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IA HF2142
Bill
Status
1/21/2026
Primary Sponsor
Eric Gjerde
Click for details
AI Summary
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Post-payment reviews of Medicaid provider claims (both fee-for-service and managed care) that do not involve fraud or misrepresentation are limited to claims paid within the preceding 12 months.
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Provider overpayments identified more than 12 months after the payment date cannot be required to be repaid or offset against future claim reimbursements.
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These 12-month limitations do not apply to retroactive Medicaid cost settlements or rate changes based on Medicaid or Medicare cost reports.
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Providers may resubmit any improper payment identified through a review as a claims adjustment.
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Takes effect immediately upon enactment.
Legislative Description
A bill for an act relating to limitations on activities related to paid claims under the Medicaid program, and including effective date provisions.
Last Action
Introduced, referred to Health and Human Services. H.J. 134.
1/21/2026