IN HB1308

Requires the Office of the Secretary of Family and Social Services and contracted managed care organizations to perform recovery audits to ensure Medicaid program integrity, effective July 1, 2019

Establishes a standard audit look back period of 3 years and 180 days for audits initiated after June 30, 2019, which may be extended to 7 years if credible allegations of fraud, abusive billing practices, or error rates exceeding 30% are discovered

Mandates annual educational and training programs for Medicaid providers covering past audit findings, common errors, and recommended practices for improving claim submissions

Requires recovery audits to review provider claims to identify overpayments and underpayments, with recovery of overpayments and payment of underpayments to providers

Directs the office to complete a study by December 1, 2019 examining opportunities to consolidate Medicaid audits to reduce administrative burden and costs for health providers