Bill > HB2797

This bill addresses auditing practices and collaboration between state health agencies in Oklahoma, specifically focusing on Medicaid home and community-based services. The bill defines key terms like "error rate" and "extrapolation" and prohibits the Oklahoma Health Care Authority (OHCA) from using certain statistical sampling methods for auditing claims submitted between January 2020 and November 2027 that could result in providers being required to repay amounts beyond the actual audited claims. The bill invalidates previous audit methodologies used during this period and nullifies any existing payment demands based on those audits. Additionally, the bill requires the OHCA and the Department of Human Services to jointly develop an improved audit methodology and create an information and training program to help providers understand audit standards and claim submission processes. The bill also amends existing law to specify that the Department of Human Services will be responsible for annual performance audits of community-based services through Medicaid Waivers, while the OHCA will audit claims to ensure services were delivered according to federal requirements. An emergency clause is included, meaning the bill will take effect immediately upon passage and approval.

Budget and Finance

http://www.oklegislature.gov/BillInfo.aspx?Bill=hb2797&Session=2600