C.R.S.
Section 25.5-1-115.5
Medical assistance fraud
- report
(1)
Notwithstanding the provisions of section 24-1-136 (11)(a)(I), on or before November 1, 2017, and on or before November 1 each year thereafter, the state department shall submit a written report to the joint budget committee; the judiciary committee and the public health care and human services committee of the house of representatives, or their successor committees; and to the judiciary committee and the health and human services committee of the senate, or their successor committees, concerning fraud in the medicaid program. The state department shall compile a single, comprehensive report that includes the information described in this subsection (1), as well as information that the attorney general provides to the state department pursuant to section 25.5-4-303.3. The state department shall report to the general assembly concerning the fraudulent receipt of medicaid benefits, including, at a minimum:(a)
Investigations of client fraud during the year;(b)
Termination of client medicaid benefits due to fraud;(c)
District attorney action, including, at a minimum, criminal complaints requested, cases dismissed, cases acquitted, convictions, and confessions of judgment;(d)
Recoveries, including fines and penalties, restitution ordered, and restitution collected;(e)
Trends in methods used to commit client fraud, excluding law enforcement-sensitive information; and(f)
An estimate of the total savings, total cost, and net cost-effectiveness of fraud detection and recovery efforts.
Source:
Section 25.5-1-115.5 — Medical assistance fraud - report, https://leg.colorado.gov/sites/default/files/images/olls/crs2023-title-25.5.pdf (accessed Oct. 20, 2023).
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