SI NY01730.104 (New York) Third Party Liability (TPL)

SSA has agreed to obtain supplemental health insurance information, to assist the State in determining whether any third party medical insurance exists, for the individual or the individual's family which can be used to defray the costs of medical care - Health Expenses & Third Party Liability page or SSA8019-U2.

Refer to SI 01730.045.

 

SSA-8019-U2s should be mailed to:

Third Party Operations

Bureau of Revenue Initiatives

Office of Medicaid Management

New York State Department of Health (DOH)

Riverview Center, 4th Floor

Albany, New York 11210

 


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0501730104NY
SI NY01730.104 - (New York) Third Party Liability (TPL) - 02/26/2026
Batch run: 02/26/2026
Rev:02/26/2026