House Amendment 1773


PAG LIN




     1  1    Amend Senate File 478, as amended, passed, and
     1  2 reprinted by the Senate, as follows:
     1  3 #1.  Page 13, line 20, by inserting after the word
     1  4 <regents> the following:  <, the department of human
     1  5 services,>.
     1  6 #2.  Page 13, line 23, by inserting after the word
     1  7 <regents> the following:  <, the department of human
     1  8 services,>.
     1  9 #3.  Page 71, by striking lines 17 through 28, and
     1 10 inserting the following:
     1 11    <Sec.    .  MEDICAID ENTERPRISE STUDY.  The
     1 12 department of human services shall explore
     1 13 incorporating data mining, predictive modeling, and
     1 14 data analytics which may include automated claims
     1 15 review, to address provider overpayments,
     1 16 underpayments, and fraud within the Iowa Medicaid
     1 17 enterprise for the fiscal period beginning July 1,
     1 18 2006, and ending June 30, 2009.  The review shall
     1 19 assume only Iowa=specific models, patterns, and trend
     1 20 data.  The department shall issue a request for
     1 21 proposals to competitively procure such services no
     1 22 later than August 1, 2009.  If the results from the
     1 23 request for proposals demonstrate that such an
     1 24 approach will provide a net benefit to the state, the
     1 25 department shall enter into a contract for such
     1 26 services no later than September 30, 2009.>
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     1 29                               
     1 30 HEDDENS of Story
     1 31 SF 478.338 83
     1 32 pf/jp/24320
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