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.> 1 27 1 28 1 29 1 30 HEDDENS of Story 1 31 SF 478.338 83 1 32 pf/jp/24320 1 33 1 34 1 35 1 36 1 37 1 38 1 39 1 40 1 41 1 42 1 43 1 44 1 45 1 46 1 47 1 48 1 49 1 50 -1-