The department of health care policy and financing; the department of public health and environment; managed care entities; and their fiscal agents, contractors, or subcontractors, shall refer all cases where the agency or entity has reasonable cause to believe that there is suspected medicaid fraud and waste as well as patient abuse, neglect, and exploitation to the unit for the purpose of investigation, civil action, or criminal action. Nothing contained in this part 8 prohibits the attorney general from pursuing cases of suspected medicaid fraud and waste or patient abuse, neglect, and exploitation cases absent such a referral.
Source: L. 2018: Entire part added, (HB 18-1211), ch. 159, p. 1115, § 2, effective January 1, 2019.
Structure Colorado Code
Article 31 - Department of Law
Part 8 - Medicaid Fraud Control
§ 24-31-802. Medicaid Fraud Control Unit - Creation - Duties
§ 24-31-803. Medicaid Fraud Reporting
§ 24-31-804. Medicaid Fraud Control Unit - Displayed Information
§ 24-31-805. Medicaid Fraud Control Unit Authority and Responsibilities
§ 24-31-806. Civil Investigative Demands and Subpoenas
§ 24-31-807. Provider Applications - False Statements - Penalties
§ 24-31-808. Medicaid Fraud and Waste - Penalties - Definition - Repeal
§ 24-31-809. Unlawful Remuneration - Penalties