Home Table of Contents

§ 16-404. Collection of insurance proceeds

West's Annotated Code of MarylandHealth--GeneralEffective: October 1, 2009

West's Annotated Code of Maryland
Health--General
Title 16. Reimbursements and Collections (Refs & Annos)
Subtitle 4. Special Provisions as to Intellectual Disability (Refs & Annos)
Effective: October 1, 2009
MD Code, Health - General, § 16-404
§ 16-404. Collection of insurance proceeds
In general
(a) If there is any insurance, group health plan, or prepaid medical care coverage for part or all of the cost of the care provided, the Department shall seek to collect the proceeds of the insurance, plan, or coverage to the full extent required to pay for the charges for services set under § 16-201 of this title. The insured or policyholder may not withhold the payment and shall assign to the Department any benefits available under the policy for services rendered by the Department to any insured covered by the policy.
Amount of liability
(b) The liability of a chargeable person for services provided to an individual with an intellectual disability may not exceed the greater of:
(1) The sum of any proceeds of insurance, group health plan, or prepaid medical care that the insurer or plan pays because of liability for the payment of or repayment for the cost of care provided to the individual; or
(2) The lesser of:
(i) The amount determined under § 16-405 of this subtitle; or
(ii) The amount set by the Department under § 16-203(b) of this title.
Responsible relatives
(c) The liability of responsible relatives for the cost of care of an individual with an intellectual disability in a residential, State facility ceases when the cost of care of the individual with an intellectual disability has been charged for a period or periods that total 16 years.

Credits

Added by Acts 1982, c. 21, § 2, eff. July 1, 1982. Amended by Acts 1986, c. 423, § 1, eff. July 1, 1986; Acts 2009, c. 119, § 1, eff. Oct. 1, 2009.
Formerly Art. 59A, §§ 25, 25A.
MD Code, Health - General, § 16-404, MD HEALTH GEN § 16-404
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
End of Document