Committee backs sampling authority for pediatric behavioral therapy audits, adopts guardrails sought by providers
Lawmakers approved HB14‑12 allowing statistical sampling and extrapolation for pediatric behavioral therapy overpayment recovery, but added amendments requiring federally accepted OIG/CMS methods and preventing recoupment based solely on documentation deficiencies.
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The Senate Appropriations Committee approved House Bill 14‑12 after adopting amendments designed to limit the reach of statistical sampling and extrapolation for recoupments in the pediatric behavioral therapy (PBT) Medicaid program.
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