Subject: Healthy Options/Basic Health Plus recoupment of premium payments for SSI eligible clients.

Effective Date: September 1, 1999.

Document Description: When clients enrolled in Healthy Options (HO)/Basic Health Plus (BHPP) managed care become retroactively eligible for supplemental security income (SSI) benefits, the Medical Assistance Administration (MAA) recoups premiums paid to HO/BHPP plans for the period of SSI eligibility. This memorandum explains MAA's recoupment process.

To receive a copy of the interpretive or policy statement, contact Ann Myers, Regulatory Improvement Coordinator, Department of Social and Health Services, Medical Assistance Administration, Division of Program Support, P.O. Box 45530, Olympia, WA 98504, phone (360) 664-2314, TDD 1-800-848-5429, fax (360) 753-7315, e-mail MYERSEA@dshs.wa.gov.

August 2, 1999

Leslie Saeger

Regulatory Improvement

Project Manager