26B-3-1025.  Direct payment to the department by third party.

(1)  Any third party required to make payment to the department pursuant to this part shall make the payment directly to the department or its designee.

Terms Used In Utah Code 26B-3-1025

  • Recipient: means :
(a) an individual who has applied for or received medical assistance from the state;
(b) the guardian, conservator, or other personal representative of an individual under Subsection (11)(a) if the individual is a minor or an incapacitated person; or
(c) the estate and survivors of an individual under Subsection (11)(a), if the individual is deceased. See Utah Code 26B-3-1001
  • Third party: includes :
    (a) an individual, institution, corporation, public or private agency, trust, estate, insurance carrier, employee welfare benefit plan, health maintenance organization, health service organization, preferred provider organization, governmental program such as Medicare, CHAMPUS, and workers' compensation, which may be obligated to pay all or part of the medical costs of injury, disease, or disability of a recipient, unless any of these are excluded by department rule; and
    (b) a spouse or a parent who:
    (i) may be obligated to pay all or part of the medical costs of a recipient under law or by court or administrative order; or
    (ii) has been ordered to maintain health, dental, or accident and health insurance to cover medical expenses of a spouse or dependent child by court or administrative order. See Utah Code 26B-3-1001
    (2)  The department may negotiate a payment or payment instrument it receives in connection with Subsection (1) without the cosignature or other participation of the recipient or any other party.

    Renumbered and Amended by Chapter 306, 2023 General Session