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Senate Bill 894 |
Senate Author: Buckingham |
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Effective: 9-1-17 |
House Sponsor: Muñoz, Jr. et al. |
Senate Bill 894 amends Government Code provisions relating to the audit and verification of information under certain health and human services programs. The bill, among other provisions, requires the state auditor to consider, in devising an audit plan for the state, the performance of audits of programs operated by health and human services agencies that have not recently received audit coverage and have expenditures of less than $100 million per year. The bill revises provisions relating to the Health and Human Services Commission's (HHSC) electronic visit verification system and requires the system to electronically verify that certain services provided to Medicaid recipients are provided in accordance with a prior authorization or plan of care. The bill requires HHSC to implement a strategy for improving overall management of audit resources used to verify the accuracy of program and financial information reported by Medicaid managed care organizations.