Aged, Blind, Disabled (ABD): How to Submit a Health-Related and Medical Services Overpayment

The following information should be sent to the Benefit Integrity and Recovery Section (BIRS) in the form of a memo or by e-mail to: overpayments@okdhs.org.

  • Client name and case number
  • Time frame of the overpayment
  • Date case was corrected
  • Discovery date – the discovery date is the date the agency first became aware of the situation that led to the overpayment claim
  • Explanation of circumstances resulting in overpayment, with as much detail as possible
  • Date of employment/new employment
  • Date, type and amount of resources(s) received
  • Date and amounts of income received, including date of first check

Always check policy for rules regarding when notice should be allowed (10-10-10).

Maintain copies, in imaging of all documents sent to BIRS and all documents returned to the county from BIRS.

Supporting documentation should be included with the claim referral including:

  • Copy of award letter or verification of start date for VA, SSI, workers compensation, etc.
  • Copies of pay stubs, bank statements, trusts, rental lease, etc.
  • Copies of statements such as separate household statements, employer statements, statements from individuals regarding client’s circumstances, etc.
  • Other verifications or documents related to the overpayment

In addition, specific to the Health-Related and Medical Services program:

  • Type of medical assistance received
  • If the overpayment was due to income, provide the monthly gross income for the overpayment period.
  • If the overpayment was due to resources, provide the highest known resource amount for each month of the overpayment period.
  • In any assistance area with a vendor pay or co-pay, provide the original and new co-pay/vendor payment for each month of the overpayment.
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