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AZ HCR2042
Concurrent Resolution
Status
1/23/2012
Primary Sponsor
Carl Seel
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AI Summary
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Enacts a measure for voter approval relating to the Arizona Health Care Cost Containment System (AHCCCS) third-party coverage audits and recovery methodologies.
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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.
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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.
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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.
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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