MedicaidReimbursementMedium impact
23-1424 As of October 15, 2023 Recoupment of Overpayment Through Offset
Health Net·CA·Reimbursement
Effective date
Oct 15, 2023
We identified it
Jun 20, 2026
Summary
CCHCS/CDCR can now offset future provider payments to recover overpayments, with 30 days written notice required before recovery begins. Providers can request up to 6-month installment plans for financial hardship and can appeal through the Dispute Resolution process to prevent offset during appeal.
Action Required
Immediately: Billing team must establish procedure to monitor for overpayment recovery notices from CCHCS/CDCR. Set up system to track 30-day notice periods and flag accounts for potential payment offsets. Train billing staff on appeal process under Dispute Resolution to prevent offsets. Document financial hardship procedures for installment payment requests if needed.