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Adult Services Manual (ASM) 165 - Overpayment and Recoupment Process
Michigansub_regulatoryMDHHS — Adult Services / Home Help Policy Section / Medicaid Collections Unit· effective 2025-10-01
What this rule requires your agency to do
- 1Clients, individual caregivers, and agency providers are required to notify the ASW within 10 business days of any changes including hospitalization, nursing home, or adult foster care/home for the aged admissions.(Adult Services Manual (ASM) 165 - Overpayment and Recoupment Process)
- 2Individual caregivers and agency providers are responsible for correct billing, must bill only for approved hours and services delivered, and must refund overpayments resulting from inaccurate submission of hours.(Adult Services Manual (ASM) 165 - Overpayment and Recoupment Process)
Applies to: personal care
Governs Home Help overpayment identification and recoupment, including overpayment types (client, provider, administrative, hearing-upheld), reporting duties, the MDHHS-6237 recoupment letter process, and the prohibition on ASWs self-collecting overpayments.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.