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AZ HB2513

Bill

Status

Engrossed

3/7/2014

Primary Sponsor

Carl Seel

Click for details

Origin

House of Representatives

Fifty-first Legislature - Second Regular Session (2014)

AI Summary

  • 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.

  • 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.

  • 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.

  • 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.

  • 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

Full Bill Text

No bill text available