GeneralState Agency Billing Agreement • April 26th, 2023
STATE AGENCY BILLING AGREEMENT BETWEENTHE STATE OF (State Name) DEPARTMENT OF (Name Of Executive Level Department) (Name of State Medicaid Agency, if different) ANDTHE TRICARE MANAGEMENT ACTIVITY (TMA) The purpose of this agreement is to provide a billing procedure to enable the State to claim reimbursement from the TRICARE Management Activity (TMA), for payments for TRICARE covered medical services made by a State Medicaid Agency, on behalf of recipients who were also eligible for TRICARE at the time the services were rendered. Medical services are defined by Title XIX of the Social Security Act, and the State Plan for Medical Assistance on file at the appropriate Regional Office of the Centers for Medicare and Medicaid Services. When a beneficiary is eligible for both TRICARE and Medicaid, 32 CFR 199.8 establishes TRICARE as the primary payor. I TMA agrees, through its designated Managed Care Support (MCS) contracts, to: A. Reimburse the State Agency for claims under the followi
GeneralState Agency Billing Agreement • September 11th, 2023
STATE AGENCY BILLING AGREEMENT BETWEENState Agency Billing Agreement • July 3rd, 2022
STATE AGENCY BILLING AGREEMENT BETWEENState Agency Billing Agreement • November 25th, 2020
