Hawaii Revised Statutes 346-59.6 – Medicaid overpayment recovery
Current as of: 2024 | Check for updates
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Terms Used In Hawaii Revised Statutes 346-59.6
- Director: means the director of human services. See Hawaii Revised Statutes 346-1
- Provider: means any person or public or private institution, agency or business concern authorized by the department to provide health care, service or supplies to beneficiaries of medical assistance. See Hawaii Revised Statutes 346-1
The director shall recover medicaid overpayments made to providers. Medicaid overpayments shall be recovered due to a provider‘s ineligibility, noncovered service, noncovered drug, lack of prior authorization when a service requires one, incorrect payment allowance identified through any post payment review, or claims processing error. The director may recover overpayments through recoupment, tax offset under §§ 231-51 to 231-59, and circuit court judgment. Nothing in this section shall limit the director’s authority to recover overpayments through all other lawful means.