Loading chat...

CT HB05069

Bill

Official Source

Status

Introduced

1/9/2013

Primary Sponsor

Jeffrey Berger

Click for details

Origin

House of Representatives

2013 General Assembly

AI Summary

  • Requires the Commissioner of Social Services to contract for a fraud detection and prevention system for the Medicaid program and Children's Health Insurance Program
  • System must maintain a regularly updated database of providers to prevent improper payments to deceased, sanctioned, or retired providers
  • Technology component must track billing and payment patterns indicative of fraud, flag suspicious activity for review before payment, and capture data to refine the system
  • Contractor reimbursement and performance guarantee models must ensure that savings generated by the system exceed its costs

Legislative Description

An Act Reducing Health Care Fraud, Waste And Abuse.

Last Action

Public Hearing 02/19

2/15/2013

Committee Referrals

Human Services1/9/2013

Full Bill Text

No bill text available