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Advocacy News

Florida, Indiana Considering Medicaid Bills

January 20, 2016

Legislation under consideration in Florida would double the time period a child deemed eligible for Medicaid may remain in the program, regardless of changes in circumstances. The law would increase the eligibility period from six months to a year, allowing parents to keep their children in the program, even if family income increases.

Meanwhile, a bill recently introduced in the Indiana legislature would ease the burden put on providers undergoing Medicaid audits. The bill would set standards requiring proper notification to providers of impending audits under “non-emergent” circumstances, and would establish limitations on record requests. The bill proposes other changes as well, such as requiring the use of similarly experienced and educated professionals in conducting audits, and a specified number of days to conclude an audit to avoid elongated reviews. The bill would require information for the provider on how to appeal an audit finding. It would require auditing entities to provide training for providers on avoiding errors and issues along with tips on improving claim submissions. In general, clerical and typographical errors would not be characterized as violations of Medicaid rules, and the use of extrapolation, where errors are projected over a universe of claims, would be used more sparingly.