MS SB2684

Health insurance issuers must have the same time limit to audit claims as providers have to submit them, or a maximum of 12 months after payment if no submission deadline exists.

All audits of claims and payments by the Division of Medicaid are limited to a maximum of 5 years after payment of the claim.

Auditors performing Medicaid audits must be qualified and licensed, and must follow Generally Accepted Accounting Principles and Generally Accepted Auditing Standards.

Fraud, misrepresentation, omission, or concealment claims are exempt from the time limitations established in this section.

Effective date is July 1, 2012.