Iowa HF808 mandates managed care organizations to issue chargebacks to providers within 12 months and negotiate fees with third-party auditors before.
Iowa HF808 establishes rules for managed care organizations (MCO) under contracts with the Department of Health and Human Services to administer the medical assistance program. It requires MCOs to issue chargebacks to providers within 12 months from the date of reimbursement. Additionally, MCOs must negotiate fees with third-party auditors before initiating audits and cannot base auditor compensation on the percentage of chargebacks identified.
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