Examination and recovery of Medicaid claims

Sec. 2. (a) Before January 1, 2008, the office shall: (1) examine all Medicaid claims paid after January 1, 2001, and before July 1, 2007; (2) determine which claims examined under subdivision (1) were eligible for payment by a third party other than Medicaid; and (3) recover the claims that were determined under subdivision (2) to be eligible for payment by a third party other than Medicaid. (b) The office shall require through an eligibility and benefit request, and a covered entity shall provide, any information necessary for the office to complete the examination required by this section. The office, after notice and hearing, may impose a fine not to exceed one thousand dollars ($1,000) for each refusal by a covered entity to provide information concerning an eligibility and benefit request for a Medicaid recipient requested by the office under this section. As added by P.L.187-2007, SEC.3.