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2019 Session

Budget Amendments - HB1700 (Member Request)

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Chief Patron: Peace
Medicaid Fraud Prevention & Prepayment Analytics (language only)

Item 307 #9h

Item 307 #9h

Health and Human Resources
Department of Medical Assistance Services

Language

Page 350, after line 9, insert:

"Y. The Department of Medical Assistance Services shall provide an update on the program to mitigate the risk of improper payments to providers of services who commit fraud, abuse or errors, through the use of prepayment analytics. In providing the update, the department shall report on efforts by Medicaid managed care organizations to use such analytical tools to mitigate improper payments to providers."



Explanation

(This amendment adds language requiring Medicaid to provide an update on its prepayment analytics program to mitigate improper payments to Medicaid service providers who commit fraud, abuse or errors.)