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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 357HEARINGS
SUBCHAPTER MFRAUD OR ABUSE INVOLVING MEDICAL PROVIDERS
RULE §357.584Department Responsibilities in Relation to Provider Fraud and Abuse

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.


Source Note: The provisions of this §357.584 adopted to be effective February 29, 1980, 5 TexReg 526; amended to be effective July 1, 1986, 11 TexReg 2825; transferred effective September 1, 2004, as published in the Texas Register September 17, 2004, 29 TexReg 9013

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