|
|
Public Act 096-0942
|
| HB5242 Enrolled |
LRB096 18832 KTG 34218 b |
|
|
AN ACT concerning public aid.
|
Be it enacted by the People of the State of Illinois,
|
represented in the General Assembly:
|
Section 5. The Illinois Public Aid Code is amended by |
adding Section 12-4.40 as follows:
|
(305 ILCS 5/12-4.40 new) |
Sec. 12-4.40. Payment Recapture Audits. The Department of |
Healthcare and Family Services is authorized to contract with |
third-party entities to conduct Payment Recapture Audits to |
detect and recapture payments made in error or as a result of |
fraud or abuse. Payment Recapture Audits under this Section may |
be performed in conjunction with similar audits performed under |
federal authorization. |
A Payment Recapture Audit shall include the process of |
identifying improper payments paid to providers or other |
entities whereby accounting specialists and fraud examination |
specialists examine payment records and uncover such problems |
as duplicate payments, payments for services not rendered, |
overpayments, payments for unauthorized services, and |
fictitious vendors. This audit may include the use of |
professional and specialized auditors on a contingency basis, |
with compensation tied to the identification of misspent funds. |
The use of Payment Recapture Audits does not preclude the |