{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/38.2-3405.1.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/38.2-3405.1.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/38.2-3405.1.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/38.2-3405.1.html"}],"law_id":84136,"edition_id":1,"section_id":84136,"structure_id":12994,"section_number":"38.2-3405.1","catch_line":"Commonwealth’s right to certain accident and sickness benefits","history":"1994, c. 213.","full_text":"A\n\nThe Department of Medical Assistance Services shall be entitled to direct reimbursement under any accident and sickness insurance policy, health services plan, or health maintenance organization contract for covered services or items to the extent that payment has been made by the Department of Medical Assistance Services on behalf of an individual covered under such policy, plan, or contract for such services or items.B\n\nNo insurer, health services plan, or health maintenance organization shall impose upon the Department of Medical Assistance Services or any state agency, which has been assigned or has otherwise acquired the rights of an individual eligible for medical assistance (“Medicaid”) and covered for health benefits by the insurance policy, health services plan, or health maintenance organization contract, any requirements that are different from requirements applicable to an agent or assignee of any other individual so covered.","order_by":null,"text":{"0":{"id":301560,"text":"The Department of Medical Assistance Services shall be entitled to direct reimbursement under any accident and sickness insurance policy, health services plan, or health maintenance organization contract for covered services or items to the extent that payment has been made by the Department of Medical Assistance Services on behalf of an individual covered under such policy, plan, or contract for such services or items.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":301561,"text":"No insurer, health services plan, or health maintenance organization shall impose upon the Department of Medical Assistance Services or any state agency, which has been assigned or has otherwise acquired the rights of an individual eligible for medical assistance (“Medicaid”) and covered for health benefits by the insurance policy, health services plan, or health maintenance organization contract, any requirements that are different from requirements applicable to an agent or assignee of any other individual so covered.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A"}},"ancestry":[{"id":12994,"edition_id":1,"name":"General Provisions","identifier":"1","label":"article","depth":3,"order_by":1,"parent_id":12993,"metadata":{},"date_created":"2026-06-26 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This law was first created in 1994. The record of its establishment is cataloged in chapter 213<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year.<\/p>","references":[{"id":55347,"section_number":"38.2-4214","catch_line":"Application of certain provisions of law","order_by":null,"url":"\/38.2-4214\/"},{"id":67952,"section_number":"38.2-4319","catch_line":"Statutory construction and relationship to other laws","order_by":null,"url":"\/38.2-4319\/"}],"refers_to":false,"permalink":{"id":214915,"object_type":"law","relational_id":84136,"identifier":"38.2-3405.1","token":"38.2\/34\/1\/38.2-3405.1","url":"\/38.2-3405.1\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/38.2-3405.1\/","token":"38.2\/34\/1\/38.2-3405.1","dublin_core":{"Title":"Commonwealth’s right to certain accident and sickness benefits","Type":"Text","Format":"text\/html","Identifier":"\u00a7 38.2-3405.1","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> The Department of Medical Assistance Services shall be entitled to direct reimbursement under any accident and sickness insurance<\/span> policy, health services plan<\/span>, or health maintenance organization contract<\/span> for covered services or items to the extent that payment has been made by the Department of Medical Assistance Services on behalf of an individual covered under such policy, plan, or contract<\/span> for such services or items. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> No insurer<\/span>, health services plan<\/span>, or health maintenance organization shall impose upon the Department of Medical Assistance Services or any state<\/span> agency, which has been assigned or has otherwise acquired the rights of an individual eligible for medical assistance (“Medicaid”) and covered for health benefits by the insurance<\/span> policy, health services plan<\/span>, or health maintenance organization contract<\/span>, any requirements that are different from requirements applicable to an agent or assignee of any other individual so covered. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nCOMMONWEALTH’S RIGHT TO CERTAIN ACCIDENT AND SICKNESS BENEFITS (\u00a7\n38.2-3405.1)\n\nA. The Department of Medical Assistance Services shall be entitled to direct\nreimbursement under any accident and sickness insurance policy, health services\nplan, or health maintenance organization contract for covered services or items\nto the extent that payment has been made by the Department of Medical Assistance\nServices on behalf of an individual covered under such policy, plan, or contract\nfor such services or items.\n\nB. No insurer, health services plan, or health maintenance organization shall\nimpose upon the Department of Medical Assistance Services or any state agency,\nwhich has been assigned or has otherwise acquired the rights of an individual\neligible for medical assistance (“Medicaid”) and covered for health\nbenefits by the insurance policy, health services plan, or health maintenance\norganization contract, any requirements that are different from requirements\napplicable to an agent or assignee of any other individual so covered.\n\nHISTORY: 1994, c. 213.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}