12.3 Recoupment

OSSE will identify any necessary recoupments within 30 calendar days following the submission of a provider’s error report and will send a recoupment notice, if applicable, to a provider no later than 45 calendar days following the submission of the provider’s error report to notify the provider of the recoupment amount and timeline. A provider may appeal a recoupment plan by submitting an appeal request to OSSE within 10 business days of receipt of the Notification of the Recoupment Plan. OSSE will investigate all appeal requests. If the provider’s appeal is deemed valid, then the recoupment amount will be refunded, if appropriate, in the next payment cycle. All appeal determinations are final.