Requires the Medicaid inspector general to comply with standards for auditing and reviewing medical assistance program funds.
The bill mandates that the Medicaid inspector general adhere to specific standards when auditing and reviewing medical assistance program funds. It requires the inspector to publish protocols governing audits and reviews, provide providers access to these protocols before commencing an audit, and consider various factors when determining the amount of an overpayment a provider must repay. The inspector must also consider supporting documentation submitted by the provider and provide a specific explanation of the factors considered in the final audit report.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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