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28.1 Overpayments Introduction An overpayment occurs when BadgerCare Plus benefits are paid for someone who was not eligible for them or when a member should have paid a higher amount of premiums. Effective April 1, 2023, DHS and IM agencies will no longer establish new BadgerCare Plus overpayment claims for members. Income maintenance (IM) agencies may refer suspected fraudulent activity to the DHS Office of the Inspector General (OIG), the district attorney (DA), or corporation counsel for investigation. The DA or corporation counsel may prosecute for fraud. Note This policy on member overpayment claims does not include provider overpayments where there is an error in a claims payment to a provider or repayments that are part of the Estate Recovery Program (see CHAPTER 33 ESTATE RECOVERY). This page last updated in Release Number: 23-02 Release Date: 04/17/2023 Effective Date: 04/1/2023 28.2 Reserved This page last updated in Release Number: 23-02 Release Date: 04/17/2023 Effective Date: 04/1/2023 28.3 Reserved This page last updated in Release Number: 23-02 Release Date: 04/17/2023 Effective Date: 04/1/2023 28.4 Reserved

This page last updated in Release Number: 23-02 Release Date: 04/17/2023 Effective Date: 04/01/2023 28.5 Reserved

This page last updated in Release Number: 23-02 Release Date: 04/17/2023 Effective Date: 04/1/2023 28.6 Reserved

This page last updated in Release Number: 23-02 Release Date: 04/17/2023 Effective Date: 04/1/2023