H1030 - 2016 Appropriations Act. (SL 2016-94)

Overview: Sec. 12H.3A of S.L. 2016-94, as amended by Sec. 5.5 of S.L. 2016-123, requires the Department of Health and Human Services, Division of Medical Assistance (DMA), to issue a request for proposals by December 31, 2016, to recover overpayments to providers of less than $150 and to pay for the contract on a contingent fee that is a percentage of the State share of the final overpayment that is recovered. This section also requires DMA to report to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice by October 1, 2016, on a strategy for identifying and addressing prepayment fraud.

This section became effective July 1, 2016.