[§431L-2.5]  Insurer requirements. Any health insurer as identified in section 431L-1 shall:

(1)  Provide, withrespect to individuals who are eligible for, or are provided, medicalassistance under Title 42 United States Code Section 1396a (Section 1902 of theSocial Security Act), as amended, upon the request of the State, information todetermine during what period the individual or the individual's spouse ordependents may be or may have been covered by a health insurer and the nature of the coverage that is or was provided by the healthinsurer, including the name, address, and identifying number of the plan in amanner prescribed by the State;

(2)  Accept the State's right of recovery and theassignment to the State of any right of an individual or other entity topayment from the party for a health care item or service for which payment hasbeen made for medical assistance under Title 42 United States Code Section1396a (Section 1902 of the Social Security Act);

(3)  Respond to any inquiry by the State regarding aclaim for payment for any health care item or service that is submitted notlater than three years after the date of the provision of the health care itemor service; and

(4)  Agree not to deny a claim submitted by the Statesolely on the basis of the date of submission of the claim, the type or formatof the claim form, or a failure to present proper documentation at the point-of-salethat is the basis of the claim, if:

(A)  The claim is submitted by the State withinthe three-year period beginning on the date on which the health care item orservice was furnished; and

(B)  Any action by the State to enforce itsrights with respect to the claim is commenced within six years of the State'ssubmission of the claim. [L 2009, c 103, §2]