Delaware HB212 amends overpayment recovery and audit practices, limiting recovery efforts and requiring specific notice for pharmacies.
Delaware HB212 amends Title 18 of the Delaware Code to modify overpayment recovery and audit practices. It restricts health insurers and health plans from initiating overpayment recovery efforts more than 12 months after the original payment. The bill mandates that findings of overpayment must be based on actual overpayments, not projections. It prohibits the use of extrapolation in calculating recoupment unless required by law.
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