State of Wisconsin Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

28.3 Non-Recoverable Overpayments

Do not initiate recovery for a BadgerCare Plus overpayment if it resulted from a non-member error, including the following situations:

 

1. The member reported the change timely, but the case could not be closed or the benefit reduced due to the 10-day notice requirement.

2. Agency error (keying error, math error, failure to act on a reported change, etc).

3. Normal prospective budgeting projections based on best available information.

 

Example: Susan and her daughter Kathy are open for BadgerCare Plus. Susan reported a change in income on April 1st. The worker did not process the change until April 28th, so it was not effective until June 1st. There is no overpayment for May since the change was reported timely, but not acted on by the worker until after adverse action The last day of the month a change can be made in CARES to affect eligibility for the following month. Adverse Action is usually 13 days prior to the last day of the month to allow for a timely notice to be generated..

 

 

 

This page last updated in Release Number: 07-01

Release Date: 10/29/07

Effective Date: 02/01/08

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The information concerning the BadgerCare Plus program provided in this handbook release is published in accordance with: Titles XI, XIX and XXI of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapter 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2 and 101 through 109 of the Wisconsin Administrative Code.

Publication Number: P-10171