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HB05354 • 2026

AN ACT CONCERNING MEDICAID PROVIDER AUDITS.

AN ACT CONCERNING MEDICAID PROVIDER AUDITS.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Human Services Committee
Last action
2026-05-28
Official status
Transmitted by Secretary of the State to Governor
Effective date
Not listed

Plain English Breakdown

The official source material does not specify the exact consequences if the error rate is less than 2.75%.

Medicaid Provider Audit Rules

This act changes how audits are done for pharmacies in the Medicaid program, limiting when auditors can use a method called 'extrapolation' and requiring educational materials before audits.

What This Bill Does

  • Changes rules about finding mistakes in payments to pharmacies in the Medicaid program.
  • Limits when auditors can use extrapolation to find overpayments or underpayments unless they exceed 2.75% of total claims paid to the pharmacy for the audit period.
  • Requires the commissioner to provide educational materials and technical assistance documents to assist providers with proper Medicaid billing before audits.

Who It Names or Affects

  • Pharmacies that receive payments through Medicaid.
  • The department responsible for administering Medicaid programs.

Terms To Know

extrapolation
A method used to estimate the total amount of overpayment or underpayment based on a sample of claims.
audit period
The time frame during which an audit is conducted for Medicaid payments.

Limits and Unknowns

  • Does not specify what happens if the error rate is less than 2.75%.
  • It does not provide details on how educational materials and technical assistance will be delivered to pharmacies.

Bill History

  1. 2026-05-28 Connecticut General Assembly

    Transmitted to the Secretary of State

  2. 2026-05-28 Connecticut General Assembly

    Transmitted by Secretary of the State to Governor

  3. 2026-05-20 LCO

    Public Act 26-143

  4. 2026-05-06 Connecticut General Assembly

    Senate Adopted House Amendment Schedule A

  5. 2026-05-06 Connecticut General Assembly

    Senate Adopted Senate Amendment Schedule A 6136

  6. 2026-05-06 Connecticut General Assembly

    Senate Passed as Amended by House Amendment Schedule A

  7. 2026-05-06 Connecticut General Assembly

    Senate Passed as Amended by Senate Amendment Schedule A

  8. 2026-05-06 Connecticut General Assembly

    Transmitted Pursuant To Joint Rule 17

  9. 2026-05-06 Connecticut General Assembly

    Potential Disagreeing Action, Tabled for the Calendar, House

  10. 2026-05-06 Connecticut General Assembly

    House Adopted Senate Amendment Schedule A

  11. 2026-05-06 Connecticut General Assembly

    House Passed as Amended by House Amendment Schedule A

  12. 2026-05-06 Connecticut General Assembly

    House Passed as Amended by Senate Amendment Schedule A

  13. 2026-05-06 Connecticut General Assembly

    In Concurrence

  14. 2026-05-02 Connecticut General Assembly

    Favorable Report, Tabled for the Calendar, Senate

  15. 2026-05-02 Connecticut General Assembly

    Senate Calendar Number 519

  16. 2026-05-01 Connecticut General Assembly

    House Adopted House Amendment Schedule A 5579

  17. 2026-05-01 Connecticut General Assembly

    House Passed as Amended by House Amendment Schedule A

  18. 2026-05-01 Connecticut General Assembly

    Immediate Transmittal to the Senate

  19. 2026-04-20 FIN

    Joint Favorable

  20. 2026-04-20 LCO

    Filed with Legislative Commissioners' Office

  21. 2026-04-20 LCO

    Reported Out of Legislative Commissioners' Office

  22. 2026-04-20 Connecticut General Assembly

    No New File by Committee on Finance, Revenue and Bonding

  23. 2026-04-20 Connecticut General Assembly

    Tabled for the Calendar, House

  24. 2026-04-14 Connecticut General Assembly

    Referred by House to Committee on Finance, Revenue and Bonding

  25. 2026-04-07 LCO

    Reported Out of Legislative Commissioners' Office

  26. 2026-04-07 Connecticut General Assembly

    Favorable Report, Tabled for the Calendar, House

  27. 2026-04-07 Connecticut General Assembly

    House Calendar Number 297

  28. 2026-04-07 LCO

    File Number 413

  29. 2026-03-30 LCO

    Referred to Office of Legislative Research and Office of Fiscal Analysis 04/07/26 12:00 PM

  30. 2026-03-20 LCO

    Filed with Legislative Commissioners' Office

  31. 2026-03-19 HS

    Joint Favorable Substitute

  32. 2026-02-27 Connecticut General Assembly

    Public Hearing 03/03

  33. 2026-02-26 Connecticut General Assembly

    Referred to Joint Committee on Human Services

Official Summary Text

To limit burdens on pharmacies subjected to audit under the Medicaid program.

Current Bill Text

Read the full stored bill text
Substitute House Bill No. 5354

Public Act No. 26-143

AN ACT CONCERNING MEDICAID PROVIDER AUDITS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:

Section 1. Subdivision (4) of subsection (d) of section 17b-99 of the
general statutes is repealed and the following is substituted in lieu
thereof (Effective October 1, 2026):
(4) A finding of overpayment or underpayment to a provider in a
program operated or administered by the department pursuant to this
chapter or chapter 319t, 319v, 319y or 319ff, except a provider for which
rates are established pursuant to section 17b -340, shall not be based on
extrapolation unless the total net amount of extrapolated overpayment
calculated from a statistically valid sampling and extrapolation
methodology exceeds [one] two and three -quarters per cent of total
claims paid to the provider for the audit period. Beginning with audit
review periods commencing January 1, 2027, the commissioner shall
make available up-to-date education materials and technical assistance
documents to assist providers with proper Medicaid billing prior to
extrapolation.