H.R.6332 - Local Medicaid Enforcement Incentives Act of 2012
To establish a grant program to provide States with funds to detect fraud, waste, and abuse in the State Medicaid programs under title XIX of the Social Security Act and to recover improper payments resulting from such fraud, waste, and abuse.
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To establish a grant program to provide States with funds to detect fraud, waste, and abuse in the State Medicaid programs under title XIX of the Social Security Act and to recover improper payments resulting from such fraud, waste, and abuse.CommentsClose CommentsPermalink
To establish a grant program to provide States with funds to detect fraud, waste, and abuse in the State Medicaid programs under title XIX of the Social Security Act and to recover improper payments resulting from such fraud, waste, and abuse.CommentsClose CommentsPermalink
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,CommentsClose CommentsPermalink
SEC. 2. GRANT PROGRAM TO PROVIDE STATES WITH FUNDS TO DETECT MEDICAID FRAUD, WASTE, AND ABUSE AND RECOVER CERTAIN IMPROPER PAYMENTS.
(a) In General- The Secretary of Health and Human Services shall establish a program to award grants, subject to subsection (c), to States to establish or expand a program described in subsection (b).CommentsClose CommentsPermalink
(b) Medicaid Fraud Control Program- For purposes of subsection (a), a program described in this subsection is a program that--CommentsClose CommentsPermalink
(1) is administered by a State official with responsibility for controlling provider fraud and abuse under the State plan under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.);CommentsClose CommentsPermalink
(2) detects and prevents fraud, waste, and abuse with respect to payments made under such State plan or under any waiver of such plan approved under section 1115 of the Social Security Act (42 U.S.C. 1315);CommentsClose CommentsPermalink
(3) identifies and recovers overpayments to individuals or entities receiving funds under such State plan or waiver resulting from such fraud, waste, or abuse; andCommentsClose CommentsPermalink
(4) shares with localities within the State that assist in the detection and prevention under paragraph (2) or the identification and recovery under paragraph (3) at least 50 percent of the State’s share of the total amount of such funds so recovered during a period as overpayments under paragraph (3) minus any amount expended during such period on administrative costs to carry out the program.CommentsClose CommentsPermalink
(1) AUTHORIZATION OF APPROPRIATIONS- To carry out this section, there is authorized to be appropriated to the Secretary of Health and Human Services $100,000,000 to remain available until expended.CommentsClose CommentsPermalink
(2) LIMITATION- Not more than 5 percent of the amount appropriated pursuant to paragraph (1) may be awarded to any State.CommentsClose CommentsPermalink
(d) State Defined- For purposes of this section, the term ‘State’ has the meaning given such term for purposes of title XIX of the Social Security Act (42 U.S.C. 1396 et seq.).CommentsClose CommentsPermalink
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U.S. Congress - Text of H.R.6332 as Introduced in House Local Medicaid Enforcement Incentives Act of 2012
