ACA Duplicate Payment Recoupment Update

ACA Duplicate Payment Recoupment Update

The Indiana Health Coverage Programs (IHCP) notified providers via IHCP banner page BR201410, dated March 11, 2014, that a duplicate payment for the fourth-quarter 2013 Affordable Care Act (ACA) primary care physician fee payments to fee-for-service providers had occurred. Further, it informed providers they would receive a notification letter with additional information regarding the recoupment of the overpayments, which would begin on March 28, 2014.

The letters advised providers that if the accounts receivable (AR) did not satisfy the overpayment, they could remit a check to the IHCP to satisfy the overpayment. At this time, the IHCP is advising providers to allow at least 45 days for the overpayment to self-satisfy through AR before sending a refund check. This will prevent a duplicate repayment in the event an AR and refund check are established simultaneously. Providers who may have already submitted a refund check and subsequently learned an AR had satisfied the original overpayment should wait at least 30 days before contacting the Finance Department at (317) 488-5004 to inquire about the duplicate refund.