{"data":{"id":"us/42-cfr-433.136","jurisdiction":"us","citation":"42 CFR 433.136","heading":"Definitions.","body":"For purposes of this subpart—\nPrivate insurer means:\n(1) Any commercial insurance company offering health or casualty insurance to individuals or groups (including both experience-rated insurance contracts and indemnity contracts);\n(2) Any profit or nonprofit prepaid plan offering either medical services or full or partial payment for services included in the State plan; and\n(3) Any organization administering health or casualty insurance plans for professional associations, unions, fraternal groups, employer-employee benefit plans, and any similar organization offering these payments or services, including self-insured and self-funded plans.\nThird party means any individual, entity or program that is or may be liable to pay all or part of the expenditures for medical assistance furnished under a State plan.\nTitle IV-D agency means the organizational unit in the State that has the responsibility for administering or supervising the administration of a State plan for child support enforcement under title IV-D of the Act.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 433—STATE FISCAL ADMINISTRATION","Subpart D—Third Party Liability"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"4d2a98af170a91fcc32bc46fa9739b91db719092d73cee95ccaf5e6b43f6a3e6","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-433.135","next":"us/42-cfr-433.137"},"notice":"GroundRules: Original legal text. Not legal advice."}