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 Order Concerning Recoupment
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FAQ
Members who are age 55 or older, living in the community, and who are not receiving services related to long-term care or any services through the Wisconsin Chronic Disease Program will not be affected by estate recovery.
New York Medicaid does not seek to recover from any property except that which was solely owned by the decedent and included in their estate.
To avoid Medicaid getting a hold of these assets, you can take them out of your name by placing them in a "Family Asset Protection Trust" or, quite simply, a "Medicaid Five Year Trust." In situations like this, it's best to have transferred all property and assets that need protection into this trust at least five
The transfer by affidavit process can be used to close a person's estate when the deceased has $50,000 or less in assets subject to administration in Wisconsin. It is an alternative to using a court process for smaller estates.
Yes, there is a generally a statute of limitation on Medicaid estate recoveries.
And, it is not true that the state will ?swoop in? and take your home away from you once you are on Medicaid. The state does not take your home while you are alive, even if you no longer live there. MYTH: If I give away assets to family or friends, I won't ever qualify for Medicaid.
MassHealth will not pursue any estate recovery if the value of the member's estate is $25,000 or less. In other cases, MassHealth may decide that recovering assets would be unduly hard on the member's family or on the person who inherited the estate (the ?heir?). In these cases, MassHealth may grant a hardship waiver.