Child Support: All children in the program are receiving regular, reliable child support payments on a monthly basis from their parent(s) and the children have healthcare coverage. Medicaid Recovery: Medicaid avoids paying for, or is reimbursed for, medical expenses billed to Medicaid as measured by cost avoidance estimates and collection totals.
Medicaid recovery collections
Current Value
34.76Mil
Definition
Measure Definition
This measure shows the total dollars collected by the Medicaid Recovery Third Party Liability program (TPL) to reimburse Medicaid for claims paid. This program pursues liable third parties to ensure that Medicaid is the payer of last resort.
Story Behind the Curve
Medicaid recovery collections increased during state fiscal years 2022 and 2023, due in part to a very robust housing market. Collections did decrease during state fiscal year 2024 due to decreased collections through the Medicaid Estate Recovery Program, and due to not receiving pharmacy claims as a result of the new PRISM system. ORS is receiving pharmacy claims again, and this has had a positive impact on health claim collections. ORS also saw an increase in estate recovery collections in SFY 2025.
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