H.R. 6498 · 112th Congress
Medicaid Integrity Act of 2012
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Never voted on. It didn't reach a floor vote before the 112th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.
R
BachmannSponsorNo cosponsors.
Medicaid Integrity Act of 2012 - Amends title XIX (Medicaid) of the Social Security Act with respect to a state's option to use Medicaid managed care organizations and primary care case managers.
What it does: CRS summary · Introduced in House · Sep 21, 2012
Medicaid Integrity Act of 2012 - Amends title XIX (Medicaid) of the Social Security Act with respect to a state's option to use Medicaid managed care organizations and primary care case managers.
Requires a state, acting through the state medical assistance agency or another state entity, in order to receive federal medical assistance percentage (FMAP) payments for expenditures under a contract with a managed care entity, to contract with an independent auditor to conduct biannual financial and performance-compliance audits of the entity.
Directs the Secretary of Health and Human Services (HHS) to set uniform audit standards according to specified requirements.
Requires the state to document for the Secretary its response to deficiencies reported in such audits.
Requires contracts between the state and managed care entities to require the managed care entity to give the independent auditor access to all necessary information.
Establishes sanctions for misrepresentation or falsification of information.
Prescribes requirements a state must meet to be allowed to enter into an agreement with an actuary with respect to the state's administration of a contract with a managed care entity.
Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov
About this bill and sources
Official title: Medicaid Integrity Act of 2012
Latest action (Sep 26, 2012): Referred to the Subcommittee on Health.
Policy area: Health · Origin: House · Introduced: Sep 21, 2012
Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)
No recorded floor vote found.