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So my father passed away in Dec. 2022. He had Medicaid for 4 years (2014-2018), but never actually used it (meaning no claims were made on his behalf).


The Ohio Attorney General is now saying he owes $40,800.
The thing is, they cannot provide a detailed statement, they are just "assuming" it is for capitation repayment. (the money Medicaid paid the managed care plan). I will copy and paste the email from the AG.


My question is.....
$40,800 seems like A LOT, especially for 2014-2018.
Has anyone had a detailed statement with capitation payments listed? and were they $800/mo? Is that normal?


He was never in a nursing home or long-term care. He never actually used his Medicaid benefits.


Im not stating he doesn't have to repay the capitation... I was just wondering if that amount seems right?


Appreciate any insight from people who have gone through the probate process already or know anything about this type of thing.


Thank you all!! Everyone has been so helpful!!!!!


Here is the response from the AG regarding not being able to provide a detailed statement on what is owed:


From: Robert Byrne
Wed, Jul 5, 10:07 AM (9 days ago)
Normally we can provide a printout to show what was paid. Due to a switch to a new computer system at ODM, I am not able yet. But all it would show would be the monthly premiums paid by ODM to the health plan. It would not show any payments that were made by the health plan. Federal regulations require ODM to recover the premiums paid by ODM to the health plan, not what was paid by the health plan to medical providers.
Robert Byrne
Assistant Attorney General – Collections Enforcement
Office of Ohio Attorney General Dave Yost
30 E Broad Street, 14th Floor
Columbus, Ohio 43215
Office number: 614-752-8085

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A phone number was provided, so you should try calling their office with your question. Otherwise, you need to seek the advice of an elder law attorney.
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