HB 1225: Audits of Pharmacy Records
GENERAL BILL by Drake
Audits of Pharmacy Records; Revises requirements for audit of Medicaid-related pharmacy records; authorizes audits of third-party payor & third-party administrator records of pharmacy permittees; provides that claims containing certain clerical or recordkeeping errors are not subject to financial recoupment; specifies that certain audit criteria apply to third-party claims submitted after specified date; prohibits certain accounting practices used for calculating recoupment of claims; prohibits audit criteria from requiring recoupment of claims; provides procedures for review & appeal of third-party payor & third-party administrator audits; prohibits third-party payor or state agency from mandating delivery of pharmacy provider services & prescription drugs by mail; authorizes third-party payor or state agency to offer incentivized program for prescription drugs by mail.
Last Action: 3/9/2012 House - Died in Health and Human Services Quality Subcommittee
Bill Text: PDF
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Bill History
Date Chamber Action 1/5/2012 House • Filed
1/10/2012 House • Introduced -HJ 121
1/12/2012 House • Referred to Health and Human Services Quality Subcommittee; Appropriations Committee; Health and Human Services Committee -HJ 213
3/9/2012 House • Died in Health and Human Services Quality Subcommittee
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HB 1225, Original Filed Version (Current Bill Version) Posted 1/5/2012 at 8:06 AM
Bill Text: PDF Analyses: None Related Bills (1)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 1602 Pharmacies Latvala Similar Last Action: 3/9/2012 S Died in Budget Subcommittee on Health and Human Services Appropriations
Location: In committee/council (BHA)
Citations - Statutes (2)
Citation Catchline Location in Bill Location In Bill Help 465.188 Medicaid audits of pharmacies. Page 1 (pdf) 465.1902 Page 5 (pdf)