Bill
LB 381
Bill 1 SummaryBill Number: LB 381Title: Change requirements relating to program integrity audits under the Medical Assistance ActSummary:- Provides clear justification, in writing,
Bill Number: LB 381
Title: Change requirements relating to program integrity audits under the Medical Assistance Act
Summary:
- Provides clear justification, in writing, for audits conducted by program integrity contractors
- Limits the audit window to 1 year from the date of payment
- Limits the records requested to only those relevant to the audit
- Requires detailed explanations of errors and allows for adjustments from the provider
- Allows for a proper appeal process and states that a contractor cannot seek recovery of overpayment until all appeals are exhausted
- Bolsters the definitions of errors and credible fraud
Compiled from official sources — confirm details with the bill’s official record.
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