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IL HB2832

Bill

Status

Introduced

2/18/2021

Primary Sponsor

Jackie Haas

Click for details

Origin

House of Representatives

102nd General Assembly

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

Committee Referrals

Rules3/27/2021
Medicaid & Managed Care3/19/2021
Appropriations-Human Services3/9/2021
Rules2/19/2021

Full Bill Text

No bill text available