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 -
MSSICS screen BTPL or SSA8019-U2. Refer to POMS 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