Department of Health Care Policy & Financing Statistical Sampling & Extrapolation
Governor Signed
Summary
The bill lets the Department of Health Care Policy and Financing audit Medicaid providers of non‑emergency medical transportation and pediatric behavioral therapy using statistically valid samples instead of reviewing every claim. Providers found to have overpayments will receive notice and may appeal, while the state must follow strict audit and reporting rules. It also shifts $6.86 million from the general fund to a recovery fund.
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