SUR Frequently Asked Questions


Question: Why does Medicaid seek recoupment from an "individual doctor" instead of seeking it from the medical group to which the doctor belonged at the time the claim was submitted?

Answer: Medicaid must seek reimbursement from the "payee" named on the check.

Question: How far back can Medicaid seek and process recoupments for previously rendered services?

Answer: Medicaid may seek and process recoupments for previously rendered services as far back as six years.

Last Edited: 7/11/2015