超额付款计划
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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).
当发现提供商多付款时，金融机构会向提供商发送多付款通知或审计机构发送付款催款信。 这些信件还通知提供者他们的上诉权利。 如果提供者不自愿付款，OP 可以采取措施让 FI 用当前的 Medi-Cal 索赔付款来抵消所欠金额，让联邦医疗保险和医疗补助服务中心抵消医疗保险付款，在高等法院寻求法定判决，并记录对提供者拥有的动产和不动产的留置权。
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.
联系信息
要以电子方式向 OP 提交查询，请填写多付款在线表格。
要向 OP 提交书面信函，请使用以下邮寄地址。 请务必包含相关信息，例如提供商编号（NPI）和联系信息：
Department of Health Care Services
Third Party Liability & Recovery Division
Overpayments Unit – MS 4720
P.O. Box 997425
Sacramento, CA 95899-7425