Sec. 61.066. PREVENTION AND DETECTION OF FRAUD. (a) A hospital district may adopt reasonable procedures for minimizing the opportunity for fraud, for establishing and maintaining methods for detecting and identifying situations in which a question of fraud may exist, and for administrative hearings to be conducted on disqualifying persons in cases where fraud appears to exist.
(b) Procedures established by a hospital district for administrative hearings conducted under this section shall provide for appropriate due process, including procedures for appeals.
(c) A hospital district may recover, from the eligible resident perpetrating a fraud, an amount equal to the value of any fraudulently obtained health care services provided to the eligible resident disqualified under this section.
Added by Acts 2001, 77th Leg., ch. 563, Sec. 1, eff. Aug. 27, 2001.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 1320 (S.B. 303), Sec. 1, eff. September 1, 2011.
Structure Texas Statutes
Subtitle C - Programs Providing Health Care Benefits and Services
Chapter 61 - Indigent Health Care and Treatment Act
Subchapter C. Persons Who Reside in an Area Served by a Public Hospital or Hospital District
Section 61.051. Application of Subchapter
Section 61.052. General Eligibility Provisions
Section 61.053. Application Procedure
Section 61.054. Basic Health Care Services Provided by a Public Hospital
Section 61.055. Basic Health Care Services Provided by Hospital Districts
Section 61.056. Provision of Health Care Services
Section 61.057. Mandated Provider
Section 61.058. Notification of Provision of Nonemergency Services
Section 61.059. Notification of Provision of Emergency Services
Section 61.060. Payment for Services
Section 61.061. Payment Rates and Limits
Section 61.062. Responsibility of Governmental Entity
Section 61.063. Procedure to Change Eligibility Standards or Services Provided
Section 61.064. Transfer of a Public Hospital
Section 61.065. County Responsibility for Hospital Sold on or After January 1, 1988
Section 61.066. Prevention and Detection of Fraud