cost of implementing and maintaining the software program. The
request for information shall be an informal document and may
not be construed to be a request for proposal or an invitation
to bid.
(2) (i) Subject to subclause (ii), no later than December
31, 2017, the department shall select no fewer than three
prospective participants that have responded to the request for
information under clause (1) to participate voluntarily in an
efficiency evaluation. The department shall provide participants
selected under this subclause with a test data set of claim,
payment and other information relating to medical assistance,
Temporary Assistance to Needy Families and the Supplemental
Nutrition Assistance Program. The department may require the
participant to agree to any relevant confidentiality
requirements or redact or otherwise anonymize the information as
necessary to comply with law.
(ii) The department may not be required to conduct the
efficiency evaluation if the responses to the request for
information under clause (1) do not demonstrate that the savings
to the Commonwealth from the use of the software program exceed
the cost of implementing and maintaining the software program.
(3) No later than February 15, 2018, the participants
selected under clause (2)(i) shall provide to the department a
report identifying potentially fraudulent, incorrect and
duplicative payments within the data set. A participant may make
a recommendation to the department on ways that the department
could have avoided making the payment and any methods available
for recovering money relating to the payment.
(b) No later than March 15, 2018, the department shall issue
a report with respect to the information obtained from the
participants' performance in the efficiency evaluation and any
related recommendations. The report may include a comparison of
the performance of the department's programs to identify and
prevent fraudulent, incorrect and duplicative payments on the
same data set. The report shall not include transaction-level
data and may not include any identifying information relating to
the payments. The report shall be issued to the chairperson and
the minority chairperson of the Appropriations Committee of the
Senate, the chairperson and minority chairperson of the Health
and Human Services Committee of the Senate, the chairperson and
minority chairperson of the Appropriations Committee of the
House of Representatives and the chairperson and minority
chairperson of the Health Committee of the House of
Representatives.
Amend Bill, page 7, line 30; page 8, lines 1 through 30; page
9, lines 1 through 13; by striking out all of said lines on said
pages
2017/90DMS/HB0059A03061 - 2 -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47