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96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB5242
Introduced 2/3/2010, by Rep. Patricia R. Bellock SYNOPSIS AS INTRODUCED:
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Amends the Illinois Public Aid Code. Provides that no later then January 1, 2011, the Inspector General of the Department of Healthcare and Family Services shall contract with an independent certified public accountant to perform a forensic audit of the medical assistance program under Article V of the Code as well as additional programs which receive funds through common budgetary lines appropriated to the Department of Healthcare and Family Services for comprehensive medical assistance operated under the Children's Health Insurance Program Act and the Covering ALL KIDS Health Insurance Act. Provides that the forensic audit shall include, but not be limited to, a review of the application and enrollment of individuals for services and reimbursements to providers for medical assistance, and that the audit shall focus on any fraud or inefficiencies which may be eliminated to contain costs and improve the delivery of care to eligible individuals. Requires the Director of the Department of Healthcare and Family Services to report the findings of the audit to the General Assembly along with recommendations to address any adverse findings contained in the audit. Effective immediately.
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| FISCAL NOTE ACT MAY APPLY | |
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A BILL FOR
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HB5242 |
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LRB096 18832 KTG 34218 b |
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| AN ACT concerning public aid.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Illinois Public Aid Code is amended by |
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| adding Section 12-4.40 as follows:
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| (305 ILCS 5/12-4.40 new) |
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| Sec. 12-4.40. Forensic audit. No later then January 1, |
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| 2011, the Inspector General of the Department of Healthcare and |
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| Family Services shall contract with an independent certified |
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| public accountant to perform a forensic audit of the medical |
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| assistance program under Article V of this Code as well as |
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| additional programs which receive funds through common |
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| budgetary lines appropriated to the Department of Healthcare |
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| and Family Services for comprehensive medical assistance |
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| operated under the Children's Health Insurance Program Act and |
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| the Covering ALL KIDS Health Insurance Act. |
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| The forensic audit shall include, but not be limited to, a |
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| review of the application and enrollment of individuals for |
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| services and reimbursements to providers for medical |
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| assistance. The audit shall focus on any fraud or |
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| inefficiencies which may be eliminated to contain costs and |
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| improve the delivery of care to eligible individuals. |
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| The results of the audit shall be forwarded to the Director |