Source: https://code.dccouncil.us/dc/council/code/titles/4/chapters/6/
Timestamp: 2019-10-16 12:06:34
Document Index: 275249197

Matched Legal Cases: ['§ 4', '§ 4', '§ 4', '§ 4', '§ 4', '§\u20023', '§\u20023', '§ 4', '§\u20023', '§ 7', '§ 21', '§ 7', '§ 4', '§\u20023', '§\u20023', '§ 4', '§\u20023', '§\u20023', '§ 1', '§ 1', '§ 5']

D.C. Law Library - Chapter 6. Health-Care Assistance Reimbursement.
§ 4–601. Definitions.
§ 4–602. Right to reimbursement established; subrogation and assignment.
§ 4–603. Set-off.
§ 4–604. Enforcement of right; waiver.
§ 4–609. Existing rights to reimbursement preserved.
(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.
(3) “Health-care assistance” means health or health-related care and treatment that the District has undertaken to provide or pay for free of charge or at a discounted rate, and includes future care and treatment that the Mayor, in his or her discretion, reasonably anticipates will be provided or paid for by the District. The term “health-care assistance” includes, but shall not be limited to, medical, surgical, nursing, dental, hospital, nursing home, hospice, and home care, prostheses and medical appliances, physical and occupational therapy, counseling and psychotherapy, social work, related transportation costs, and funeral and burial expenses.
(4) “Third party” means a third-party tortfeasor, beneficiary’s insurer, or any other individual, organization, or entity that is or may be liable to a beneficiary, in tort or contract, for all or part of the care and treatment the District has undertaken to provide or pay for as health-care assistance.
1981 Ed., § 3-501.
Delegation of authority under D.C. Law 5-86, see Mayor’s Order 85-56, May 17, 1985.
1981 Ed., § 3-502.
This section is referenced in § 4-604.
1981 Ed., § 3-503.
Mentally retarded persons, action to compel rights, initiation, see § 7-1305.13.
Mentally retarded persons, commitment and maintenance of substantially retarded persons, liability of estate of public patient for maintenance, see § 21-1110.
Mentally retarded persons, deprivation of civil rights, see § 7-1305.14.
(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;
(3) Institute and prosecute a proceeding either alone (in its own or the beneficiary’s name) or in conjunction with the beneficiary; or
(b) The Mayor may waive, in whole or in part, enforcement of the District’s claim against a third party if enforcement in a particular case would not be cost effective or would result in undue hardship to the beneficiary, including any dependents or survivors of the actual recipient of health-care assistance. If waiver is based on the avoidance of undue hardship, the Mayor may in addition void the legal subrogation or assignment effected pursuant to § 4-602(b). In determining whether, and to what extent, reimbursement should be sought or awarded under this chapter, the Mayor or a court, respectively, shall give due consideration to the extent of the beneficiary’s injuries and his or her current and future needs, including the current and future needs of any dependents or survivors of the actual recipient of health-care assistance.
(c) No proceeding prosecuted or judgment received by the District pursuant to this chapter shall be a bar to a beneficiary’s claim or cause of action for elements of damage not covered by the District’s cause of action, or shall operate to deny the beneficiary recovery of those elements of damage.
1981 Ed., § 3-504.
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 District.
1981 Ed., § 3-505.
(3) Establishing procedures to implement the notice requirements in § 4-606; and
(4) Facilitating the District’s compliance with applicable federal regulations.
1981 Ed., § 3-508.
1981 Ed., § 3-509.
Disability compensation, medical services and initial medical and other benefits, furnishing to District government employees, see § 1-623.03.
Disability compensation, recovery from third persons, adjustment after recovery, see § 1-623.32.
Police and firefighters medical care recovery, see § 5-601 et seq.