This will delete the case from the automatic follow up list. You may also request interim profiles at any time prior to the automatic reorder if needed, for example to update the amount of claims paid before a court appearance. It will state that an additional follow up profile will be automatically reordered 12 months after the end of the overpayment period. The request for a profile will establish an overpayment case in the Program Integrity tracking system. Refer to the Forms Appendix in the Medicaid Manual for instructions for completing the DMA-7063.
Instructions are also on the back of the form.
The DSS-1657 is the reporting tool used to inform DMA of the status of overpayment cases and the actions on those cases. Profile has been ordered but no overpayment exists e. County dss closing a case. Include a brief explanation in the appropriate block. A DSS-1657 must be submitted for all long term care liability increases showing the amount to be recouped and the period for which the liability was incorrect. Policy requires a 10-day advance notice for increases in the liability if the change was reported timely.