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Committee advances a package of ACCESS and Medicaid integrity bills including eligibility checks and prior-authorization changes
Summary
A set of bills to tighten Medicaid program integrity and ACCESS operations—data-matching and enrollment verification, dual-enrollment checks and limits on prior authorization for American Indian Health Plan members—received due-pass recommendations after agency witnesses outlined costs and operational impacts.
The Health & Human Services Committee advanced several bills intended to strengthen ACCESS program integrity and ease reported problems for certain provider groups.
SB 12-36 directs ACCESS to perform enhanced enrollment verification and data matching for member earnings, employment status and state residency and to seek federal waivers narrowing mandatory hospital presumptive…
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