205.8483 Toll-free hotline for receiving reports of fraud and abuse -- Report.
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/ky/chapter-205/205-8483A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(1)The Office of the Inspector General in the Cabinet for Health and Family Services
shall establish, maintain, and publicize a twenty-four
(24)hour toll-free hotline for
the purpose of receiving reports of alleged fraud and abuse by Medical Assistance
Program recipients and participating providers.
(2)The Office of the Inspector General in the Cabinet for Health and Family Services
shall develop and implement procedures for screening alleged fraud and abuse of
the Medical Assistance Program to ensure that appropriate written referrals are
made to:
(a)The Office of Medicaid Fraud and Abuse Control in the Office of the
Attorney General of credible allegations of fraud and abuse by providers
participating in the Medical Assistance Program; and
(b)Other agencies and licensure boards of all allegations received on the hotline
that are relevant to their jurisdiction.
(3)The Office of the Inspector General in the Cabinet for Health and Family Services
shall provide, upon request, a Medicaid fraud and abuse report that shall include but
not be limited to the following information from the prior fiscal year:
(a)The number and type of reports received in the Office of the Inspector
General in the Cabinet for Health and Family Services, from the Medicaid
fraud and abuse hotline categorized by recipient and provider groups; and
(b)The number and type of alleged Medicaid recipient fraud and abuse reports
which were opened for investigation by the Office of Inspector General and
their disposition.