of the state public health care programs administrative and Amendments to various paragraphs strike the requirement in medical expenses of managed care plans and county-based current law that the legislative auditor contract with an audit purchasing plans. firm for biennial independent third-party financial audits and make related changes. Revised language related to audits by the legislative auditor is added in section 256B.69, subd. 9e. A new paragraph (g) applies the audit requirements of this subdivision to demonstration providers under section 256B.0755. Also makes technical and clarifying changes. Section 38 (256B.69, subd. 9e) requires the legislative auditor House applies audits to DHS; Senate to data provided by Article 1, § 23. Financial audits. Amends § 256B.69, by to contract with vendors to conduct independent third-party plans. Otherwise identical. adding subd. 9e. Requires the legislative auditor to contract financial audits of the information required to be provided by with vendors to conduct independent financial managed care plans and county-based purchasing plans. audits of DHS’s use of the information provided by managed care and county-based purchasing plans. Provides that the audits shall be conducted as vendor resources permit and specifies other requirements. Requires the audits to include a determination of DHS’s compliance with the federal Medicaid rate certification process. Provides a definition of third-party” (this definition does not include “independent requirements related to licensure as an accounting firm, and not having provided services to a plan during the audit period, that are in the current law stricken in subdivision 9d). establishes dental services utilization Senate only provision Section 39 (256B.695) measures. Subd. 1 requires the commissioner to evaluate access to dental services for children and adults in medical assistance and MinnesotaCare using the following:
of the state public health care programs administrative and medical expenses of managed care plans and county-based purchasing plans. Amendments to various paragraphs strike the requirement in current law that the legislative auditor contract with an audit firm for biennial independent third-party financial audits and make related changes. Revised language related to audits by the legislative auditor is added in section 256B.69, subd. 9e. A new paragraph (g) applies the audit requirements of this subdivision to demonstration providers under section 256B.0755. Also makes technical and clarifying changes. Section 38 (256B.69, subd. 9e) requires the legislative auditor to contract with vendors to conduct independent third-party financial audits of the information required to be provided by managed care plans and county-based purchasing plans. House applies audits to DHS; Senate to data provided by plans. Otherwise identical. Article 1, § 23. Financial audits. Amends § 256B.69, by adding subd. 9e. Requires the legislative auditor to contract with vendors to conduct independent financial audits of DHS’s use of the information provided by managed care and county-based purchasing plans. Provides that the audits shall be conducted as vendor resources permit and specifies other requirements. Requires the audits to include a determination of DHS’s compliance with the federal Medicaid rate certification process. Provides a definition of “independent third-party” (this definition does not include requirements related to licensure as an accounting firm, and not having provided services to a plan during the audit period, that are in the current law stricken in subdivision 9d). Section 39 (256B.695) establishes dental services utilization measures. Senate only provision Subd. 1 requires the commissioner to evaluate access to dental services for children and adults in medical assistance and MinnesotaCare using the following: