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Managed Care Audit Schedule Memo to Legislators

Managed Care Audit Schedule Memo to Legislators

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Published by SenatorNienow
Minnesota's Legislative Auditor, James Nobles, sent a letter to Health Committee Chairs about my MN HMO PMAP Medicaid Transparency and Accountability Legislation enacted in the 2012 Session. He intends to start auditing in 2013, looking at 2012 spending.
Minnesota's Legislative Auditor, James Nobles, sent a letter to Health Committee Chairs about my MN HMO PMAP Medicaid Transparency and Accountability Legislation enacted in the 2012 Session. He intends to start auditing in 2013, looking at 2012 spending.

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Categories:Types, Letters
Published by: SenatorNienow on May 31, 2012
Copyright:Attribution Non-commercial

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05/31/2012

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Room 140 Centennial Building, 658 Cedar Street, St. Paul, Minnesota 55155-1603
Tel: 651-296-4708
Fax: 651-296-4712-mail: auditor@state.mn.us
Web Site: www.auditor.leg.state.mn.us
 
 
Through Minnesota Relay: 1-800-627-3529
 
or 7-1-1
 
O
FFICE OF THE
L
EGISLATIVE
A
UDITOR
 
STATE OF MINNESOTA
 James Nobles, Legislative Auditor
 
Date: May 15, 2012To: Senator David Hann, ChairSenate Health and Human Services CommitteeRepresentative Jim Abeler, ChairHouse Health and Human Services Finance CommitteeRepresentative Steve Gottwalt, ChairHouse Health and Human Services Reform CommitteeFrom: Jim Nobles, Legislative AuditorSubject: Schedule for Auditing Managed Care and County-Based Purchasing PlansAs you know, during the final hours of the legislative session, questions arose about when theLegislative Auditor will begin implementing the mandate to hire an independent, third-partyaudit firm to audit certain information submitted by managed care and county-based healthplans to the Minnesota Department of Human Services (DHS). The questions reflectedvarying interpretations of language in the 2012 Health and Human Services Omnibus Law(
 Laws of Minnesota
2012, Chapter 247).The principal question concerned the impact of the effective date provision for the section thatmandated the audits and requires the plans to submit certain data to DHS. The provisionreads as follows:This section is effective the day following final enactment and applies to themanaged care and county-based purchasing plan contracts that are effectiveJanuary 1, 2014, and biennially thereafter.Some people interpreted this to mean that the Legislative Auditor would not begin toimplement the audit mandate until late in 2014 or early 2015, depending on when an adequateamount of data had been submitted under the additional reporting requirements imposed on theplans. However, the conversations I had with Katie Cavanor, Senate Counsel, as well as thethree of you, brought me to a different understanding, and the purpose of this memorandum isto document and convey that understanding to you.Over….
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