May 18, 2013

SB 12-060: Improving Reporting and Recovery for Medicaid Fraud

On January 13, 2012, Sen. Ellen Roberts introduced SB 12-060 – Concerning Improving Medicaid Fraud Prosecution. This summary is published here courtesy of the Colorado Bar Association’s e-Legislative Report.

The bill requires the department of health care policy and financing (HCPF) to submit a written report annually to the health and environment and judiciary committees of the House of Representatives and to the health and human services and judiciary committees of the senate concerning client fraud in the medical assistance program. In addition, the attorney general’s office is required to submit a written report annually concerning provider fraud.

The bill also changes the amount of a county’s share of recoveries of fraudulently obtained medical assistance when the recovery is initiated by a county department, county board, district attorney, or HCPF on behalf of the county. Instead of sharing one-half of the state funds paid with the state, the county may retain the full amount of the recovery after payment of the federal government’s share. On February 2, the Health and Human Services Committee referred an amended version of the bill to the Appropriations Committee for consideration of the fiscal impact.

Summaries of other featured bills can be found here.

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2013-05-18 09:45:14