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UPDATED: JANUARY 2012

678.1

OTHER ELIGIBILITY REQUIREMENTS

RECOVERIES

The cost effectiveness of pursuing recoveries for Medicaid paid must be determined. Cost effectiveness is based on a variety of factors, including but not limited to: the administrative cost of a court action; the amount of overpayment; the availability of income or assets from which to recover; and previous experience with the court.

Cash medical support court ordered to be paid by the non-custodial parent to the LDSS can be recovered from the non-custodial parent by using the Non-custodial Parent Billing Notice, OHIP-0029. Such recovery can be made administratively through the accounting or Medicaid unit. The Medicaid Medical Support Transmittal, OHIP-0030 must be sent to the CSEU for further action. Additional court appearances to recover money may be indicated if cost-effective.

See OTHER ELIGIBLITY REQUIREMENTS RECOVERIES LIENS for a discussion of recovery from the real property of an institutionalized individual. An institutionalized individual is an inpatient in a nursing facility, intermediate care facility for the MRG