Iowa HF2142 limits Medicaid claim reviews to those made within 12 months of payment, excluding fraud or misrepresentation.

Iowa HF2142 establishes limitations on post-payment reviews of Medicaid provider claims. These reviews, which do not involve fraud or misrepresentation, are restricted to claims paid within the last 12 months. Overpayments identified after this period cannot be subject to repayment or offset against future reimbursements. The bill also allows for the resubmission of improper payments identified through a review as a claims adjustment. The provisions do not apply to retroactive Medicaid cost settlements or rate changes based on a Medicaid or Medicare cost report.

Iowa HF2142 limits Medicaid claim reviews to those made within 12 months of payment, excluding fraud or misrepresentation.

Iowa HF2142 establishes limitations on post-payment reviews of Medicaid provider claims. These reviews, which do not involve fraud or misrepresentation, are restricted to claims paid within the last 12 months. Overpayments identified after this period cannot be subject to repayment or offset against future reimbursements. The bill also allows for the resubmission of improper payments identified through a review as a claims adjustment. The provisions do not apply to retroactive Medicaid cost settlements or rate changes based on a Medicaid or Medicare cost report.