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"That’s a valid concern," said Rep. Jim Dunnigan, R-Taylorsville. "[Wyckoff] needs to have the ability to audit the plans and recover money for the state."
For now the plan is to have the ACOs police and recover overpayments from their own providers. "Then they’ll settle with us," said Hales.
At the request of consumer advocates, the Utah Department oh Health will seek public input on the managed care contracts at a forum on Sept. 5, 1:30 to 3 p.m. For more information, email firstname.lastname@example.org.
An alternative would be to set up a system for the Inspector General to impose fines.
"It remains a sticking point," said Dunnigan.
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