Sec. 22.029. PROJECT FOR FRAUD DETECTION AND PREVENTION THROUGH DATA MATCHING. (a) In order to enhance the state's ability to detect and prevent fraud in the payment of claims under federal and state entitlement programs, the commission shall implement a data matching project as described by Subsection (b). The costs of developing and administering the data matching project shall be paid entirely from amounts recovered by participating agencies as a result of potential fraudulent occurrences or administrative errors identified by the project.
(b) The project shall involve the matching of database information among all agencies using electronic funds transfer and other participating agencies. The commission shall contract through a memorandum of understanding with each agency participating in the project. After the data has been matched, the commission shall furnish each participating agency with a list of potential fraudulent occurrences or administrative errors.
(c) Each agency participating in a matching cycle shall document actions taken to investigate and resolve fraudulent issues noted on the list provided by the commission. The commission shall compile the documentation furnished by participating agencies for each matching cycle.
(d) Agencies participating under Subsection (b) shall cooperate fully with the commission in the prompt provision of data in the requested format, for the identification of suspected fraudulent occurrences, or administrative errors as the commission may otherwise reasonably request in order to carry out the intent of this section.
(e) The commission and participating agencies providing source data for the project shall take all necessary steps to protect the confidentiality of information provided as part of this project, in compliance with all existing state and federal privacy guidelines.
Added by Acts 1995, 74th Leg., ch. 655, Sec. 8.03, eff. Sept. 1, 1995. Amended by Acts 1997, 75th Leg., ch. 827, Sec. 2, eff. Sept. 1, 1997.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 4.030, eff. April 2, 2015.
Structure Texas Statutes
Title 2 - Human Services and Protective Services in General
Subtitle B - Administrative Provisions and General Functions Relating to Human Services
Chapter 22 - General Functions Relating to Human Services
Section 22.0001. Commissioner's Powers and Duties; Effect of Conflict With Other Law
Section 22.001. General Powers and Duties of Commission
Section 22.0015. Evaluation and Improvement of Programs
Section 22.002. Administration of Federal Welfare Programs
Section 22.003. Research and Demonstration Projects
Section 22.0031. Projects for High-Risk Pregnant Women and High-Risk Children
Section 22.0033. Prohibited Activities by Former Officers or Employees
Section 22.004. Provision of Legal Services
Section 22.005. Custodian of Assistance Funds
Section 22.007. Public Information Contract Requirement
Section 22.008. Enforcement and Alteration of Service Delivery Standards
Section 22.009. Advisory Committees
Section 22.011. Memorandum of Understanding on Services to Persons With Disabilities
Section 22.013. Memorandum of Understanding on Public Awareness Information
Section 22.014. Memorandum of Understanding on Hospital and Long-Term Care Services
Section 22.016. Special Purchasing Procedures
Section 22.017. Program Accessibility
Section 22.018. Cooperation With State Office of Administrative Hearings
Section 22.019. Due Process Procedures
Section 22.020. Audit Procedure
Section 22.021. Distribution of Funds
Section 22.022. Residency Requirements
Section 22.023. Payment for Certain Insurance Coverage
Section 22.024. Development of Service Plan for Elderly Persons or Persons With Disabilities
Section 22.025. Error-Rate Reduction
Section 22.0251. Timely Determination of Overpayments
Section 22.0252. Telephone Collection Program
Section 22.0253. Participation in Federal Tax Refund Offset Program
Section 22.0254. Prosecution of Fraudulent Claims
Section 22.0255. Electronic Benefits Transfer Card; Returned-Mail Reduction
Section 22.026. Reduction of Client Fraud
Section 22.027. Fraud Prevention
Section 22.028. Electronic Benefits Transfer: Monitoring
Section 22.029. Project for Fraud Detection and Prevention Through Data Matching
Section 22.0292. Information Matching System Relating to Immigrants and Foreign Visitors
Section 22.030. Agreements for Purchase of Services for Children
Section 22.031. Unannounced Inspections
Section 22.032. Use of Earned Federal Funds
Section 22.039. Training and Continuing Education Related to Certain Long-Term Care Facilities