Recovery Where the Beneficiary Is Liable for the Overpayment

110 - Recovery Where the Beneficiary Is Liable for the Overpayment (Rev. 13183; Issued: 04-24-25; Effective: 05-27-25; Implementation: 05-27-25) When the contractor has determined the beneficiary to be liable for the overpayment, it shall initiate recovery efforts in accordance with the following sections, as appropriate. The chart below is meant to be a guide. The actual sections shall be reviewed for additional guidance. MEDICARE BENEFICIARY NON-MSP OVERPAYMENTS O/P Amount Overpayment Notice Level of Pursuit Waiver Requests $0-$49.99 No- refer to Ch. 3 §110.2 None N/A $50-$999.99 Yes, See Ch. 3 §110 Attempt collection following Ch. 3 §110.2. If case is in offset status for one year with no collection activity, refer case to RO with a recommendation to terminate collection action. Review all waiver requests and decide to approve or deny the waiver based on Ch. 3 §70. $1000-$19999.99 Yes, See Ch. 3 §110 Attempt collection following Ch. 3 §110.2. Attempt to refer the case to SSA if applicable. Review all waiver requests and decide to approve or deny the waiver based on Ch. 3 §70. $20000 and over Yes, See Ch. 3 §110 Attempt collection following Ch. 3 §110.2. Attempt to refer the case to SSA if applicable. Review all waiver requests and recommend approving or denying the waiver based on Ch. 3 §70. If the recommendation is for approval, refer the waiver request to the Regional Office for concurrence.