TITLE: Relating to the payment of individuals employed by recovery audit contractors to identify underpayments and overpayments under the Medicaid program.

SUMMARY: Relating to the payment of individuals employed by recovery audit contractors to identify underpayments and overpayments under the Medicaid program.

FULL TEXT:
AN ACT relating to the payment of individuals employed by recovery audit contractors to identify underpayments and overpayments under the Medicaid program. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 531.117, Government Code, is amended to read as follows: Sec. 531.117. RECOVERY AUDIT CONTRACTORS. (a) To the extent required under Section 1902(a)(42), Social Security Act (42 U.S.C. Section 1396a(a)(42)), the commission shall establish a program under which the commission contracts with one or more recovery audit contractors for purposes of identifying underpayments and overpayments under the Medicaid program and recovering the overpayments. (b) To the extent allowed by federal law, an individual employed by a recovery audit contractor to identify underpayments and overpayments under the Medicaid program may not be paid based on a percentage of any overpayments identified by the individual and recovered by the recovery audit contractor. SECTION 2. If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 3. This Act takes effect September 1, 2013.