Medical assistance program: Title XIX administrative sanctions--Health Care Financing Administration. Proposed rule.
The proposed regulation would require State Medicaid agencies to suspend from program reimbursement all practitioners who are convicted of offenses related to their participation in the Medicaid program and to exclude the Medicaid program reimbursement providers who otherwise defraud or abuse the Medicaid program. The proposed regulation also revises State Medicaid requirements with respect ot the detection and investigation of Medicaid fraud and abuse. This revisions would further clarify State Medicaid agency responsibilities for the control of Medicaid fraud and abuse and strengthen the regulatory requirements so that States can adequately meet their responsibilities. The intent of this proposed regulation is to prevent or discourage those practices which increases the cost of the Medicaid program without benefiting Medicaid recipients.
D005607:Fraud; D006296:Health Services / Q000331:legislation & jurisprudence*; D006300:Health Services Misuse / Q000331:legislation & jurisprudence*; D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D008484:Medicaid / Q000331:legislation & jurisprudence*; D014481:United States