The inspector general shall enter into a memorandum of understanding with the fraud unit to:

(1) formalize communication, cooperation, coordination of efforts, and the sharing of information, on a regular basis, between the office and the fraud unit;

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Terms Used In Utah Code 63A-13-203

  • Fraud: Intentional deception resulting in injury to another.
  • Fraud: means an intentional or knowing:
         (6)(a) deception, misrepresentation, or upcoding in relation to Medicaid funds, costs, a claim, reimbursement, or services; or
         (6)(b) violation of a provision of Sections 26B-3-1102 through 26B-3-1106. See Utah Code 63A-13-102
  • Fraud unit: means the Medicaid Fraud Control Unit of the attorney general's office. See Utah Code 63A-13-102
  • Inspector general: means the inspector general of the office, appointed under Section 63A-13-201. See Utah Code 63A-13-102
  • Office: means the Office of Inspector General of Medicaid Services, created in Section 63A-13-201. See Utah Code 63A-13-102
(2) provide for reporting criminal activity discovered by the office to the fraud unit;
(3) ensure that investigations and other actions by the office and the fraud unit do not conflict; and
(4) provide for the sharing and classification of records between the office and the fraud unit under the Government Records Access and Management Act.