Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Bill would limit extrapolation in Medicaid audits after providers report large retroactive recoveries
Summary
Senate Committee on Health Care heard public testimony on Senate Bill 61 on Feb. 25, 2025; the bill would limit extrapolation from very small audit samples in Medicaid overpayment reviews and require larger representative samples or documented overpayments before broad recoveries.
Senate Committee on Health Care heard public testimony on Senate Bill 61 on Feb. 25, 2025. The measure would set guardrails for Medicaid program integrity audits, narrowing situations in which contracted auditors may extrapolate an error rate from a small sample to the full claims population and requiring a larger audit sample or actual overpayment findings before broad recoveries are pursued.
Sponsor Senator Caden described provider complaints during the COVID period in which auditors extrapolated small samples to recover substantial…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
