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Senate Bill 630 |
Senate Author: Van de Putte |
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Effective: 9-1-05 |
House Sponsor: Gonzalez Toureilles |
Senate Bill 630 amends the Human Resources Code to require the executive commissioner of the Health and Human Services Commission, not later than January 1, 2006, to adopt rules governing the audit of providers under the Medicaid program. The bill requires that the rules include provisions relating to timely notification of a provider that an audit will be conducted, limits on the time period permitted to be covered by an audit, entrance and exit interviews to be conducted before the beginning and at the close of a field audit, uniform standards and parameters for audits of similar providers, procedures permitting a provider to respond to an audit, and the establishment of an ad hoc review panel to administer an informal process for providers to dispute an unfavorable audit.