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22.1.10 Incentive Payments DHS will return to local agencies five percent of collections made through a lien, voluntary payments, and probated estate recoveries. DHS will pay this incentive to the last agency certifying the member for Medicaid. The payments are discretionary. DHS will make them based on compliance with program requirements. 22.1.11 Other Programs ERP also recovers for Community Options Program (COP), Wisconsin Chronic Disease Program (WCDP), and non-Medicaid Family Care. Note Non-Medicaid Family Care no longer exists as of May 1, 2003. However, ERP could recover from those who received benefits under this program prior to May 1, 2003.

Note The Community Options Program no longer exists as of June 30, 2018. However, ERP could recover from those who received benefits under this program prior to June 30, 2018. This page last updated in Release Number: 25-02 Release Date: 04/09/2025 Effective Date: 04/09/2025 22.2 Overpayments An overpayment occurs when any of the following occur: • Medicaid benefits are incorrectly paid for a person who was not eligible for them. • A MAPP member should have paid a higher premium. • A long-term care member did not pay as much as they should have for their nursing home patient liability or waiver cost share. Effective April 1, 2023, DHS and IM agencies will not establish new Medicaid overpayment claims for members. Income maintenance (IM) agencies may refer suspected fraudulent activity to the DHS Office of 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 SECTION 22.1 ESTATE RECOVERY). This page last updated in Release Number: 23-02 Release Date: 04/17/2023 Effective Date: 04/17/2023 22.3 Interagency Coordination A case transfer does not impact the certification period(s) of case members. A new application or renewal is not required when a case is transferred.