Client Recoveries

There are instances where an individual may have obtained Medicaid benefits that they were not entitled to receive. In cases where an individual improperly received benefits, the overpayment of benefits should be recovered from the individual.

For more information contact: Mark Seevers Mark.Seevers@state.co.us

Estate Recoveries

The Estate Recovery project is a federally mandated program that requires the State to recover the cost of benefits paid on behalf of a Medicaid client from their estate. Estate recovery is handled primarily 2 ways. First, liens can be placed on property owned by the Medicaid client if it has been determined that this individual is unlikely to return home from a nursing facility. Second, upon the death of certain Medicaid clients, Medicaid files a claim against the estate of this client for the Medicaid benefits paid on his/her behalf.

For more information:
Estate Recoveries

Or contact: Mark Seevers Mark.Seevers@state.co.us

Post Pay Recoveries

The TPL Post-Pay Recovery project recovers the cost of benefits paid on behalf of a Medicaid client where a third party was liable for these payments. Post-pay recovery projects encompass several separate and distinct recovery programs which currently include the following: Medicare Recoveries, Commercial Insurance Recoveries, Provider Retractions, and Cost Avoidance. The current state contractor for postpay recoveries is Health Management Systems (HMS).

For more information contact: Mark Seevers Mark.Seevers@state.co.us

Trust Recoveries

Certain trusts are required to establish Medicaid eligibility. Upon the death of a Medicaid client who had either an Income Trust or a Disability Trust the Department, as beneficiary of the Trust, must collect the trust funds to offset some of the Medicaid benefits paid on behalf of the client.

For more information contact:

Medicaid.trusts@hcpf.state.co.us Fax: 303-866-3552
Mark Seevers Mark.Seevers@state.co.us