| Old | New | Differences | |
|---|---|---|---|
| 1 | 1 | General Assembly Proposed Bill No. 5069 | |
| 2 | 2 | January Session, 2013 LCO No. 24 | |
| 3 | 3 | Referred to Committee on HUMAN SERVICES | |
| 4 | 4 | Introduced by: | |
| 5 | 5 | REP. BERGER, 73rd Dist. | |
| 6 | 6 | ||
| 7 | 7 | General Assembly | |
| 8 | 8 | ||
| 9 | 9 | Proposed Bill No. 5069 | |
| 10 | 10 | ||
| 11 | 11 | January Session, 2013 | |
| 12 | 12 | ||
| 13 | 13 | LCO No. 24 | |
| 14 | 14 | ||
| 15 | 15 | Referred to Committee on HUMAN SERVICES | |
| 16 | 16 | ||
| 17 | 17 | Introduced by: | |
| 18 | 18 | ||
| 19 | 19 | REP. BERGER, 73rd Dist. | |
| 20 | 20 | ||
| 21 | 21 | AN ACT REDUCING HEALTH CARE FRAUD, WASTE AND ABUSE. | |
| 22 | 22 | ||
| 23 | 23 | Be it enacted by the Senate and House of Representatives in General Assembly convened: | |
| 24 | 24 | ||
| 25 | 25 | That section 17b-99 of the general statutes be amended to require the Commissioner of Social Services to enter into a contract for the establishment of a fraud detection and prevention system for the Medicaid program and the Children's Health Insurance Program. Such system shall include but not be limited to: (1) Maintenance of a regularly updated data base of providers to help prevent improper payments to deceased, sanctioned or retired providers; (2) technology that (A) tracks billing and other patterns indicative of fraud, (B) flags suspicious activity for additional review and verification before payment is made, and (C) captures data necessary to refine the technology based on need; and (3) models of contractor reimbursement and performance guarantees that ensure that savings generated by the implementation of such system exceed costs. | |
| 26 | 26 | ||
| 27 | 27 | Statement of Purpose: | |
| 28 | 28 | ||
| 29 | 29 | To reduce health care program fraud, waste and abuse by adopting prepayment fraud detection technologies. |