Connecticut 2018 Regular Session

Connecticut Senate Bill SB00243

Introduced
2/27/18  
Introduced
2/27/18  
Refer
2/27/18  
Report Pass
3/22/18  
Refer
3/28/18  
Refer
3/28/18  
Report Pass
4/4/18  
Report Pass
4/4/18  
Engrossed
5/7/18  
Report Pass
5/8/18  
Report Pass
5/8/18  
Chaptered
5/18/18  
Chaptered
5/18/18  
Enrolled
5/22/18  
Enrolled
5/22/18  
Passed
6/1/18  

Caption

An Act Concerning Audits Of Medical Assistance Providers.

Impact

The changes introduced by SB00243 aim to protect healthcare providers from sudden or unexpected audits, thereby fostering a more conducive environment for compliance. By establishing clear protocols and allowing providers a minimum of thirty days to prepare for audits, the legislation seeks to mitigate misunderstandings and disputes regarding audit practices. Additionally, the bill stipulates that audits will not include claims older than thirty-six months, further easing the compliance burden on providers.

Summary

Senate Bill No. 243, titled 'An Act Concerning Audits of Medical Assistance Providers,' seeks to refine and clarify the auditing process for providers participating in medical assistance programs. The bill mandates that providers receive written notification at least thirty days prior to any audit, which must include essential details about the audit process such as the methodology and relevant personnel. These requirements are proposed to enhance transparency and ensure that providers understand what is expected of them during the audit process.

Sentiment

The sentiment surrounding SB00243 appears to generally favor increased transparency and fairness in the auditing process for medical assistance providers. Supporters view the bill as a necessary reform to ensure that audits are conducted fairly and without undue surprise, allowing providers to rectify potential discrepancies more effectively. There may be some apprehension among opponents related to the effectiveness of oversight in preventing fraud, yet the predominant sentiment supports the bill as a means to enhance provider compliance and reduce administrative hurdles.

Contention

While most discussions around the bill have been positive, there are concerns about whether the protections for providers could unintentionally allow for continued vendor fraud or errors in billing. Critics might argue that while the bill provides necessary safeguards for providers, it must balance the need for effective oversight and accountability to prevent abuse of the medical assistance system. Thus, the legislation highlights a tension between supporting provider compliance and ensuring robust mechanisms are in place to prevent fraud and protect the integrity of medical assistance programs.

Companion Bills

No companion bills found.

Previously Filed As

CT SB00310

An Act Concerning Compensation For Family Caregivers, Retroactive Eligibility For Medicaid And Treatment Of Assets Discovered After An Application For Medical Assistance.

CT SB00309

An Act Concerning A Study Of Medical Assistance For Certain Legally Present Noncitizens.

CT HB05455

An Act Concerning The Efficiency Of The Department Of Social Services In Determining Eligibility For Medical Assistance And Responding To Requests For Information Or Assistance.

CT HB05426

An Act Concerning Energy Assistance Studies And Fuel Vendor Reimbursement.

CT SB00364

An Act Concerning Supplemental Nutrition Assistance.

CT SB00366

An Act Concerning Medicaid.

CT HB05459

An Act Increasing Rates Of Medicaid Reimbursement For Certain Providers.

CT HB05365

An Act Concerning Technical Revisions To Statutes Concerning Human Services.

CT SB00314

An Act Concerning Emergency Medicaid Coverage For Treatment Of Emergency Medical Conditions.

CT HB05046

An Act Promoting Nursing Home Resident Quality Of Life.

Similar Bills

CT SJ00007

Resolution Granting The Claims Commissioner An Extension Of Time To Dispose Of Certain Claims Against The State Pursuant To Chapter 53 Of The General Statutes.

CT HJ00041

Resolution Granting The Claims Commissioner An Extension Of Time To Dispose Of Certain Claims.

CT HJ00023

Resolution Granting The Claims Commissioner Extensions Of Time To Dispose Of Certain Claims Against The State.

CT HJ00038

Resolution Concerning The Disposition Of Certain Claims Against The State Pursuant To Chapter 53 Of The General Statutes.

CA AB2009

California Travel and Tourism Commission.

CA AB1920

California Travel and Tourism Commission.

CA AB2323

Insurance: covered communications.

CT HJ00029

Resolution Granting The Claims Commissioner An Extension Of Time To Dispose Of Certain Claims Against The State Pursuant To Chapter 53 Of The General Statutes.