Illinois General Assembly - Full Text of Public Act 096-0942
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Public Act 096-0942





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
Office of the Inspector General or any other authorized agency
employee from performing activities to identify and prevent
improper payments.
    Section 99. Effective date. This Act takes effect upon
becoming law.

Effective Date: 06/25/2010