Rep. Jackie Haas
Filed: 3/1/2022
 
 

 

 

 
10200HB4545ham001LRB102 22906 KTG 37153 a



1
AMENDMENT TO HOUSE BILL 4545 




2    AMENDMENT NO. ______. Amend House Bill 4545 by replacing 
3everything after the enacting clause with the following:

 
4    "Section 5. The Illinois Public Aid Code is amended  by 
5adding Sections 5-30.12a and 5-45 as follows:
 
6    (305 ILCS 5/5-30.12a new)
7    Sec. 5-30.12a. Illinois Medicaid Program Advanced Cloud 
8Technology. By October 1, 2023, the Department shall ensure 
9that the Illinois Medicaid Program Advanced Cloud Technology 
10system is updated daily with eligibility coverage information 
11from the integrated eligibility system.
 
12    (305 ILCS 5/5-45 new)
13    Sec. 5-45. MCO post-payment audit; time period limitation. 
14Notwithstanding any other provision of this Code, in order to 
15recover an overpayment by recoupment or offset of future 
 
 
10200HB4545ham001- 2 -LRB102 22906 KTG 37153 a

1payments, a managed care organization's post-payment audit of 
2any claim submitted by a provider must be completed no later 
3than one year after the claim's payment date. The one-year 
4time limit does not apply to claims that are (i) submitted 
5fraudulently, (ii) known, or should have been known, by the 
6provider to be a pattern of inappropriate billing according to 
7standard provider billing practices, or (iii) subject to any 
8federal law or regulation that permits post-payment audits 
9beyond one year.
 

10    Section 99. Effective date. This Act takes effect upon 
11becoming law.".