Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 357 - HEARINGS
Subchapter M - FRAUD OR ABUSE INVOLVING MEDICAL PROVIDERS
Section 357.584 - Department Responsibilities in Relation to Provider Fraud and Abuse
Universal Citation: 1 TX Admin Code ยง 357.584
Current through Reg. 49, No. 38; September 20, 2024
The department's responsibilities in relation to provider fraud and abuse include the following:
(1) establishing criteria for identifying cases of possible fraud or abuse;
(2) establishing the methods for referring suspected fraud cases for investigation;
(3) cooperating with the Medicaid Fraud Control Unit, Office of the Attorney General, by furnishing information and data and serving as witnesses, when requested;
(4) recouping all overpayments and taking other administrative sanctions and actions; and
(5) investigating cases of possible abuse.
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