Potential Overpayment (POP) Definition
A potential overpayment occurs when it is determined that a participant may have received benefits to which they are not entitled. The potential overpayment may be identified by any of the following:
●Management Evaluation (ME)
●Quality control (QC)
●The Case Read Process
●OSI
●Other audits or case readings
●State Verification Exchange System (SVES)
●The local office worker