Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that by October 1, 2023 the Department of Healthcare and Family Services shall ensure the Illinois Medicaid Program Advanced Cloud Technology system is updated daily with eligibility coverage information from the integrated eligibility system. Provides that notwithstanding any other provision of the Code, in order to recover an overpayment by recoupment or offset of future payments, a managed care organization's post-payment audit of any claim submitted by a provider must be completed no later than one year after the claim's payment date. Provides that the one-year time limit does not apply to claims that are (i) submitted fraudulently, (ii) known, or should have been known, by the provider to be a pattern of inappropriate billing according to standard provider billing practices, or (iii) subject to any federal law or regulation that permits post-payment audits beyond one year. Effective immediately.

Spectrum: Moderate Partisan Bill (Republican 4-1)

Status: (Engrossed - Dead) 2022-03-16 - Referred to Assignments [HB4545 Detail]

Text: Latest bill text (Engrossed) [HTML]

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