Medicaid Integrity Act of 2013

Summary

Medicaid Integrity Act of 2013 - Amends title XIX (Medicaid) of the Social Security Act with respect to a state's option to use Medicaid managed care organizations and primary care case managers. Requires a state, acting through the state medical assistance agency or another state entity, in order to receive federal medical assistance percentage (FMAP) payments for expenditures under a contract with a managed care entity, to contract with an independent auditor to conduct biannual financial and performance-compliance audits of the entity. Directs the Secretary of Health and Human Services (HHS) to set uniform audit standards according to specified requirements. Requires the state to document for the Secretary its response to deficiencies reported in such audits. Requires contracts between the state and managed care entities to require the managed care entity to give the independent auditor access to all necessary information. Establishes sanctions for misrepresentation or falsification of information. Prescribes requirements a state must meet to be allowed to enter into an agreement with an actuary with respect to the state's administration of a contract with a managed care entity.

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Timeline

1. 4 January 2013

   Referred

   Referred to the Subcommittee on Health.

   Source: Committee

2. 4 January 2013

   Introduced

   Referred to the House Committee on Energy and Commerce.

   Source: IntroReferral

3. 4 January 2013

   Introduced

   Introduced in House

   Source: IntroReferral

4. 4 January 2013

   Introduced

   Introduced in House

   Source: IntroReferral

Votes

No vote records are attached yet.

Versions

• Introduced in House · 4 January 2013 · Official file

Documents

3 official files

• Introduced in House (text)

  Introduced in House · EN · 4 January 2013

  ViewDownloadOpen at official source

• Introduced in House (PDF)

  Introduced in House · EN · 4 January 2013

  ViewDownloadOpen at official source

• Introduced in House

  summary · EN · 4 January 2013

  Open at official source

Sponsors

• Rep. Bachmann, Michele [R-MN-6] · R · Sponsor
• · hsif00 · Standing

Related records

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