ORIGINATING NO.: 04-12-OMB
AGENCY: OFFICE OF MANAGEMENT AND BUDGET
EFFECTIVE DATE: 12/1/03
EXPIRATION DATE: INDEFINITE
SUPERSEDES: N/A
SUBJECT: FEDERAL TREASURY OFFSETS
ATTENTION: DIRECTORS OF ADMINISTRATION AND CHIEF FISCAL OFFICERS
FOR INFORMATION CONTACT: BEN PULONE
PHONE: (609) 984-5215
I. PURPOSE
The purpose of this circular letter is to set forth the policies and
procedures for handling Federal Treasury offsets.
II. DEFINITION
The Treasury Offset Program (TOP), administered by the Federal Department
of the Treasury, is empowered to collect outstanding debts due the federal
government. Through this offset program, federal funds due the State of
New Jersey are reduced by the outstanding debts due to the federal government.
The debt can be related to any federal program within state government
and usually is unrelated to the program whose funds are offset. Typically
the offsets originate from the Federal Department of Health and Senior
Services and are related to health benefit claims.
III. POLICY
It is the responsibility of the State agency whose draw down has been
offset to initiate a request for reimbursement from the Division of Pensions
and Benefits using the "Medicare Part B Offset Reimbursement" form (Attachment).
Upon receipt of the reimbursement form, the Division of Pensions and Benefits
will reimburse the State agency the amount requested. Subsequently, the
Division of Pensions and Benefits will investigate the claim with the
federal government.
Should the investigation by the Division of Pensions and Benefits show
that the offset did not originate in the Division of Pensions and Benefits,
the state agency found to be responsible for the offset will reimburse
the Division of Pensions and Benefits the amount requested.
Charlene M. Holzbaur, Director
ATTACHMENT
MEDICARE PART B OFFSET REIMBURSEMENT
Requesting agency please complete the top part of this form, including
any additional information pertaining to the offset, and send to the following
address:
Treasury - Division of Pensions and Benefits
PO Box 295
Trenton, NJ 08625-0295
Attn: John Megariotis, Assistant Director Financial Services
Voice Mail: (609) 292-3674
E-mail: John.Megariotis@treas.state.nj.us
Fax: (609) 393-4606
| Requesting Agency: | __________________________________ |
|
| Agency Contact: | __________________________________ |
| Mailing Address: | __________________________________ |
| Voice Mail: | __________________________________ |
| E-mail: | __________________________________ |
| Fax: | __________________________________ |
|
| Date Received: | __________________________________ |
|
| Amount Requested: | __________________________________ |
| (See attached draw down documentation) |
|
| Amount Received: | __________________________________ |
| (See attached WEBInVision screen print) |
|
| Offset Amount: | __________________________________ |
|
| Additional Comments: | __________________________________ |
| | |
| FOR DIVISION OF PENSIONS AND BENEFITS
USE ONLY |
|
| Date Received: | __________________________________ |
|
| Reimbursement Amount: | __________________________________ |
|
| Reimbursement Date: | __________________________________ |
|
| Carrier Billed: | __________________________________ |
|
| Medicare Billed: | __________________________________ |
|
| Additional Comments: | __________________________________ |