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Bulletin ID: No. 71 - Medicaid Realignment Recoupment of Payment

Saturday, April 23, 2011

Effective Date: May 1, 2011

This Bulletin serves as official notification that the Department of Mental Health will begin recouping claims payments that were initially paid out of local dollars and after realignment those same claims were paid to providers by Medicaid;  thereby, resulting in a double payment.

The recoupment will start on May 1, 2011 and continue until a provider’s financial obligation has been satisfied.  The amount being recouped will be placed in the “Reconciliation Folder” in the provider’s claims download folder on a weekly basis.

If you have questions regarding this process please contact Mrs. Venida Hamilton at 202-671-3155 or venida.hamilton@dc.gov.

Note:  Re-alignment is an ongoing process; therefore, further recoupments may occur.