9 NYCRR Part 9650 - Executive Department

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Source version current through May 15, 2022

All 3 displayed sections in this Part carry the same compiled date. Status and warnings stay on each section.

9 NYCRR 9650.1 - Responsibility for repayment of overpayments

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Dates and status

NYCRR title agency: Executive Department
Section status: Section source receipt
Source version current through: May 15, 2022

Participants are responsible for repaying the value of any benefits or payments made under the program that were based on applications or claims submitted in violation of the eligibility requirements of the program.

9 NYCRR 9650.2 - Recovery of overpayments

Later State Register activity may affect this section.

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Dates and status

NYCRR title agency: Executive Department
Section status: Section source receipt
Source version current through: May 15, 2022

(a)The contractor shall establish a procedure to ensure that the value of any benefits received by any person in violation of the eligibility requirements of article 19-K of the Executive Law and these regulations is recovered from the person prior to his/her recertification for entitlement to benefits for any period beyond the initial annual eligibility period.

(b)Where after authorization of benefits to an applicant it is discovered that the applicant was not entitled to benefits or that a participant has received benefits in excess of those to which he/she was entitled, the contractor shall promptly notify the applicant or participant of the overpayment and request that the value thereof be refunded.

(c)Where repayment is not forthcoming from the applicant or participant, the contractor shall attempt collection in a manner consistent with the State debt collection procedures law. Where the contractor is unsuccessful in its collection efforts, the matter shall be referred to the executive director for collection proceedings consistent with the economies of effective administration.

(d)Notwithstanding any provision in this section to the contrary, no person shall be deemed eligible to receive benefits under the program until he/she has repaid the full value of any benefits previously furnished to or on behalf of that person in violation of article 19-K of the Executive Law and these regulations, or has entered into a plan for repayment and remains current with such plan.

9 NYCRR 9650.3 - Right to reimbursement of covered drug expenses

Later State Register activity may affect this section.

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Dates and status

NYCRR title agency: Executive Department
Section status: Section source receipt
Source version current through: May 15, 2022

Participants have the right to be reimbursed for excess copayments and for personal covered drug expenses, less required copayments, made in excess of their required deductible payments, made prior to receipt of their new identification card or appropriate adjustment to the eligibility file.

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