§ 12-15-23.5-2 — Examination and recovery of Medicaid claims

Indiana § 12-15-23.5-2

• Jurisdiction: Indiana
• Art. 15: MEDICAID
• Ch. 23.5: Coordination of Benefits Study

Text

(a) Before January 1, 2008, the office shall:
(1) examine all Medicaid claims paid after January 1, 2001, and
before July 1, 2007;
(2) determine which claims examined under subdivision (1) were
eligible for payment by a third party other than Medicaid; and
(3) recover the claims that were determined under subdivision (2)
to be eligible for payment by a third party other than Medicaid.
(b) The office shall require through an eligibility and benefit
request, and a covered entity shall provide, any information necessary
for the office to complete the examination required by this section. The
office, after notice and hearing, may impose a fine not to exceed one
thousand dollars ($1,000) for each refusal by a covered entity to
provide information concerning an eligibility and benefit request for a
Medicaid recipient requested by the office under this section.

Legislative History

As added by P.L.187-2007, SEC.3.