205.8453 Responsibility for control of fraud and abuse.
114 words·~1 min read·
/ky/chapter-205/205-8453A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
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.