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28.1 Overpayments

An “overpayment” occurs when BadgerCare Plus benefits are paid for someone who was not eligible for them or when BadgerCare Plus premium calculations are incorrect.  The amount of recovery may not exceed the amount of the BadgerCare Plus benefits incorrectly provided.  Some examples of how overpayments occur are:


  1. Concealing or not reporting income.

  2. Failure to report a change in income.

  3. Providing misinformation at the time of application regarding any information that would affect eligibility.


Note: Overpayments can only be recovered if the member failed to report a change for which they were notified they were required to report.






his page last updated in Release Number: 13-02

Release Date: 10/25/13

Effective Date: 10/01/13