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6.2.3 Overpayment Process

6.2.3.1 Client Notice

 

Follow the instructions in Chapter VIII of the CARES Client Assistance for Re-employment & Economic Support Guide to enter the claim.  CARES issues a repayment agreement the first business day of the month following the date the claim was entered.  You are responsible to:

 

  1. Enter the claim into CARES.

  2. Send a manual Medicaid Overpayment Notice ( HCF 10093 ) indicating the reason for the overpayment and the period of ineligibility.

  3. Record the completed and signed repayment agreement on CARES screen BVPA within five days of receipt.  

  4. Record payments on CARES screen BVCP within five days of receipt.
     

CARES will:
 

  1. Track the issuance of notices of non-payment and send automated dunning notices (i.e. past due notices).

  2. Refer past due claims for further collection action (i.e. tax intercept) to the Central Recoveries Enhanced System ( CRES ).

  3. Close the claim when the balance is paid.

6.2.3.1 Client Notice

Notify the client or the client’s representative of the period of ineligibility, the reason for his/her ineligibility, the amounts incorrectly paid, and request arrangement of repayment within a specified period of time.

 

This page last updated in Release Number : 03-01

Release Date: 01/01/03

Effective Date: 01/01/03