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AZ HB2513
Bill
Status
3/7/2014
Primary Sponsor
Carl Seel
Click for details
AI Summary
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Requires the Arizona Health Care Cost Containment System (AHCCCS) administration to conduct an annual audit by July 1 each year to verify payment primacy by electronically matching member identities against enrollment in other health plans.
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Mandates AHCCCS file audit results with the Department of Insurance by September 1 annually and submit copies to the Governor, legislative leaders, Joint Legislative Budget Committee, and Secretary of State.
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Requires AHCCCS to issue a public request for proposals (RFP) for a contractor to develop cost-avoidance and recovery methodology for determining third-party liability and coordination of benefits.
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Stipulates the Joint Legislative Audit Committee must review the RFP before issuance and any awarded contract must include a cost-avoidance methodology demonstration in the proposal.
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Specifies contractor payment must be funded through costs recovered by the recovery methodology provided by the contractor, with reasonable reimbursement limits specified in the contract.
Legislative Description
AHCCCS; recovery audit; recovery methodology
Last Action
Referred to Senate HHS Committee
3/11/2014