(A) The department automatically is subrogated, only to the extent of the amount of medical assistance paid by Medicaid, to the rights an applicant or recipient has to recover an amount paid by Medicaid from a third party or private insurer. The applicant or recipient shall cooperate fully with the department and shall do nothing after medical assistance is provided to prejudice the subrogation rights of the department.
(B) An applicant's and recipient's determination of, and continued eligibility for, medical assistance under Medicaid is contingent on his cooperation with the department in its efforts to enforce its subrogation rights. Cooperation includes, but is not limited to, reimbursing the department from proceeds or payments received by the recipient from a third party or private insurer.
(C) An applicant or recipient is considered to have authorized all persons, including insurance companies and providers of medical care, to release to the department information needed to enforce the subrogation rights of the department.
HISTORY: 1986 Act No. 516, Section 3, eff June 11, 1986; 2008 Act No. 348, Section 4, eff June 16, 2008.
Structure South Carolina Code of Laws
Chapter 7 - Medical And Hospital Care
Section 43-7-20. State Department shall secure Federal funds.
Section 43-7-90. Enforcement of Sections 43-7-60 to 43-7-80.
Section 43-7-220. Petition for attachment; effective date of order.
Section 43-7-230. Service of summons, petition and order on employee and employer; answers.
Section 43-7-240. Time for showing cause for dismissal; grounds for dismissal without prejudice.
Section 43-7-250. Production of payroll records and other information.
Section 43-7-270. Return of money wrongfully withheld with interest and attorney's fee.
Section 43-7-280. Deduction from payments for employer's services.
Section 43-7-410. Definitions.
Section 43-7-430. Subrogation of rights to department.
Section 43-7-450. Claims or actions pending or brought before June 11, 1986.
Section 43-7-460. Recovery of medical assistance paid from estates of certain individuals.