Medicaid Lien Personal Injury Settlement

You have worked hard to achieve a personal injury settlement for your client. Unfortunately, if Medicaid paid for their medical care, your work is not complete. A Medicaid lien on the personal injury settlement will likely be made. It’s not only important that your client is aware of this, it’s critical that it’s handled in the proper manner. The process of working with Medicaid is arduous and detailed. Trust the experts at Synergy Settlement Services. We have the experience and resources necessary to protect the interests of your clients.

Working with Medicaid

If your client receives Medicaid benefits, they must assign their right to payments for medical care to Medicaid. This is a requirement even if your client does not file a claim. If Medicaid paid for medical cost associated with the injury, they have a statutory right to file a lien against a third party settlement. While it appears that little can be done in this case, their are a few items to consider that can impact the amount of the personal injury lien being placed on your client’s settlement:

Unrelated Expenses on the Personal Injury Lien

Medicaid liens on personal injury settlements can only apply to medical expenses related to the injury. It’s not uncommon for Medicaid to place payments related to other procedures that are taking place during that timeframe. It’s important that the conditional payment letter is thoroughly reviewed in order to point out these charges and get them removed.

Ahlborn Reduction

According to the case Ark. Dep’t of Human Servs. v. Ahlborn, 547 U.S. 268 (2006), Medicaid liens may not apply to portions of the settlement that account for items such as lost wages or pain and suffering. If this situation is present in the case, a Medicaid lien can only recover a pro rata share of its claim.This is the ratio that the settlement amount bears to the reasonable value of the total claim.

Working with Synergy

At Synergy, we have a wealth of experience handling Medicaid lien issues for attorneys and their clients. In our initial meeting, we will learn more about the issue your client is facing. We will the assess the situation and create a plan to protect your client’s settlement. Let us take on this aspect of client service so that you can focus on your core tasks.

For more information or to schedule a consultation, please submit our contact request form or call (877) 242-0022.

Disclaimer: The information contained in this article is for general educational information only. This information does not constitute legal advice, is not intended to constitute legal advice, nor should it be relied upon as legal advice for your specific factual pattern or situation.

TESTIMONIALS

Synergy’s team makes it easy to deal with all of the issues we hate at the end of the case. Dealing with Medicare, ERISA liens, keeping eligibility intact for Medicaid and complicated planning for the client’s recovery. The experts we work with regularly at Synergy do a great job of making sure I am protected as are my clients.

J. Clancey Bounds
Bounds Law Group

"I just want to thank Synergy for their great work in getting a health insurance lien resolved. The health insurance company refused to reduce their lien a penny from a motorcycle accident involving my client who was not wearing a helmet, a fact that would have hurt our award in front of a jury. Synergy put tremendous pressure on this company, and after months of bombarding this insurance company with statutory requests and threats, they were able to get them to give in and reduce the lien significantly. The cost was minimal in relation to the hard work they put in, and the savings my client received. Client was very happy, and it allowed me to close out a case that I had resolved over 6 months before. Keep them in mind if you are dealing with a smug insurance adjuster who felt confident he would not have to reduce a lien, like I was dealing with. Thank you very much Synergy."

Jeffrey A. Adelman, Esq.
Adelman & Adelman, P.A.

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