HB331 Alabama 2018 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 semi-annual eligibility verification and would establish procedures for the dispute of findings by the agency

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

This bill would also require the agency to submit a state plan amendment or waiver necessary to implement work requirements for the able-bodied population to participate in Medicaid

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 semi-annual eligibility verification checks; to provide for procedures for disputes of determinations by the agency; to require the referral of certain instances of identified fraud to appropriate district attorney; and to require the agency to report to the Governor, the Legislature, and the Department of Finance; to require the agency to submit a state plan amendment or waiver necessary to implement work requirements for participation in Medicaid; and to provide rulemaking authority.