Kentucky Statutes 205.8483 – Toll-free hotline for receiving reports of fraud and abuse — Report
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(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 state Medicaid Fraud Control Unit and to 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.
Effective:June 29, 2017
History: Amended 2017 Ky. Acts ch. 80, sec. 37, effective June 29, 2017. — Amended 2005 Ky. Acts ch. 99, sec. 287, effective June 20, 2005. — Amended
1998 Ky. Acts ch. 426, sec. 234, effective July 15, 1998. — Created 1994 Ky. Acts ch. 96, sec. 17, effective July 15, 1994; and ch. 316, sec. 17, effective July
15, 1994.
(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:
Terms Used In Kentucky Statutes 205.8483
- Attorney: means attorney-at-law. See Kentucky Statutes 446.010
- Cabinet: means the Cabinet for Health and Family Services. See Kentucky Statutes 205.010
- Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
- Fraud: Intentional deception resulting in injury to another.
- Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
- State: when applied to a part of the United States, includes territories, outlying possessions, and the District of Columbia. See Kentucky Statutes 446.010
(a) The state Medicaid Fraud Control Unit and to 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.
Effective:June 29, 2017
History: Amended 2017 Ky. Acts ch. 80, sec. 37, effective June 29, 2017. — Amended 2005 Ky. Acts ch. 99, sec. 287, effective June 20, 2005. — Amended
1998 Ky. Acts ch. 426, sec. 234, effective July 15, 1998. — Created 1994 Ky. Acts ch. 96, sec. 17, effective July 15, 1994; and ch. 316, sec. 17, effective July
15, 1994.