HB5242 Enrolled LRB096 18832 KTG 34218 b

1     AN ACT concerning public aid.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Illinois Public Aid Code is amended by
5 adding Section 12-4.40 as follows:
 
6     (305 ILCS 5/12-4.40 new)
7     Sec. 12-4.40. Payment Recapture Audits. The Department of
8 Healthcare and Family Services is authorized to contract with
9 third-party entities to conduct Payment Recapture Audits to
10 detect and recapture payments made in error or as a result of
11 fraud or abuse. Payment Recapture Audits under this Section may
12 be performed in conjunction with similar audits performed under
13 federal authorization.
14     A Payment Recapture Audit shall include the process of
15 identifying improper payments paid to providers or other
16 entities whereby accounting specialists and fraud examination
17 specialists examine payment records and uncover such problems
18 as duplicate payments, payments for services not rendered,
19 overpayments, payments for unauthorized services, and
20 fictitious vendors. This audit may include the use of
21 professional and specialized auditors on a contingency basis,
22 with compensation tied to the identification of misspent funds.
23     The use of Payment Recapture Audits does not preclude the

 

 

HB5242 Enrolled - 2 - LRB096 18832 KTG 34218 b

1 Office of the Inspector General or any other authorized agency
2 employee from performing activities to identify and prevent
3 improper payments.
 
4     Section 99. Effective date. This Act takes effect upon
5 becoming law.