PAYMENT RECOUPMENT. (A) The Department shall recoup any payment paid to the Contractor which was paid in error. Such error may include human or mechanical error on either part of the Contractor or the Department. Errors can include, but are not limited to, lack of eligibility or computer error. (B) The Contractor shall refund any overpayments to the Department within 30 calendar days of discovering an overpayment or being notified by the Department that overpayments are due. If the Contractor fails to refund an overpayment within 30 days, the Department shall deduct the overpayment from the Department’s next payment(s) to the Contractor. If the Contractor disagrees with the Department’s determination that an overpayment has been made, the Contractor may request an administrative hearing within 30 days of the Department’s recoupment of the overpayment.
Appears in 10 contracts
Samples: Prepaid Mental Health Plan, Prepaid Mental Health Plan Contract, Prepaid Mental Health Plan Contract
PAYMENT RECOUPMENT. (A) The Department shall recoup any payment paid to the Contractor which was paid in error. Such error may include human or mechanical error on either part of the Contractor or the Department. Errors can include, but are not limited to, lack of eligibility, Enrollee eligibility for CHIP, or computer error.
(B) The Contractor shall refund any overpayments to the Department within 30 calendar days of discovering an overpayment or being notified by the Department that overpayments are due. If the Contractor fails to refund an overpayment within 30 days, the Department shall deduct the overpayment from the Department’s next payment(s) to the Contractor. If the Contractor disagrees with the Department’s determination that an overpayment has been made, the Contractor may request an administrative a State fair hearing within 30 days of the Department’s recoupment of the overpayment.
Appears in 4 contracts
Samples: Chip Dentaquest Amendment 2, Chip Premier Access Dental Contract Amendment 2, Contract