§13-A. MaineCare program integrity recovery audit contractor agreement
Notwithstanding any other provision of law to the contrary, the provisions of this section apply to MaineCare program integrity recovery audit contracting. The department may enter into an agreement with a recovery audit contractor for the purpose of ensuring MaineCare program integrity, specifically to identify and reimburse to correct underpayments and to identify and recoup overpayments under the Medicaid state plan and under any waiver of the state plan. An agreement entered into under this section must provide that payment to the contractor may be made only from amounts recovered and that payments for identifying underpayments and collecting overpayments must be made on a contingent fee basis. After payments to correct underpayments and payment of any contingent fees due to the contractor, the proceeds of collections from overpayments must be deposited into the Medical Care - Payments to Providers program, Other Special Revenue Funds account in the Department of Health and Human Services for the purpose of providing state match under the federal Medicaid program. [PL 2011, c. 593, §1 (NEW).]
SECTION HISTORY
PL 2011, c. 593, §1 (NEW).
Structure Maine Revised Statutes
Subtitle 1: DEPARTMENTAL ORGANIZATION AND OPERATION
Chapter 1: DEPARTMENT OF HEALTH AND HUMAN SERVICES
Subchapter 1: ORGANIZATION; GENERAL POWERS AND DUTIES
22 §1. Department; commissioner; bureaus; compensation; employees; definitions (REPEALED)
22 §2. Legal assistance from Attorney General (REPEALED)
22 §3. Duties of department (REPEALED)
22 §3-A. State wards (REPEALED)
22 §3-B. Emergency medical care (REPEALED)
22 §3-C. Clearinghouse of information on handicapped housing accessibility (REPEALED)
22 §3-D. Maine Center for Public Health Practice (REPEALED)
22 §4. Advise on incorporation of institutions (REPEALED)
22 §5. Inspection and licensing of institutions, agencies and boarding homes (REPEALED)
22 §6. Distribution of functions (REPEALED)
22 §6-A. Service delivery regions (REPEALED)
22 §6-B. Joint location of services (REPEALED)
22 §6-C. Community Services Center (REPEALED)
22 §7. Additional duties (REPEALED)
22 §8. Complementary services (REPEALED)
22 §9. Fees for service (REPEALED)
22 §9-A. Public assistance eligibility (REPEALED)
22 §10. Federal funds and commodities (REPEALED)
22 §11. Municipal grants (REPEALED)
22 §12. Funds for social services (REPEALED)
22 §12-A. Performance-based contracts (REPEALED)
22 §12-B. Aid to charitable institutions (REPEALED)
22 §13. Human Services Fraud Investigation Unit
22 §13-A. MaineCare program integrity recovery audit contractor agreement
22 §15. Civil liability of persons making false claims
22 §16. Access to financial records of deposit accounts of recipients of public assistance
22 §16-A. Mandatory insurance data matches
22 §16-B. Verification of integrity of reported information by applicants for public assistance
22 §17. Access to financial records of deposit accounts of individuals who owe overdue child support
22 §18. Private Health Insurance Premium Program
22 §19. Prohibition against insurer discrimination
22 §20. Director of Maine Center for Disease Control and Prevention