AFS Policy: Third Party

Third party – a third party is someone other than the client or a member of the household.  A third party may make payments for a client, be responsible for medical claims, be a collateral contact, or report information about the client.  The client may also receive payments for a third party or make payments to a third party such as child support.  When a person, insurance company, or other party is legally responsible for paying medical costs, SoonerCare (Medicaid) is the payer of last resort.  Policy regarding this term is located at:

  • Child Care Subsidy:
  • Public Assistance Procedures(all programs):
    • 340:65-3-1. Determination (all of eligibility); and
  • SNAP:
  • SoonerCare (Medicaid)[ABD]:
    • 317:35-5-41.6. Trust accounts;
    • 317:35-5-42. Determination of countable income for individuals categorically related to aged, blind and disabled;
    • 317:35-5-43. Third party resources; insurance, workers’ compensation and Medicare.
  • SoonerCare (Medicaid)[OE]:
    • 317:35-5-43. Third party resources; insurance, workers’ compensation and Medicare;
    • 317:35-6-60.1. Changes in circumstances; and
    • 317:35-7-48. Eligibility for the SoonerPlan Family Planning Program.
  • TANF:
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