summary
Introduced
In Committee
Crossed Over
Passed
Dead
Introduced Session
2013 Regular Session
Bill Summary
Adding an additional provision relating to a change in principal that must be included in a Medicaid provider agreement with the Agency for Health Care Administration; revising provisions specifying grounds for terminating a provider from the program, for seeking certain remedies for violations, and for imposing certain sanctions; deleting the requirement that the agency place payments withheld from a provider in a suspended account and revising when a provider must reimburse overpayments; providing for the expiration of the Medicaid and Public Assistance Fraud Strike Force, etc.
AI Summary
This bill modifies provisions related to Medicaid provider agreements and fraud prevention, including requiring providers to report changes in ownership or key personnel within 30 days, clarifying liability for overpayments during ownership changes, and allowing the agency to conduct onsite inspections before making initial payments. It also expands the grounds for terminating providers, such as conviction of certain criminal offenses, and clarifies the agency's ability to seek remedies for violations, including imposing fines and suspending or terminating provider participation. The bill also revises rules regarding the handling of withheld payments, requiring them to be placed in an interest-bearing trust account pending determination and allowing for the contestation of recovered medical expense damages. Additionally, it strengthens protections for individuals reporting Medicaid fraud and mandates the expiration of the Medicaid and Public Assistance Fraud Strike Force on June 30, 2014.
Committee Categories
Budget and Finance, Business and Industry, Health and Social Services
Sponsors (1)
Other Sponsors (2)
Appropriations (Senate), Health Policy (Senate)
Last Action
Laid on Table, companion bill(s) passed, see CS/CS/HB 939 (Ch. 2013-150), SB 1520 (Ch. 2013-48) (on 04/29/2013)
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