Forms
- Immediate Offset Form
(Use this form to request an offset of a specific demand letter or a provider level offset for current and future overpayments) - Voluntary Overpayment Refund Form
(Use this form only when refunding with a check) - Overpayment Recovery Request: MSP

- Overpayment Recovery Request: Non-MSP

- Extended Repayment Schedule (ERS)

- Accelerated/Advance Payment Request Form

- COVID-19 Accelerated/Advance Payment Form

- Stop Payment Affidavit


