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11 A recipient who acquires excess resources is totally ineligible. The amount which is recoverable is the total Medicaid expenditures for the month in which the recipient was ineligible. An overpayment of Medicaid benefits may occur because of budgeting an incorrect amount of income; however, consideration of the income may result in the imposition of or increase in liability rather than total ineligibility. The calculation of the Medicaid overpayment is done off-line. This information is then entered into the system to proceed with the Benefit Recovery process. For the individual, whose liability should have been higher, the amount to be recovered is the difference between the correct and incorrect liability or the amount of Medicaid expenditures for the month, whichever is less. For the individual, whose liability should have been higher, the amount to be recovered is determined as follows: 1. Subtract the incorrect liability from the correct liability. 2. From that difference, subtract the individual's "out of pocket" expenses and his spouse's/parent(s)' out of pocket expenses incurred that have not already been entered into the system as non-claims. 3. The resulting amount or the amount of the Medicaid expenditures for the month, whichever is less, is the amount to be recovered. When requesting the claim history of all Medicaid expenditures the DFR should use State Form 6533 OMPP 1042 (revised 7-03) and follow the procedures below: For medical expenditures involving recipient Third Party Liability (TPL), requests should be addressed to: IHCP Third Party Liability PO Box 7262 Indianapolis, IN 46207-7262 Requests for Medicaid expenditures involving recipient fraud, estate recovery and all other Medicaid expenditure requests involving reimbursement should be addressed to the Office of Medicaid Policy and Planning (OMPP) Attn: Estate Recovery, 402 W. Washington, Room W-374 MS 07, Indianapolis, IN 46204 (EstateRecovery@fssa.in.gov). Example 1: The DFR verified that as of April the AG had $500 in excess resources, which had not been reported. As of May 1st, the AG's resources were within the resource limitation. Medicaid expenditures for April were verified to be $750. The amount to be recovered is $750.