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A BILL TO BE ENTITLED
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AN ACT
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relating to the payment of individuals employed by recovery audit |
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contractors to identify underpayments and overpayments under the |
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Medicaid program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 531.117, Government Code, is amended to |
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read as follows: |
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Sec. 531.117. RECOVERY AUDIT CONTRACTORS. (a) To the |
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extent required under Section 1902(a)(42), Social Security Act (42 |
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U.S.C. Section 1396a(a)(42)), the commission shall establish a |
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program under which the commission contracts with one or more |
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recovery audit contractors for purposes of identifying |
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underpayments and overpayments under the Medicaid program and |
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recovering the overpayments. |
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(b) To the extent allowed by federal law, an individual |
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employed by a recovery audit contractor to identify underpayments |
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and overpayments under the Medicaid program may not be paid based on |
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a percentage of any overpayments identified by the individual and |
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recovered by the recovery audit contractor. |
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SECTION 2. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 3. This Act takes effect September 1, 2013. |