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Senate advances Medicaid audit bill adding provider protections and stricter extrapolation rules
Summary
The Senate moved the first substitute to SB 61 forward after debate that added procedural protections for providers facing Medicaid audits, limits on contingent-fee auditors and stricter criteria for extrapolation. The bill was read for a third time with unanimous support.
Senators on Day 9 advanced the first substitute to SB 61, a bill that revises state Medicaid audit procedures to add provider protections and tighten when agencies may use statistical extrapolation.
Sponsor (identified in debate as Senator Hilliard) told colleagues the measure aims to make audit rules “fair and consistent,” require that providers be notified in advance, and place medical or dental professionals on audit teams to reduce technical errors…
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