Bill Text: IA HSB225 | 2021-2022 | 89th General Assembly | Introduced
Bill Title: A bill for an act relating to the time frame applicable to the adjustment of overpayment of claims under the Medicaid program, and including effective date provisions.(See HF 736.)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2021-03-03 - Committee report approving bill, renumbered as HF 736. [HSB225 Detail]
Download: Iowa-2021-HSB225-Introduced.html
House
Study
Bill
225
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HUMAN
RESOURCES
BILL
BY
CHAIRPERSON
MEYER)
A
BILL
FOR
An
Act
relating
to
the
time
frame
applicable
to
the
adjustment
1
of
overpayment
of
claims
under
the
Medicaid
program,
and
2
including
effective
date
provisions.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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_____
Section
1.
ADJUSTMENT
OF
OVERPAYMENT
OF
CLAIM
——
LIMITED
1
TIME
FRAME.
Notwithstanding
any
provision
of
law
to
the
2
contrary,
if
the
Medicaid
program,
including
any
managed
care
3
organization
contracting
with
the
state
to
pay
providers
for
4
the
cost
of
medical
services
received
by
Medicaid
members,
5
discovers
an
overpayment
to
a
provider
that
does
not
involve
6
fraud
or
misrepresentation,
the
provider
shall
not
be
subject
7
to
repayment
of
the
overpayment
or
to
offset
against
future
8
reimbursement
of
claims
by
the
provider
if
twelve
months
or
9
more
have
elapsed
since
such
overpayment
was
made.
10
Sec.
2.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
immediate
11
importance,
takes
effect
upon
enactment.
12
EXPLANATION
13
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
14
the
explanation’s
substance
by
the
members
of
the
general
assembly.
15
This
bill
provides
that
notwithstanding
any
provision
of
law
16
to
the
contrary,
if
the
Medicaid
program,
including
any
managed
17
care
organization
contracting
with
the
state
to
pay
providers
18
for
the
cost
of
medical
services
received
by
Medicaid
members,
19
discovers
an
overpayment
to
a
provider,
the
provider
shall
not
20
be
subject
to
repayment
of
the
overpayment
or
to
offset
against
21
future
reimbursement
of
claims
by
the
provider
if
12
months
or
22
more
have
elapsed
since
the
overpayment
was
made.
The
bill
23
takes
effect
upon
enactment.
24
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