Frequently Asked Questions

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FAQ

Are states precluded from having laws that require third parties to accept claims beyond the 3-year filing period prescribed in the Deficit Reduction Act of 2005 (DRA)?

No.  Section 1902(a)(25)(I)(iv) of the Social Security Act requires states to pass laws that would require health insurers to accept claims submitted by the state within the 3-year period beginning with the date on which the item or service was furnished.  States are not precluded from having laws or regulations that would require insurers to accept claims for a period of time longer than three years.
(FAQ10556)

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