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REV. AUGUST 8, 2004 NEBRASKA HEALTH AND CCS PROGRAM MANUAL LETTER # 42-2004 HUMAN SERVICES MANUAL 392 NAC 5-005

5-005 Provider Overpayments: The Department must take all reasonable steps necessary to promptly correct overpayments.

The Department will send a letter to the provider informing the provider that there is an overpayment, giving the provider the opportunity to discuss the overpayment with a Department representative, and informing the provider of his/her right to appeal the existence or amount of the overpayment. The provider has 45 days to appeal the overpayment. If the provider does not appeal or contact the Department to work out a repayment agreement, the overpayment will be recouped from future billings for the same or different children, or from another service. When the evidence clearly establishes that a provider willfully over-billed the Department, the worker will refer the provider to the Special Investigations Unit, Central Office; or in the Omaha Office, to the Omaha Special Investigation Unit. Any information, documentation, investigative reports, etc., that are developed or obtained will be shared with other programs within the HHS System and with appropriate state agencies such as the Department of Education.

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Page 47

Official source

REV. AUGUST 8, 2004 NEBRASKA HEALTH AND CCS PROGRAM MANUAL LETTER # 42-2004 HUMAN SERVICES MANUAL 392 NAC 5-005

5-005 Provider Overpayments: The Department must take all reasonable steps necessary to promptly correct overpayments.

The Department will send a letter to the provider informing the provider that there is an overpayment, giving the provider the opportunity to discuss the overpayment with a Department representative, and informing the provider of his/her right to appeal the existence or amount of the overpayment. The provider has 45 days to appeal the overpayment. If the provider does not appeal or contact the Department to work out a repayment agreement, the overpayment will be recouped from future billings for the same or different children, or from another service. When the evidence clearly establishes that a provider willfully over-billed the Department, the worker will refer the provider to the Special Investigations Unit, Central Office; or in the Omaha Office, to the Omaha Special Investigation Unit. Any information, documentation, investigative reports, etc., that are developed or obtained will be shared with other programs within the HHS System and with appropriate state agencies such as the Department of Education.