The HELP STATES Act would let a state keep up to 25% of the federal share of certain Medicaid overpayments it recovers when the overpayment resulted from fraud. The change would apply to quarters starting at least 18 months after enactment. States would have to use the retained funds for program integrity work, such as audits, investigations, data analysis, or technology to detect and recover improper payments. States would also report annually to the Secretary of Health and Human Services how they used the funds.
The bill does not describe a direct change to Medicaid services or eligibility for individuals. It would allow states to use some recovered funds for efforts to detect fraud and improper payments.
No publicly available information on estimated expenses. The bill directs states to use the retained funds for program integrity activities.
No publicly available information.
No publicly available information.