LD 246
pg. 1
LD 246 Title Page An Act to Ensure Appropriate Audit Procedures LD 246 Title Page
Download Bill Text
LR 1797
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 22 MRSA §13, sub-§5 is enacted to read:

 
5.__Audit methods.__When conducting audits pursuant to this
section, the department may not engage a private vendor to
conduct the audit or base any auditor's compensation on a
percentage of the alleged overpayment amount.__The department
shall disclose to the public any mathematical algorithm used in
performance of an audit.__This subsection applies retroactively
to January 1, 2000.

 
SUMMARY

 
This bill prohibits the Department of Human Services from
proceeding with an audit initiative in which a private vendor is
engaged or any vendor is paid on a contingent fee basis to pursue
alleged overpayments to health care providers in Maine. Also,
the bill requires the department to disclose to the public any
mathematical algorithm used in an audit.


LD 246 Title Page Top of Page LD 246 Title Page