Section 205.8453 - Responsibility for control of fraud and abuseIt 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.Effective:6/20/2005
Amended 2005, Ky. Acts ch. 99, sec. 276, effective6/20/2005. -- Amended 1998, Ky. Acts ch. 426, sec. 223, effective 7/15/1998. -- Created 1994 Ky. Acts ch. 96, sec. 2, effective 7/15/1994; and ch. 316, sec. 2, effective 7/15/1994.