18-01 Version of 28.1 OverPayments

An overpayment occurs when BadgerCare Plus benefits are paid for someone who was not eligible for them or when BadgerCare Plus payments are made in an incorrect amount (for example, incorrect premium calculations). The amount of recovery may not exceed the amount of the BadgerCare Plus benefits incorrectly provided. Some examples of how overpayments occur are:

Concealing or not reporting income.
Failure to report a change in income.
Providing misinformation at the time of applicationA request for BadgerCare Plus coverage. The request must be on the Department's application or registration form and must contain name, address, and a valid signature. The applicant must submit a signed and completed application form to complete the application process. or renewal regarding any information that would affect eligibility.

Note:

Overpayments can only be recovered if the member failed to report a change for which they were notified they were required to report.

This page last updated in Release Number: 18-01
Release Date: 04/13/2018
Effective Date: 04/13/2018

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