Page 240
UPDATED: JANUARY 2012
677
OTHER ELIGIBILITY REQUIREMENTS
RECOVERIES
Dept. Reg. 360-1.4
360-4.4
360-4.7
360-7.2
360-7.4
360-7.11
ADMs 09 OHIP/ADM-3
02 ADM-03
96 ADM-08
94 ADM-17
92 ADM-53
92 ADM-45
89 ADM-47
89 ADM-45
LCMs
94 LCM-89
GISs
10 MA/008
08 MA/031
06 MA/018
06 MA/022
Interpretation: Medicaid paid on behalf of a recipient age 55 or older or a permanently institutionalized individual of any age is recoverable from the recipient's estate (including non-probate assets) with certain exceptions (See OTHER ELIGIBILITY REQUIREMENTS RECOVERIES ESTATE RECOVERIES).
Medicaid/Family Health Plus which has been paid for an ineligible recipient is incorrectly paid and may be recovered. This may be done by: • requesting voluntary repayment from the recipient for any incorrect payment; or. • going to court to obtain a judgment that the payment was incorrectly made.
The amount of Medicaid/Family Health Plus incorrectly paid is calculated from the first day the recipient became ineligible for Medicaid, (including any Medicaid paid during the notice period, and pending a fair hearing decision). Medicaid paid prior to the day the
MRG