WAC 388-410-0001 What is a cash / medical assistance overpayment?

1. An overpayment is any cash or medical assistance paid that is more than the assistance unit was eligible to receive.

2. There are two types of cash/medical overpayments: 

   1. Intentional overpayments, presumed to exist if you willfully or knowingly:

      1. Fail to report a change you must tell us about under WAC 388-418-0005 within the timeframes under WAC 388-418-0007; or

      2. Misstate or fail to reveal a fact affecting eligibility as specified in 388-446-0001.

   2. Unintentional overpayments, which includes all other client-caused and all department-caused overpayments.

3. If you request a fair hearing and the fair hearing decision is in favor of the department, then:

   1. Some or all of the continued assistance you get before the fair hearing decision must be paid back to the department (see WAC 388-418-0020); and

   2. The amount of assistance you must pay back will be limited to sixty days of assistance, starting with the day after the department receives your hearing request.

4. If you receive child support payments directly from the noncustodial parent, you must turn these payments over to the division of child support (DCS). These payments are not cash assistance overpayments.