Title 4 — Public Care Systems.
24 chapters · 633 sections in this title.
D.C. Code § 4-601 Definitions
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For the purposes of this chapter, the term: (1) “Beneficiary” means any individual who has received health-care assistance from the District and, if applicable, that individual’s guardian, conservator, personal representative, estate, dependents, and survivors. (2) “District” mea…
D.C. Code § 4-602 Right to reimbursement established; subrogation and assignment
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(a) Whenever the District provides health-care assistance to a beneficiary who has suffered an injury or illness under circumstances creating liability in a third party or under circumstances that would have created such a liability had the beneficiary instead of the District inc…
D.C. Code § 4-603 Set-off
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(a) Except as provided in subsection (b) of this section, whenever the District is a defendant in a proceeding brought by a beneficiary, it shall have a right to set off from a judgment against it any damages that represent compensation for the care and treatment it has undertake…
D.C. Code § 4-604 Enforcement of right; waiver
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(a) In enforcing its right to reimbursement, the District may: (1) Permit the beneficiary to proceed on behalf of the District in prosecuting, in conjunction with his or her own claims, the District’s claim for the unreimbursed value or cost of the health-care assistance provided…
D.C. Code § 4-605 Settlement probative of liability
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Any settlement or compromise of a claim or cause of action between a beneficiary and third party for more than what in the opinion of the court is a nominal amount in light of the claims asserted shall be admissible in evidence as probative of that third party’s liability to the …
D.C. Code § 4-606 Notice
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(a) Any individual or institutional health-care provider that bills the District for health-care assistance furnished to a beneficiary shall provide the Mayor with written notice of any known or suspected third-party liability as soon as the health-care provider acquires knowledg…
D.C. Code § 4-607 Lien
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(a) Except as limited by subsections (b) and (c) of this section, the District shall have a lien, perfected in accordance with subsection (d) of this section, upon any judgment or settlement awarded or executed in favor of a beneficiary against a third party for that amount of th…
D.C. Code § 4-608 Rules
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The Mayor may, pursuant to subchapter I of Chapter 5 of Title 2, issue rules to effectuate the purposes of this chapter, including, but not limited to, rules for: (1) Determining the unreimbursed value of health or health-related care and treatment that the District undertakes to…
D.C. Code § 4-609 Existing rights to reimbursement preserved
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This chapter shall not be construed to limit or repeal any other provision of law that invests the District with a right to reimbursement for health-care assistance provided to a beneficiary or specified class of beneficiary.