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BAM 430 7 of 9 SDA SPECIAL LIVING ARRANGEMENT AUTHORIZATION AND PAYMENT BPB 2019-014 10-1-2019
BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
WARRANT CREDITING AND REDIRECTING The Reconciliation and Recoupment Section (RRS) in the Bureau of Accounting will request provider warrant intercept and crediting to recover any overpayment. This occurs whenever a provider over- payment remains unresolved after RRS issues a final overpayment notice to the provider. OVERPAYMENTS/ RECOUPMENT
Overpayments to Clients Client overpayment, including provider payment, which is not a result of incorrect facility billing or an error in the type of care autho- rized, is recouped from the client; see BAM 705. This includes FIP or SDA overpayments resulting from failure to notify the department of changes in living arrangements. Overpayments to Providers Overpayments to providers which are a result of incorrect billing for periods for which services were not provided or for incorrect type of care authorizations, are recouped from the provider by the Bureau of Accounting. Contact the facility, inform them of the overpayment and request repayment. If the facility does not cooperate or refuses, submit a memo to the Reconciliation and Recoupment Section. Include a brief explanation of the overpayment circumstances and all of the following informa- tion: • Provider name and ID number. • Case name(s) and number(s). • Overpayment amount(s). • Overpayment period(s). • Appropriate documentation. • Account number and cost center. Refer to the Warrant Crediting and Redirecting section in this item for warrant intercepts resulting from recoupment efforts.