Healthcare (Medicare)

HF 2142 limits Medicaid claim reviews by restricting post-payment reviews to claims paid within the last 12 months, unless fraud or misrepresentation is involved. It prohibits providers from being required to repay overpayments identified more than 12 months after claim payment or having those amounts offset against future reimbursements. The bill allows providers to resubmit claims identified as improper through reviews as claims adjustments. It does not apply to retroactive cost settlements or rate changes based on Medicaid/Medicare cost reports, directly affecting Medicaid providers like hospitals and clinics.