Ark. Code § 20-77-125. Contingency fee audits prohibited: Medical Assistance—General Provisions – Arkansas

Status: Enacted
Year Enacted: 2013
File: Download

“Medicaid integrity audit contract” means a contract required under federal law between the Department of Human Services and a Medicaid integrity audit program contractor to:
(A) Review the actions of healthcare providers furnishing services or goods for which payment may be made under the Medicaid program to determine whether fraud, waste, or abuse has occurred or is likely to occur, or whether fraud, waste, or abuse has the potential for resulting in an expenditure of Medicaid funds that is not intended under the Medicaid program;
(B) Audit Medicaid claims to ensure proper payments were made; or
(C) Identify overpayments made to individuals or entities receiving Medicaid funds


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