Form R0062 Refund Request - Medicaid Program - Rhode Island

Form R0062 Refund Request - Medicaid Program - Rhode Island

What Is Form R0062?

This is a legal form that was released by the Rhode Island Executive Office of Health and Human Services - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form R0062?
A: Form R0062 is a refund request form for the Medicaid program in Rhode Island.

Q: Who can use Form R0062?
A: Individuals who are enrolled in the Medicaid program in Rhode Island can use Form R0062 to request a refund.

Q: What is the purpose of Form R0062?
A: The purpose of Form R0062 is to request a refund for overpaid Medicaid premiums or other payments.

Q: How do I fill out Form R0062?
A: To fill out Form R0062, provide your personal information, the reason for the refund, and any supporting documentation.

Q: When will I receive my refund?
A: The processing time for refund requests can vary, but you should receive your refund within a reasonable timeframe.

Q: What if my refund request is denied?
A: If your refund request is denied, you may be able to appeal the decision or contact the Medicaid office for further assistance.

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Form Details:

  • Released on January 11, 2022;
  • The latest edition provided by the Rhode Island Executive Office of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form R0062 by clicking the link below or browse more documents and templates provided by the Rhode Island Executive Office of Health and Human Services.

Download Form R0062 Refund Request - Medicaid Program - Rhode Island

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