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TITLE 1 - ADMINISTRATION
PART 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 357 - HEARINGS
SUBCHAPTER M - FRAUD OR ABUSE INVOLVING MEDICAL PROVIDERS
SECTION/RULE §357.584 - Department Responsibilities in Relation to Provider Fraud and Abuse
Chapter Review Date 03/15/2024

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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