This is a clone of the Texas Administrative Code (TAC) for educational purposes. It is not the official version and should not be used for legal purposes. Site created Wed, 21 May 2025 21:16:36 GMT
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.