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33.2 Recoverable Services Not all services provided by BadgerCare Plus are recoverable. Recoverability depends on what was provided and the member’s age when they received the benefit. The following are the services for which ERP may seek recovery: 1. All BadgerCare Plus services received on or after age 55 while living in a nursing home 2. All BadgerCare Plus services received on or after age 55 while institutionalized in an inpatient hospital. 3. Home health care services received by members age 55 or older on or after July 1, 1995, consisting of: a. Skilled nursing services. b. Home health aide services. c. Home health therapy and speech pathology services. d. Private duty nursing services. e. Personal care services received by members 55 or older on or after April 1, 2000. 4. All home and community-based waiver services Community Options Program (COP) Waiver, CIP 1A, CIP 1B, CIP II, Brain Injury Waiver, Community Opportunities and Recovery and Community Supported Living Arrangements received by members age 55 or older between July 1, 1995, and July 31, 2014, and: a. Prescription/legend drugs received by waiver participants. b. Benefits paid associated with a waiver participant’s inpatient hospital stay. These include inpatient services that are billed separately by providers and Services that are non-covered hospital services. 5. Family Care services received by members age 55 or older between February 1, 2000, and July 31, 2014, and: a. Prescription/legend drugs received by waiver participants. b. Benefits paid associated with a waiver participant’s inpatient hospital stay. This includes inpatient services that are billed separately by providers and that are non-covered hospital services. 6. All Family Care Partnership services received by members age 55 and older while residing in a nursing home or while institutionalized in an inpatient hospital on or after March 1, 2009. All Family Care Partnership home and community-based waiver services, prescription/legend drugs and benefits associated with an inpatient hospital stay that are received by members age 55 or older between March 1, 2009, and July 31, 2014. 7. All Include, Respect, I, Self-Direct (IRIS) services, prescription/legend drugs and benefits associated with an inpatient hospital stay that are received by members age 55 or older before July 31, 2014. 8. All BadgerCare Plus services received by members age 55 or older participating in a long-term care program on or after August 1, 2014. Long-term care programs include all home and community-based waiver programs [including COP-W, CIP 1A, CIP 1B, CIP II, Brain Injury Waiver, Community Opportunities and Recovery, Community Supported Living Arrangements, FamilyCare, FamilyCare Partnership, IRIS and the Program of All-Inclusive Care for the Elderly (PACE)]. The capitation payment made to the Managed Care Organization on or after August 1, 2014, will be recovered for members receiving long-term care program services through managed care.