Fed Regist. 1980 Feb 11;45(29):8982-8.
These regulations authorize States to require Medicaid applicants and recipients, as a condition of eligibility, to assign to the State their rights to medical support or other third party payments for medical care. Under these regulations, State Medicaid agencies can make agreements with other agencies (including State child support enforcement agencies) for assistance in collecting on third party liability. State agencies must make incentive payments to other States or political entities that collect medical support and payments. These incentive payments are taken from the Federal share of the collection. The regulations also prohibit Federal sharing in payments for medical assistance that would be covered by a private health insurance policy if that policy did not exclude services covered by Medicaid. The regulation implements section 11 of the Medicare-Medicaid Anti-Fraud and Abuse Amendments of 1979 (Pub. L. 95--142). The intent is to conserve Federal and State Medicaid funds by ensuring maximum use of available third party resources.
这些规定授权各州要求医疗补助计划的申请人和受益人，作为资格条件，将其获得医疗支持或其他医疗护理第三方付款的权利让渡给州政府。根据这些规定，州医疗补助机构可以与其他机构（包括州子女抚养强制执行机构）达成协议，以协助收取第三方责任款项。州机构必须向收取医疗支持和付款的其他州或政治实体支付激励款项。这些激励款项从收取款项的联邦份额中支取。这些规定还禁止联邦政府分担如果私人健康保险政策不排除医疗补助计划涵盖的服务就会由该政策承保的医疗援助付款。该规定实施了1979年《医疗保险 - 医疗补助反欺诈和滥用修正案》（公法95 - 142）第11条。其目的是通过确保最大限度地利用可用的第三方资源来节省联邦和州医疗补助资金。
