Wisconsin Order Concerning Recoupment

State:
Wisconsin
Control #:
WI-SKU-1284
Format:
PDF
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Description

Order Concerning Recoupment Wisconsin Orders Concerning Recoupment is a state-mandated process that allows hospitals and other health care providers to recoup payments for medical services provided to a patient who has received Medicaid or Aftercare Plus benefits. This process is used to ensure that the state of Wisconsin is reimbursed for its Medicaid and Aftercare Plus expenses. There are two types of Wisconsin Order Concerning Recoupment: Standard Order Concerning Recoupment (SOUR) and Limited Order Concerning Recoupment (LOCK). The SOUR process is used when the provider has submitted a claim to the Wisconsin Department of Health Services (DHS) and the DHS has determined that the claim is eligible for recoupment. The LOCK process is used when the provider has submitted a claim to the DHS and the DHS has determined that the claim is eligible for recoupment, but the amount of the claim is limited. Both processes involve the provider filing a written request with the DHS and the DHS issuing an order to the provider for recoupment. The provider is then required to collect the recoupment from the patient and submit it to the DHS.

Wisconsin Orders Concerning Recoupment is a state-mandated process that allows hospitals and other health care providers to recoup payments for medical services provided to a patient who has received Medicaid or Aftercare Plus benefits. This process is used to ensure that the state of Wisconsin is reimbursed for its Medicaid and Aftercare Plus expenses. There are two types of Wisconsin Order Concerning Recoupment: Standard Order Concerning Recoupment (SOUR) and Limited Order Concerning Recoupment (LOCK). The SOUR process is used when the provider has submitted a claim to the Wisconsin Department of Health Services (DHS) and the DHS has determined that the claim is eligible for recoupment. The LOCK process is used when the provider has submitted a claim to the DHS and the DHS has determined that the claim is eligible for recoupment, but the amount of the claim is limited. Both processes involve the provider filing a written request with the DHS and the DHS issuing an order to the provider for recoupment. The provider is then required to collect the recoupment from the patient and submit it to the DHS.

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Wisconsin Order Concerning Recoupment