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MEDICAL SERVICES POLICY MANUAL,SECTION M M-300 Responsibilities of Overpayment Unit and Central Office Accounting Section M 310 Collections
M-300 Responsibilities of Overpayment Unit and Central Office Accounting Section MS Manual 01/01/14 The Overpayments Unit will make the decision concerning the feasibility of repayment for all overpayments and ineligibles, whether they resulted from: • Administrative error. • Misunderstanding of state policies or laws by the client. • Willful withholding or incorrect statement of factual information by the client. • The Overpayments Unit will: 1. Review information submitted by the County Office via DHS-199 and DHS-1700 (if applicable) and request additional information (as necessary). 2. Make a decision on the feasibility of seeking repayment from the client after reviewing available information.
M-310 Collections MS Manual 01/01/14 The Central Office Overpayments Unit will make the determination relative to the disposition of the claim when collection and/or fraud referrals are indicated. When an agreement is reached with the client either by the Fraud Unit or Office of Policy and Legal Services, the Central Office Overpayments Unit will be apprised of whether: 1. Client has been sentenced, 2. Client’s sentence has beensuspended contingent upon restitution by court order, 3. Voluntary agreement to repay has been reached, 4. Signed agreement to repay has been negotiated, or 5. Civil court action initiated and results.