Comments: IL SB3890 | 2021-2022 | 102nd General Assembly

Bill Title: Amends the Illinois Public Aid Code. Requires the Auditor General to conduct a performance audit on the Department of Healthcare and Family Services to review and assess the Department's protocols for detecting and preventing Medicaid fraud and abuse under the State's medical assistance program. Provides that the audit shall cover the Department's administration of the medical assistance program during State fiscal years 2020 through 2022. Requires the Auditor General to, at a minimum, review, evaluate, and report to the General Assembly on the following: (1) the total amount in payments the Department made during the reporting period on behalf of medical assistance beneficiaries; (2) the total amount of payments identified in paragraph (1) that were made in error or as a result of fraud or abuse during the reporting period, including duplicate payments, payments for services not rendered, payments for unauthorized services, payments to fictitious vendors, payments made on behalf of deceased beneficiaries, and payments made on behalf of individuals for any period during which they were ineligible to receive medical assistance; (3) the total amount of payments identified in paragraph (2) that were recovered by the Department; (4) emerging trends of fraud, waste, and abuse under the medical assistance program and the Department's actions to identify and address these emerging trends; (5) the frequency and success of eligibility checks conducted during the reporting period to prevent the improper use of State and federal Medicaid funds; and (6) the Department's compliance with applicable State and federal requirements concerning fraud detection and prevention. Requires the Auditor General to commence the audit as soon as possible and report his or her findings to the General Assembly no later than 2 years after the effective date of the amendatory Act. Requires the Auditor General's report to include any issues or deficiencies and recommendations. Effective immediately.

Spectrum: Partisan Bill (Republican 3-0)

Status: (Introduced) 2022-01-21 - Referred to Assignments [SB3890 Detail]

Text: Latest bill text (Introduced) [HTML]

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