Section 5167.18 | Identification of fraud, waste, and abuse.
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Effective:
October 6, 2026
Latest Legislation:
Senate Bill 315 - 136th General Assembly
Each medicaid managed care organization shall comply with federal and state efforts to identify fraud, waste, and abuse in the medicaid program. Upon the identification of credible evidence of fraud, waste, or abuse, or materially inconsistent billing, each medicaid managed care organization shall make a report to the department of medicaid. The department shall refer potential fraud in a timely manner to the attorney general for investigation.
Last updated August 12, 2026 at 4:38 PM
Available Versions of this Section
- September 29, 2017 – Enacted by House Bill 49 - 132nd General Assembly [ View September 29, 2017 Version ]
- October 17, 2019 – Amended by House Bill 166 - 133rd General Assembly [ View October 17, 2019 Version ]
- October 6, 2026 – Amended by Senate Bill 315 - 136th General Assembly [ View October 6, 2026 Version ]