Kev them nyiaj ntau dhau
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The Third Party Liability and Recovery Division’s Overpayments program (OP) is responsible for enforcing fiscal compliance with Medi-Cal laws and regulations for Medi-Cal providers and beneficiaries. The primary function is to recover funds due the Medi-Cal program, thereby reducing the total cost of the program. Overpayment cases are referred by the Audits and Investigations Division (A&I), other auditing and legal agencies, and the Medi-Cal fiscal intermediaries (FI).
Thaum tus kws kho mob tau txais kev them nyiaj ntau dhau lawm, cov kws kho mob tau xa ntawv ceeb toom txog kev them nyiaj ntau dhau los ntawm FI lossis tsab ntawv thov kom them nyiaj los ntawm lub koom haum soj ntsuam. Cov ntawv no kuj ceeb toom rau tus kws kho mob txog lawv txoj cai thov rov hais dua. Yog tias tus kws kho mob tsis kam them, OP tuaj yeem ua cov kauj ruam kom FI them tus nqi tshuav ntawm Medi-Cal thov tam sim no, kom tsoomfwv Lub Tsev Haujlwm Saib Xyuas Kev Pabcuam Medicare thiab Medicaid offset Medicare cov nyiaj them, nrhiav kev txiav txim plaub ntug hauv Tsev Hais Plaub Siab, thiab cov ntaub ntawv pov thawj tawm tsam cov khoom ntiag tug thiab tus kheej uas tus kws kho mob muaj.
For beneficiary overpayments, the Department sends demand letters and makes phone calls seeking voluntary repayment. If these efforts are unsuccessful, OP may initiate offset of State Income Tax refunds and lottery winnings, pursue civil actions in Small Claims Court, or refer the case to the Attorney General’s Office to secure a judgment against the beneficiary’s assets and/or record a real property lien.
Cov ntaub ntawv tiv tauj
Txhawm rau xa cov lus nug hauv hluav taws xob rau OP, thov ua kom tiav Daim Ntawv Them Nyiaj Tshaj Tawm Online.
Txhawm rau xa cov ntawv sau rau OP, thov siv qhov chaw xa ntawv hauv qab no. Nco ntsoov suav nrog cov ntaub ntawv tsim nyog, xws li Tus Xov Tooj Muab Kev Pab (NPI) thiab cov ntaub ntawv tiv tauj:
Department of Health Care Services
Third Party Liability & Recovery Division
Overpayments Unit – MS 4720
P.O. Box 997425
Sacramento, CA 95899-7425