Medicaid Third Party Liability (TPL)

The Agency for Health Care Administration contracts with Health Management Systems, Inc. (HMS) to conduct the Medicaid Third Party Liability (TPL) Program. HMS is responsible for identifying additional sources of payments and recovering payments made by Medicaid from liable third parties. TPL includes three major components: Casualty (Tort) Recovery, Estate Recovery and Trusts, and Other Third Party Insurance Recovery. TPL functions are described in Sections 409.910 and 409.9101, Florida Statutes.

Health Management Systems, Inc. (HMS) currently conducts Medicaid Third Party Liability recovery for the State of Florida. For TPL recovery information, visit their web site at http://www.flmedicaidrecovery.com or call toll free (877) 446-7868 for questions regarding Casualty (Tort) Recovery, Estate Recovery and Trusts, and Other Third Party Insurance Payer, Insurance Denials or Insurance Carrier Code Information. For questions regarding Refunds for Medicaid Providers or Other Recoupment Projects, call the HMS Provider Relations Unit toll free (888) 831-2738.