ODJFS Issues Credit Balance Resolution Letters

Many providers are currently receiving “Credit Balance Resolution” letters from the Ohio Department of Job and Family Services (ODJFS) for old periods. In some cases, the provider may have already resolved the issues in the report and/or adjudicated those periods. The letters may even request payment for items that may have already been paid, but were not booked by the department. 

At this particular time, we have not determined the origin or rationale of these letters but we suspect that the issuance of letters has been directed by the Attorney General’s office and the issue could be problematic with possible legal issues involved. Providers should contact their accountant and/or attorney upon receipt of one of these letters, especially prior to paying amounts due because the amount may not actually be owed.

There has been some historical litigation in this area and paying an amount from a settled period might be admission of a violation of federal regulation. There are strict time deadlines to respond to these letters, so it is very important that providers are on the lookout for these letters.

If you receive a Credit Balance Resolution letter, please get your HW Healthcare Advisor involved immediately so that a response can be made in a timely manner. Please feel free to contact us if you have any questions on this matter.