: Texas Administrative Code

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
RULE §357.584	Department 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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