Fiscal Note
Fiscal Services Division
HF 736 – Medicaid, Refunds and Offsets (LSB2593HV.3)
Staff Contact: Jess Benson (515.281.4611) jess.benson@legis.iowa.gov
Fiscal Note Version – Final Action
Description
House File 736 specifies that if a recipient is deemed ineligible for Medicaid following the
delivery of care or service by a provider, in an administrative action to recover overpayment to
the provider based solely on the ground of ineligibility, the Department of Human Services
(DHS) is required to reimburse the provider for any recoupment or overpayment using State
funds only. To be eligible to receive the State payment, the provider must have verified
eligibility and obtained any necessary prior authorizations for the recipient, documented those
actions in a manner or format established by DHS rule, and retained the required
documentation in the recipient’s file.
Assumptions
This change will mainly impact individuals who were incarcerated, and the estimated fiscal
impact is based on incarceration recoveries. No federal matching Medicaid funds will be used
to reimburse providers.
Fiscal Impact
House File 736 is estimated to cost the State $909,000 in FY 2023 and subsequent fiscal years.
Source
Department of Human Services
/s/ Holly M. Lyons
June 24, 2022
Doc ID 1290736
The fiscal note for this Bill was prepared pursuant to Joint Rule 17 and the Iowa Code. Data used in
developing this fiscal note is available from the Fiscal Services Division of the Legislative Services
Agency upon request.
www.legis.iowa.gov
1