Transcript Highlights:

• We've established a mechanism that we have standards in enrollment, revalidation, high-risk controls.
• :14:30.480> enrollment, have a standards in enrollment, have a standards in enrollment, revalidation
• , revalidation, revalidation, high-risk<01:14:34.440> controls.

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• They're going to get to revalidation if this passes a year from now, and they're going to say, you need
• They're going to get to revalidation<00:52:49.840> if<00:52:49.960> this<00:52:50.200><
• c> passes<00:52:50.680> a<00:52:50.760> year<00:52:50.920> from revalidation
• if this passes a year from revalidation if this passes a year from now,<00:52:51.400> and<00:
• They're not going to get revalidated, or they'll be kicked down.

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Bills: HF4491, HF4338, HF4288, HF4566

Keywords: Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance

Transcript Highlights:

• Revalidation is not optional.
• through this revalidation process? through this revalidation process?
• revalidation.
• revalidation. revalidation, the offcycle revalidation.
• outcomes of the revalidation. outcomes of the revalidation.

Keywords: 1187, senate, all

Transcript Highlights:

• locations as part of revalidation.
• locations as part of revalidation.
• locations as part of revalidation.
• . demonstrate at um real revalidation.
• reserves to pass revalidation. reserves to pass revalidation.

Keywords: 1183, house

Transcript Highlights:

• revalidated every three years.
• <00:02:45.200> Uh, it an offcycle revalidation. Uh, it an offcycle revalidation.
• 00:02:47.599> a normally we revalidate providers, a normally we revalidate providers, a handful
• <00:04:14.720> in providers left to fully revalidate in providers left to fully revalidate
• <00:04:53.440> and our current process of revalidation and our current process of revalidation

Bills: HF729

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, 1183, house

Transcript Highlights:

• enhanced safeguards such as revalidation enhanced safeguards such as revalidation with<00:04:24.600
• During revalidation, some providers might say, "I don't want to go through the revalidation process."
• During revalidation, some providers might say, "I don't want to go through the revalidation process."
• Here's what to Here's revalidation.
• , what's to expect through revalidation, what's to expect through revalidation, right?

Bills: HF3542

Keywords: data privacy, investigative data, welfare system, public funds, transparency, 1183, house

Transcript Highlights:

• Minnesota was asked to do the revalidation.
• So, has Minnesota gotten the Medicare revalidation letter yet? We have not.
• > do<00:04:00.600> the<00:04:00.680> revalidation.
• We were asked to do the revalidation.
• <00:04:34.000> We Medicare revalidation letter yet? We Medicare revalidation letter yet?

Keywords: 1183, house

Transcript Highlights:

• This is a simple bill to improve the Medicaid provider revalidation.
• Providers who submit their revalidation applications early often face months of silence from the agency
• faith and follows HHSC deadlines during the revalidation process.
• The provider revalidation process requires that providers who are enrolled in Medicaid go through a revalidation
• And we have roughly 2,000 to 3,000 providers per month that are due for revalidation.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• This has to do with when providers are revalidated to continue enrollment in MA.
• Subdivision two lays out the schedule for when the commissioner has to revalidate providers.
• This is largely a revalidate providers.
• <00:11:13.200> the [clears throat] me revalidating the [clears throat] me revalidating the
• locations as part of revalidation.

Bills: HF3423, HF2354, HF3634

Keywords: healthcare, provider enrollment, medical assistance, legislation, state funds, fraud prevention, subpoena authority, criminal penalties, consumer protection, service verification, Medicaid, human services, electronic documentation, 1183, house

Transcript Highlights:

• We do this through what's called revalidation.
• As I said, we've undergone three full revalidations.
• We just completed our third revalidation and implemented all changes in May of 2025.
• And we've made adjustments throughout the years at revalidations and incrementally.
• I will tell you, in our last revalidation, when we surveyed states, we got 24 responses.

Keywords: 995, all

Summary: The Special Commission on Correctional Consolidation and Collaboration met on January 12 to continue its review of DOC classification practices, with Senator Brownsberger and Representative Hunt co-chairing. After brief discussion of the prior hearing, members said there would likely be another opportunity for additional testimony, including possible video testimony from people inside facilities. The main presentation for the day was DOC’s classification system and a UMass Chan study of whether the system predicts institutional misconduct and whether overrides affect its accuracy or create racial/ethnic bias. DOC officials described the objective point-based classification system, its history, and the role of discretionary and non-discretionary overrides. They said the system is designed to balance public safety and reintegration, with initial classification emphasizing offense history and reclassification emphasizing institutional adjustment. DOC reported that, in the current population, about 16% are classified to maximum security, 74% to medium, and 10% to lower security. They also reviewed the non-discretionary restrictions that keep people out of minimum or medium security, and said discretionary overrides are used less often than the National Institute of Corrections’ suggested ceiling and are reviewed within six months. UMass Chan researchers said their analysis used historical DOC data from 2019 to 2022, focused mainly on about 7,600 male reclassification cases, and found that the scored custody level accurately predicted institutional misconduct. They said the tool performed well on standard statistical measures, but predictive accuracy declined after overrides were applied, with overlap appearing between minimum and medium groups. In a supplementary analysis, they said the loss of accuracy was driven primarily by non-discretionary restrictions rather than discretionary overrides. They also said the study did not find evidence of racial or ethnic bias in the tool itself, and that DOC’s current system is comparatively more lenient than many other states. Members and guests raised concerns about overclassification to medium security, the low share of people in minimum, the role of civil commitment restrictions, and whether the data captured historical bias or individual cases where overrides felt subjective. DOC and UMass Chan responded that the study was group-based, not case-specific, and that minimum-security rates are hard to compare across states because Massachusetts’ prison and county systems differ structurally. The commission did not take a vote or formal action, but asked members to send follow-up data questions by the end of the week for referral to DOC and the researchers.

Transcript Highlights:

• They specifically relate to the revalidation process that we go through with all of our providers on
• We would have providers that would start the revalidation process before the deadline.
• The deadline to revalidate them would pass, and we were still in the process of working those revalidation
• That put us past the revalidation date that we're required to meet by federal law.
• So what we've done in this audit cycle, we've updated our process to move the revalidation date in our

Summary: The committee met to adopt prior minutes and reports from its executive and standing committees, including counties and municipalities, educational institutions, and state agencies. Those reports covered routine audit activity, delinquent private water and sewer audits, municipal accounting compliance issues, education audit findings, and several state agency audit items. The committee also reviewed and adopted the State of Arkansas annual comprehensive financial report for fiscal year 2025 and the related single audit report, both presented by Legislative Audit staff. The state financial report showed unmodified opinions on the state’s financial statements and described total assets of about $41.9 billion and liabilities of about $11.1 billion, along with retirement system assets of $39.9 billion and a net pension liability of $9 billion. Two material weaknesses were identified: insufficient internal controls at the Office of State Technology to monitor threats and unauthorized access, and a Division of Workforce Services methodology change for unemployment-related estimates that was not properly documented or approved. The single audit covered $12.4 billion in federal awards across 469 programs, with 16 major programs reviewed; it resulted in 33 findings, 14 with questioned costs totaling $16.6 million, and qualified opinions for the Summer EBT program, the Coronavirus Capital Projects Fund, and the Child Care Development Fund cluster. Members questioned agency officials in detail about the Summer EBT questioned costs, DHS unresolved findings, broadband grant documentation, cyber security controls, workers’ compensation liabilities, and child care funding and reporting. DHS explained that the Summer EBT issue involved drawing federal funds in advance rather than as benefits were redeemed, and said the process has been corrected. Broadband officials said the questioned $6.6 million reflected documentation-detail disagreements across many invoices rather than missing payments. OST officials described new logging, endpoint detection, and phishing-training efforts, and DFA and Education officials addressed specific audit findings and corrective actions. The committee ultimately moved to hold the two large statewide reports over until the August meeting for further review, with discussion continuing on whether to release some agency staff in the meantime.

Transcript Highlights:

• You will see that the shortest revalidation time was three months and the longest was seven months from
• All of the providers and clinics that we were trying to revalidate had been previously enrolled in Medicaid
• through TMHP, and the revalidation should have gone through without obstacles.
• The challenges in the revalidation and credentialing process were the result of a technology/IT issue
• This resulted in missed revalidation deadlines for our providers, which were thankfully... ...extended

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• They specifically relate to the revalidation process that we go through with all of our providers on
• The deadline to revalidate them would pass, and we were still in the process of working those revalidation
• Provider had failed to submit some required documentation, and that put us past the revalidation date
• So what we've done in this audit cycle, we've updated our process to move the revalidation date in our
• And that if somebody is past that revalidation deadline, if a provider's past that deadline, we would

Summary: The Legislative Joint Auditing Committee met on June 5 and first adopted prior minutes and several committee reports. The executive committee report noted adoption of its minutes, staff updates on scheduled audits, approval of an annual financial audit for the City of Horseshoe Bend, and an update on the intern program. The Counties and Municipalities report covered delinquent private water and sewer audits, compliance follow-up with towns including Denning, Gum Springs, Omer, Fargo, Jericho, and Haynes, and review of current and deferred reports; the committee filed most current reports but deferred several and referred some matters to prosecutors and the Attorney General. The Educational Institutions report said 103 education audits were reviewed, most with no findings, while several school districts had findings and one Booneville School District finding was referred to law enforcement. The State Agencies report included findings at the Department of Finance and Administration and a deferred Department of Health report, and the committee filed 13 reports. The committee then received lengthy presentations on the State of Arkansas annual comprehensive financial report and the state single audit for fiscal year ended June 30, 2025. Legislative Audit issued unmodified opinions on the state financial statements, but identified two material weaknesses: insufficient internal controls at the Office of State Technology to monitor threats and unauthorized access, and improper methodology changes and documentation issues at the Division of Workforce Services affecting year-end estimates for unemployment-related accounts. The single audit covered $12.4 billion in federal awards across 469 programs, with 16 major programs reviewed. Auditors reported 33 findings overall, including 31 federal findings, $12.9 million in outstanding questioned costs, and qualified opinions for the Summer Electronic Benefit Transfer program, the Coronavirus Capital Projects Fund, and the Child Care Development Fund cluster. Committee members questioned DHS, the broadband office, OST, DFA, Education, and Workforce Services about the findings, corrective actions, cyber protections, federal drawdowns, child care reporting, and accounting methodology changes. Several agencies described corrective steps. DHS said it had changed how it draws Summer EBT funds, addressed provider revalidation and incarceration-related Medicaid issues, and updated internal processes and staffing. The broadband office said the questioned costs reflected invoice documentation disputes rather than missing payments and expected Treasury review to resolve the issue. OST said it was expanding logging, endpoint detection, and enterprise monitoring, and described broader cybersecurity investments, training, and a roadmap. DFA and Workforce Services addressed the workers’ compensation and unemployment accounting issues, with Workforce Services saying it had updated its policy and submitted the methodology to DFA. After discussion, the committee voted to hold the two statewide audit reports over until the August meeting, with members asked to submit specific questions in advance so only needed agencies would return. The final item was a special report on the Hot Spring County Solid Waste Authority for January 1, 2023 through June 30, 2025. The audit reviewed compliance with laws, board procedures, bidding, payroll, permits, inspections, and cash handling. It noted prior private audit findings on segregation of duties, that recent private audit reports had not been obtained for 2023 through 2025, and that the current administrator said prior office staff and bookkeeping contractors resigned when he was hired. The authority’s operations and revenue sources were described, and the report was presented for committee review.

Transcript Highlights:

• We are just going through so much right now with revalidation, UCare, so many things.
• You have revalidation and we're soon to have licensure next year, but I think a lot of people get confused
• You have revalidation and we're soon to have licensure next year, but I think a lot of people get confused
• center now has to You have revalidation center now has to You have revalidation and<01:08:55.520
• Today, DHS is required to conduct site visits to validate and revalidate providers.

Keywords: 1187, senate, all

Transcript Highlights:

• So I talked a little bit about PCA revalidation.
• revalidation requirements, with PCA revalidation or CFSS enrollment, and found quickly through feedback
• revalidation requirements, with PCA revalidation or CFSS enrollment, and found quickly through feedback
• revalidation requirements, with PCA revalidation or CFSS enrollment, and found quickly through feedback
• revalidation requirements, with PCA revalidation or CFSS enrollment, and found quickly through feedback

Keywords: 1187, senate, all

Transcript Highlights:

• For the 14 high-risk services on the fee-for-service side of the program, also reviewing and revalidating
• For the 14 high-risk services on the fee-for-service side of the program, also reviewing and revalidating
• For the 14 high-risk services on the fee-for-service side of the program, also reviewing and revalidating
• For the 14 high-risk services on the fee-for-service side of the program, also reviewing and revalidating
• <01:30:34.560> for after the work of revalidation for after the work of revalidation for example

Bills: HF3378

Keywords: human services, Optum reports, data privacy, transparency, legislative oversight, 1183, house

Transcript Highlights:

• It has expanded language about provider revalidation procedures.
• Um, and then on line 30.1, um, this is in the deficiency revalidation procedures.
• Um, and then on line 30.1, um, this is in the deficiency revalidation procedures.
• Um, and then on line 30.1, um, this is in the deficiency revalidation procedures.
• Um, and then on line 30.1, um, this is in the deficiency revalidation procedures.

Keywords: 918, senate, all

Summary: The committees resumed discussion of amendments to a bill dealing with licensing moratoria, change-of-ownership rules, and related provider oversight issues. Amendment A8 would prevent a licensing moratorium for certain intermediate care service settings from blocking a new license when the change is due to a change of ownership, including temporary licenses and transitional licenses. Department of Human Services staff said they were still reviewing the language but explained the department’s concern was maintaining program integrity and ensuring owners go through full change-of-ownership review so the agency can see who owns a provider and check compliance history. Senators supporting the amendment argued it would keep legitimate businesses from being harmed by a moratorium and could help preserve providers when ownership changes or family members take over after a death. A8 was adopted on a roll call, with both committees voting in support. Amendment A9, also on the moratorium topic, would exempt a change of ownership from the moratorium so long as it does not increase license capacity or service scope. The department said it needed more analysis to avoid unintended consequences, but the amendment was added to the working bill. Amendment A10 proposed a more detailed, data-driven framework for the moratorium and included a provision about refunds after implementation; department staff said the language would add cost and would require technical assistance, while senators emphasized the need to address licensure backlogs and avoid making provider delays worse. A10 was approved by the committees, though not unanimously. Amendment A11 would have set standards for how the commissioner designates provider types or program areas as moderate or high risk, with added transparency criteria. The department said the commissioner already has that authority and raised concerns about federal requirements and the state’s corrective action plan, and Senator Hoffman withdrew the amendment. Amendment A12, offered by Senator Fateh, would preserve remote supports by removing bill language that repealed the service and would add safeguards for remote overnight supervision, including staffing ratios to ensure emergency response times can be met. Several senators supported keeping remote services as an important, cost-effective option amid workforce shortages, while the department said it had program integrity concerns and supported the governor’s proposal to remove the service. The committee nevertheless advanced A12, with members noting the need to balance safety and integrity with access to services.

Transcript Highlights:

• revalidation of all providers<00:47:41.560> in<00:47:41.680> those<00:47:41.920> 13
• , the off-cycle revalidation of all providers, the providers we've disenrolled.
• , prepayment review, the uh revalidation, prepayment review, the uh revalidation, the<00:56:10.360
• the off-cycle revalidation of all the off-cycle revalidation of all providers,<00:56:12.560> the<
• In addition to things like Minnesota revalidation, which is a part of the revalidation effort in the

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• And so that change required that we do increased revalidation.
• So basically, we go in and revalidate.
• So basically, we go in and revalidate.
• So basically, we go in and revalidation.
• So that change was revalidation.

Bills: HF3379

Keywords: housing stabilization, disability services, predatory funding, provider requirements, housing accessibility, 1183, house