Subrogation Claims

Under Federal Law, Medicaid must seek the recovery of funds spent on a recipient’s medical care from any liable third party. When a Medicaid recipient receives treatment for an injury or is involved in a tort settlement, Medicaid’s Third Party Liability Division looks to identify any primary payment source. Potential sources include homeowners, automobile and other liability insurance as well as court-ordered restitution.

The Alabama Medicaid Agency has contracted with Health Management Systems (HMS) to enforce the Agency’s right to recovery in subrogation claims. HMS performs the evaluation and case tracking functions of all casualty and litigation cases for Alabama Medicaid. HMS can be reached at 877-252-8949.

HMS offers two methods of electronic submissions for subrogation requests. For existing cases, please use the SOLARIS system at https://submissions.hms.com. For creating new referrals, please use the SOLARIS PLUS system at https://solarisplus.hms.com.

If at any point you have questions or need assistance, please contact HMS by calling 877-252-8949 or by emailing alcasualty@gainwelltechnologies.com.

For information regarding subpoena requests, click here. 

• Release of Information 
• Request for Medicaid Payment Information - Copies of Paid Claims by Medicaid
• Request for Medicaid Payment Information - Copies of Paid Claims by Medicaid-Spanish
• Notification of Request for Medical Records from Provider - Form 3P-1
• Notification of Request for Medical Records from Provider-Spanish - Form 3P-1
• Notification of Request for Medical Records from Provider (ALERT)