Loading chat...
IL HB2832
Bill
Status
2/18/2021
Primary Sponsor
Jackie Haas
Click for details
AI Summary
-
Establishes a 2-year time limit for managed care organizations to complete post-payment audits of provider claims under Illinois Medical Assistance, measured from the claim's payment date.
-
Audits completed within the 2-year window can result in overpayment recovery through recoupment or offset of future payments.
-
Exempts fraudulently submitted claims from the 2-year limitation period.
-
Exempts claims involving patterns of inappropriate billing known to or reasonably knowable by the provider as violating standard provider billing practices.
-
Exempts claims subject to federal laws or regulations that permit post-payment audits beyond 2 years.
Legislative Description
MEDICAID MCO-CLAIM AUDIT-LIMIT
Last Action
Rule 19(a) / Re-referred to Rules Committee
3/27/2021