HB 23-1295

House Bill 23-1295 requires the Department of Health Care Policy and Financing in Colorado to regularly publish reports about audits they conduct on healthcare providers, hold training sessions for these providers, and create a group that advises them on audit issues. It also mandates the State Auditor's office to hire an independent reviewer to check if the department’s audit program follows federal rules and state laws, and to explore ways to improve this program using federal guidelines. The bill was signed into law by the governor and took effect on June 1, 2023, meaning these requirements are now in place and the necessary funding has been allocated to implement them.

Official Summary

The act requires the department of health care policy and financing (department) to: At least quarterly, publish on its website an audit activity report detailing current and recently completed recovery audits and summaries of the findings of recovery audits; When the department enters into a new contract for recovery audits, post on its website a copy of the contract, scope of work, and information regarding supervision of contractor deliverables for such audits; At least quarterly, conduct trainings for providers and hold stakeholder meetings; and Create a provider advisory group to advise the department on issues that providers have concerning the recovery audits. The act requires the office of the state auditor to: During the 2023-24 state fiscal year, contract for an independent review of the department's recovery audit contractor program for compliance with requirements of the federal recovery audit contractor's program, coding practice standards, and state law; and Contract with an entity to assess federal flexibilities to improve the recovery audit contractors program and assist the department in pursuing those flexibilities. The act appropriates from the general fund $39,287 to the department and $850,000 to the legislative department for use by the office of the state auditor. APPROVED by Governor June 1, 2023 EFFECTIVE June 1, 2023 (Note: This summary applies to this bill as enacted.)

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