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AZ HCR2042

Concurrent Resolution

Status

Introduced

1/23/2012

Primary Sponsor

Carl Seel

Click for details

Origin

House of Representatives

Fiftieth Legislature - Second Regular Session (2012)

AI Summary

  • Enacts a measure for voter approval relating to the Arizona Health Care Cost Containment System (AHCCCS) third-party coverage audits and recovery methodologies.

  • Requires AHCCCS to conduct annual audits by July 1 each year matching member identities electronically against other health plan enrollments to determine payment primacy, with results filed to the Department of Insurance by September 1.

  • Mandates AHCCCS submit annual audit results to the Governor, House Speaker, Senate President, Joint Legislative Budget Committee, and Secretary of State by September 1 each year.

  • Requires AHCCCS to issue a public request for proposals reviewed by the Joint Legislative Audit Committee for contracts to determine third-party liability and coordination of benefits using a cost avoidance and recovery methodology.

  • Specifies that recovery contractors must demonstrate their cost avoidance methodology in proposals and be compensated through recovered costs with reasonable reimbursement limits specified in the contract.

Legislative Description

AHCCCS; recovery audit; recovery methodology

Last Action

Referred to House HHS Committee

1/24/2012

Full Bill Text

No bill text available