<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.62.05" title_num="10" subtitle_num="09" chapter_num="62" heading="Application — Additional Requirements.">
  <paragraph num="A.">
    <text>Third-Party Liability.</text>
    <paragraph num="(1)">
      <text>A participant shall notify the Department or its designee within 10 working days when medical treatment has been provided as a result of a motor vehicle accident or other occurrence in which a third party might be liable for the participant’s medical expenses.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A participant shall cooperate with the Department or its designee in completing a form designated by the Department to report all pertinent information and in collecting available health insurance benefits and other third-party payments.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>In accident situations, a participant shall notify the Department or its designee of the:</text>
      <paragraph num="(a)">
        <text>Time, date, and location of the accident;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Name and address of the participant’s attorney;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Names and addresses of all parties and witnesses to the accident; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Police report number if an investigation is made.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Department or its designee shall:</text>
    <paragraph num="(1)">
      <text>Maintain a written or electronic record including documentation of any required elements of eligibility; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Restrict disclosure of information concerning a participant to purposes directly connected with the administration of the Medical Assistance Program, including:</text>
      <paragraph num="(a)">
        <text>Establishing eligibility;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Determining the extent of coverage under Medical Assistance;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Providing services for participants; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Conducting or assisting an investigation, prosecution, or civil or criminal proceeding related to the administration of the Medical Assistance Program.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>An applicant or participant shall give consent to verify information needed to establish eligibility to the Department or its designee, by submitting a written, telephonic, or electronic application.</text>
  </paragraph>
</regulation>