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205.8453 Responsibility for control of fraud and abuse.

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Page 1 of 1 205.8453 Responsibility for control of fraud and abuse. It shall be the responsibility of the Cabinet for Health and Family Services and the <br>Department for Medicaid Services to control recipient and provider fraud and abuse by: <br>(1) Informing recipients and providers as to the proper utilization of medical services and methods of cost containment; (2) Establishing appropriate checks and audits within the Medicaid Management Information System to detect possible instances of fraud and abuse; (3) Sharing information and reports with other departments within the Cabinet for Health and Family Services, the Office of the Attorney General, and any other <br>agencies that are responsible for recipient or provider utilization review; and (4) Instituting other measures necessary or useful in controlling fraud and abuse. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 276, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 223, effective July 15, 1998. -- Created 1994 Ky. Acts <br>ch. 96, sec. 2, effective July 15, 1994; and ch. 316, sec. 2, effective July 15, 1994.