The District reduces insurer claims by a formula and limits Medicaid to the care it paid for
Hospital liens are governed by D.C. Code 40-201 and the sections that follow, health insurer and employer subrogation by 31-3551, and District Medicaid recovery by 4-607 and its neighbors. Medicare recovers under the federal Medicare Secondary Payer statute.
Learn how Medicare and District Medicaid recover from a settlement, how the District's reduction formula works and what we could not confirm about made-whole, and how hospital liens differ from a health insurer's claim.