Medicaid audits

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Health, labor, environment bills revived in special session

A wide range of legislative priorities that failed to clear both chambers of the General Assembly before the June 3 end of the regular session won final approval early Tuesday as part of a massive budget implementation bill. The 686-page everything-but-the-kitchen-sink bill also includes several controversial new provisions. Here’s what’s in it. Continue Reading →

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After providers complain, lawmakers consider changes to Medicaid audits

Legislators are considering changes to the way the state audits Medicaid payments to health care providers, who have complained for years that the process penalizes honest errors and can lead to costs dramatically higher than any identified mistakes. One independent pharmacist got involved in pushing for change after an audit of his drug store found $268 worth of problematic prescriptions — and he faced a penalty of $144,814. Continue Reading →

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