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6.2.8 Incorrect Client Contribution

6.2.8.1 Premiums

6.2.8.1.1 BadgerCare

6.2.8.1.2 Medicaid Purchase Plan (MAPP)

6.2.8.1 Premiums

If it is determined that a premium amount was  incorrectly calculated for BC or MAPP The Medicaid Purchase Plan (MAPP) offers people with disabilities who are working or interested in working the opportunity to obtain health care coverage through the Wisconsin Medicaid Program. and would result in a refund for the client, determine the correct premium amount for each month in which it was incorrect.

 

When reporting the refund to the BadgerCare or MAPP Unit, include the:

 

  1. The client’s Social Security Number.

  2. Months for which a refund needs to be issued.

  3. New premium amount.

  4. Old premium amount.
     

Indicate whether there is a hardship situation that requires the refund to be processed more quickly.

6.2.8.1.1 BadgerCare

If the premium was recalculated and reduced for prior month(s), report the premium refund to the BadgerCare Unit by:

 

  1. Telephone:  1 (888) 907-4455

  2. Fax: (608) 251-1513

 

When submitting a fax, write “Attn:  BC Premium Refunds”.

6.2.8.1.2 Medicaid Purchase Plan (MAPP)

If the premium was recalculated and reduced for prior month(s), report the premium refund to the MAPP Unit by:

 

  1. Telephone:  1 (888) 907-4455

  2. Fax: (608) 251-8185

 

When submitting a fax, write “Attn:  MAPP Premium Refund”

 

This page last updated in Release Number : 03-01

Release Date: 01/01/03

Effective Date: 01/01/03