An Act To Allow for a Contingency Fee Agreement with a MaineCare Recovery Audit Contractor

Sec. 1. 22 MRSA §13-A  is enacted to read:

§ 13-A.  MaineCare recovery audit contractor agreement

Notwithstanding any other provision of law, the department may enter into an agreement with a MaineCare recovery audit contractor for the purpose of identifying underpayments and overpayments and recouping overpayments under the Medicaid state plan and under any waiver of the state plan. An agreement entered into under this section must provide that payment to such a contractor may be made only from amounts recovered and that payments for collecting overpayments may be made on a contingent fee basis.

summary

This bill authorizes the Department of Health and Human Services to enter into agreements with a MaineCare audit recovery contractor, including contingency fee agreements, as required under Section 6411 of the federal Patient Protection and Affordable Care Act, Public Law 111-148.