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AK HB190
Bill
AI Summary
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Establishes civil penalties of $100–$25,000 plus three times actual damages for knowingly submitting false or fraudulent medical assistance claims, with courts able to reduce damages if violators fully cooperate with investigations.
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Requires Department of Health and Social Services to design and implement a medical assistance reform program including telemedicine expansion, fraud prevention, pharmacy initiatives, care management, and performance-based payment measures.
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Mandates annual reports to the legislature by October 15 detailing cost savings, quality metrics, telemedicine barriers, travel cost reductions, emergency department usage, hospital readmissions, and payment error rates for medical assistance.
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Directs the department to establish managed care or case management demonstration projects by January 31, 2016, using third-party contractors to coordinate care and reduce costs while improving quality for medical assistance recipients.
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Requires the department to study the feasibility of privatizing services at Alaska Pioneers' Homes, the Alaska Psychiatric Institute, and juvenile justice facilities, reporting findings within 10 days of the Second Regular Session convening.
Legislative Description
Medicaid Reform/fraud/er Use/studies
Physicians
Last Action
REFERRED TO FINANCE
4/11/2015