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2010 SESSION
HB 733 Medicaid fraud; Director may deny Medicaid provider contracts for violation of statutes.
Introduced by: David B. Albo | all patrons ... notes | add to my profiles | history
SUMMARY AS PASSED:
Medicaid fraud. Provides that a person will be guilty of Medicaid fraud and therefore punishable for causing certain acts, in addition to knowingly and willfully engaging in such acts. The bill also provides that the Director of the Department of Medical Assistance Services may terminate or deny Medicaid provider contracts for a violation of statutes setting forth the crimes constituting Medicaid fraud or any other felony, or for any other reason for which the U.S Secretary of Health and Human Services may do the same. The bill also requires the Director of the Department of Medical Assistance Services to investigate options for a comprehensive system that utilizes external records search and analytic technologies for the collection and review of data from public and private sources, to detect, prevent and investigate fraud, waste and abuse in Virginia's medical assistance services program, and to report his findings by December 1, 2010.
SUMMARY AS PASSED HOUSE:
Medicaid fraud. Provides that a person will be guilty of Medicaid fraud and therefore punishable for causing certain acts or maliciously aiding and abetting in certain acts, in addition to knowingly and willfully engaging in such acts. The bill also provides that the Director of the Department of Medical Assistance Services may terminate or deny Medicaid provider contracts for a violation of statutes setting forth the crimes constituting Medicaid fraud or any other felony, or for any other reason for which the U.S Secretary of Health and Human Services may do the same. The bill also requires the Director of the Department of Medical Assistance Services shall investigate options for a comprehensive system that utilizes external records search and analytic technologies for the collection and review of data from public and private sources, to detect, prevent and investigate fraud, waste and abuse in Virginia's medical assistance services program, and to report his findings by December 1, 2010.
SUMMARY AS INTRODUCED:
Medicaid fraud. Provides that a person will be guilty of Medicaid fraud and therefore punishable for causing certain acts or aiding and abetting in certain acts, in addition to knowingly and willfully engaging in such acts. The bill also provides that the Director of the Department of Medical Assistance Services may terminate or deny Medicaid provider contracts for a violation of statutes setting forth the crimes constituting Medicaid fraud or any other felony, or for any other reason for which the U.S Secretary of Health and Human Services may do the same.