Enhances Medicaid accountability by verifying enrollment data, conducting audits, and implementing safeguards for managed care payments.
The bill aims to strengthen Medicaid payment accountability by requiring routine eligibility verification cross-checks, mandating audits in high-risk areas, and establishing structured payment safeguards. It also authorizes a limited biometric verification pilot program to confirm service delivery and beneficiary identity in high-risk settings. The bill preserves existing eligibility standards, benefits, and due process protections. Audits must include written corrective action plans, recovery of improper payments, and escalation measures for recurring deficiencies.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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