SB195 Alabama 2017 Session

This bill would require the Alabama Medicaid Agency to use certain eligibility verification measures to eliminate the duplication of assistance, and deter waste, fraud, and abuse of benefits and would allow the agency to contract with a third-party vendor under certain conditions

This bill would also require the Alabama Medicaid Agency to implement certain practices relating to quarterly eligibility verification and identity verification examinations and would establish procedures for the dispute of findings by the agency

This bill would also require the agency to refer certain instances of fraud to the Attorney General or appropriate district attorney for civil or criminal prosecution and to report to the Legislature regarding the effectiveness of the verification practices

Relating to Medicaid; to require the Alabama Medicaid Agency to use certain eligibility verification measures; to authorize the use of third-party vendors under certain conditions; to require the Alabama Medicaid Agency to implement quarterly eligibility verification checks; to provide for procedures for disputes of determinations by the agency; to require the agency to implement certain identity verification examinations; to require the referral of certain instances of identified fraud to the Attorney General and the district attorney; and to require the agency to report to the Governor, the Legislature, and the Department of Finance; and to provide rulemaking authority.