financial Affairs and Status

Section 15-102.4 - Surplus Requirements

Section 15-102.5 - Mechanism to Provide for Equitable Distribution of Enrollees

Section 15-102.6 - Applicability of Other Provisions; Regulations

Section 15-102.7 - Applicability of Certain Premium Tax Provisions

Section 15-102.8 - Claims Processing Charge for Medicaid Claims Paid by Department to District of Columbia Hospitals

Section 15-103 - Medical Assistance Program

Section 15-103.1 - Promotion of Cost Effectiveness of State Health Care System

Section 15-103.2 - Rfps for Comparing Performance and Cost of Different Managed Care Dental Programs

Section 15-103.3 - Healthchoice Performance Incentive Fund

Section 15-103.4 - Credentialing of Health Care Providers

Section 15-103.5 - Rate Review and Comparison; Reports

Section 15-103.6 - Regulations to Ensure Parity of Specialty Mental Health and Substance Use Disorder Services With Federal Acts

Section 15-103.7 - Valued-Based Purchasing Program -- Collection of Penalties -- Total Amount of Incentives -- Distribution of Funding

Section 15-104 - Contracts With Department of Human Services

Section 15-105 - Reimbursement Procedures Under Program

Section 15-105.1 - Reimbursement Procedures Under Program -- Electronic Reimbursement

Section 15-105.2 - Reimbursement to Health Care Providers

Section 15-106 - Review of Health Care Under Program

Section 15-107 - Cost Reports of Program Participants

Section 15-108 - Field Verification of Program Participants

Section 15-109 - Eligibility; Admissibility of Long-Term Care Transaction Forms

Section 15-109.1 - Plan for Dissemination of Advance Directive Information

Section 15-109.2 - Benefits and Services for Incarcerated or Institutionalized Individuals.

Section 15-110 - Reimbursement -- Acute General and Chronic Care Hospitals

Section 15-111 - Reimbursement -- Day Care for the Elderly and Medically Handicapped Adults

Section 15-112 - Reimbursement -- Physicians

Section 15-113 - Reimbursement -- Public Institutions

Section 15-114 - Reimbursement -- Related Institutions

Section 15-114.1 - Emergency Service Transporters

Section 15-115 - Placement in Skilled or Intermediate Nursing Facility

Section 15-116 - Reimbursement -- Skilled Nursing Facilities

Section 15-117 - Reimbursement -- Reserved Beds

Section 15-118 - Drugs

Section 15-118.1 - Certain Prescribed Drugs Not Specialty Drugs

Section 15-120 - Subrogation Claims

Section 15-121 - Claims Against Estates

Section 15-121.1 - Subrogation of Department to Program Recipient's Claim Under 19-505 and 19-506 of the Insurance Article

Section 15-121.2 - Subrogation of Department to Program Recipient's Claim Under 19-509 and 19-510 of the Insurance Article

Section 15-121.3 - Assignment of Subrogation Right

Section 15-122 - Responsibility of Spouse Under Program

Section 15-122.1 - Certain Providers Excluded From Repaying Depreciation Allowance

Section 15-122.2 - Intercepting State Tax Refund for Converted Funds

Section 15-122.3 - Personal Needs Allowance -- Disabled Person With Guardian

Section 15-123 - Fraud

Section 15-124.2 - Maryland Medbank Program

Section 15-124.3 - Medicare Option Prescription Drug Program

Section 15-125 - Program for Children With Special Health Care Needs

Section 15-126 - Educational Programs for Handicapped Children

Section 15-128 - Reimbursement for Services Provided by Hospice Care Program

Section 15-129 - Durable Medical Equipment

Section 15-130 - Application for Home- or Community-Based Services Waiver for Seriously Emotionally Disturbed Youth or Autistic or Developmentally Disabled Youth in Order to Receive Federal Matching Funds

Section 15-130.1 - Psychiatric Residential Treatment Demonstration Waiver Application

Section 15-131 - Application for Home- or Community-Based Services Waiver for Federal Matching Funds for Services to Adults

Section 15-132 - Home and Community Based Services for Impaired Individuals; Medicaid Waiver

Section 15-132.1 - Voluntary Tax Withholding

Section 15-133 - Grants to Improve Home- and Community-Based Service Systems

Section 15-134 - Maryland Medical Assistance Program Waiver

Section 15-134.1 - Military Families

Section 15-135 - Home-Based and Community Services for Residents of Nursing Facilities

Section 15-136 - Maryland Pharmacy Access Hotline

Section 15-137 - Home-Based and Community Services for Residents of Nursing Facilities -- Denial of Access Prohibited

Section 15-138 - Employed Persons With Disabilities Program

Section 15-139 - Amendment of State Medical Assistance Program to Receive Federal Matching Funds

Section 15-140 - State Plan Amendment to the Family Planning Program

Section 15-141 - Pilot Program to Provide Limited Dental Coverage to Adult Maryland Medical Assistance Program Recipients

Section 15-141.1 - Collaborative Care Pilot Program

Section 15-141.2 - Telehealth Defined -- Pilot Program -- Outcome Data -- Reports Required

Section 15-142 - Fair Share Health Care Fund

Section 15-143 - Legal Immigrants -- Pregnant Women and Children

Section 15-145 - Information From and Liability of Health Insurance Carriers

Section 15-146 - Report -- Change to Medical Eligibility for Nursing Facility Level of Care

Section 15-147 - Former Officials or Employees -- Participation in Contracts

Section 15-148 - Prior Authorization Not Required for Contraceptive Drug or Devices

Section 15-149 - Application to Epsdt Services for Program Recipients -- Prohibition on Conditioning Reimbursement for Services on Presence or Availability of Parent or Caregiver -- Adoption of Regulations