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KRS 205.8453

Responsibility for control of fraud and abuse

Applied in 1 court decision — leading case Follett v. Gateway Regional Health System, Inc. (2007)

Most recently applied in Follett v. Gateway Regional Health System, Inc. (July 2007)

Effective: June 20, 2005 History: Amended 2005 Ky

It shall be the responsibility of the Cabinet for Health and Family Services and the Department for Medicaid Services to control recipient and provider fraud and abuse by:

(1) Informing recipients and providers as to the proper utilization of medical services and methods of cost containment;

(2) Establishing appropriate checks and audits within the Medicaid Management Information System to detect possible instances of fraud and abuse;

(3) Sharing information and reports with other departments within the Cabinet for Health and Family Services, the Office of the Attorney General, and any other agencies that are responsible for recipient or provider utilization review; and (4) Instituting other measures necessary or useful in controlling fraud and abuse.

Official source: Kentucky General Assembly. Reproduced from public-domain Kentucky statutes; confirm against the official source for the current text. Not legal advice.