2020 Colorado Revised Statutes
Title 25.5 - Health Care Policy And Financing
Article 4. Colorado Medical Assistance Act - General Medical Assistance
Section 25.5-4-303.3. Provider fraud - attorney general report.
(1) No later than October 1, 2017, and no later than October 1 each year thereafter, the attorney general shall submit a written report to the state department for inclusion in a single, comprehensive report to the general assembly concerning medicaid fraud pursuant to section 25.5-1-115.5. The attorney general shall provide information relating to medicaid provider fraud including, at a minimum:
Investigations of provider fraud during the year;
Criminal complaints requested, cases dismissed, cases acquitted, convictions, andconfessions of judgment;
Recoveries, including fines and penalties, restitution ordered, and restitution collected;
Civil claims;
Trends in methods used to commit provider fraud, excluding law enforcementsensitive information; and
An estimate of the total savings, total cost, and net cost-effectiveness of fraud detection and recovery efforts.
Source: L. 2012: Entire section added, (SB 12-060), ch. 166, p. 578, § 2, effective August 8. L. 2017: IP(1), (1)(d), and (1)(e) amended and (1)(f) added, (SB 17-295), ch. 298, p. 1637, § 2, effective August 9.
