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 Wisconsin Medicaid for the Elderly, Blind or Disabled Divestment 2019-2025

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effective April 1st 2023 overpayment Claims can no longer be created for Health Care programs in the state of Wisconsin the state Wisconsin Department of Health Services issued this policy change in an operations memo dated April 10 2023 and they're responding to requirement changes coming out of the feds the centers for Medicare and Medicaid services now there is no policy change when fraud is involved and we'll talk about that in just a moment but let's remind ourselves what an overpayment is is when benefits are paid on behalf of an individual who was not eligible for them or when a member should have paid a higher amount of premiums patient liability or other cost share essentially a mistake where someone got a bigger value of their benefit than they maybe were initially entitled to the current policy allows Health Care overpayments to be recovered if an individual received a benefit they weren't entitled to receive or a person got more benefits than

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