Medicaid applicants must disclose to OHCA any resources available to pay for care. This includes private insurance, government benefits (such as Medicare, CHAMPUS or TriCare) and worker’s compensation. All disclosed insurance policies must be entered on the TPL tab in FACS, except for Medicare which should not be entered but should be noted in FACS case notes.
OHCA has an automated process where they will send a Third-Party Liability form out to members if they pay a claim that appears to be a result of an accident.
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