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