§ 205.8483

205.8483 Toll -free hotline for receiving reports of fraud and abuse -- Report. (1) The Office of the Inspector General in the Cabinet for Health and Family Services shall establish, maintain, and publicize a twenty -four (24) hour toll -free hotline for the purpose of receiving reports of alleged fraud and abuse by Medical Assistance Program recipients and participating providers. (2) The Office of the Inspector General in the Cabinet for Health and Family Services shall develop and implement procedures for screening alleged fraud and abuse of the Medical Assistance Program to ensure that appropriate written referrals are made to: (a) The Office of Medicaid Fraud and Abuse Control in the Office of the Attorney General of credible allegations of fraud and abu se by providers participating in the Medical Assistance Program; and (b) Other agencies and licensure boards of all allegations received on the hotline that are relevant to their jurisdiction. (3) The Office of the Inspector General in the Cabinet for Heal th and Family Services shall provide, upon request, a Medicaid fraud and abuse report that shall include but not be limited to the following information from the prior

General in the Cabinet for Heal th and Family Services shall provide, upon request, a Medicaid fraud and abuse report that shall include but not be limited to the following information from the prior fiscal year: (a) The number and type of reports received in the Office of the Inspector General in the Cabinet for Health and Family Services, from the Medicaid fraud and abuse hotline categorized by recipient and provider groups; and (b) The number and type of alleged Medicaid recipient fraud and abuse reports which were opened for investiga tion by the Office of Inspector General and their disposition. Effective: April 5, 2024 History: Amended 2024 Ky. Acts ch. 112, sec. 10, effective April 5, 2024. -- Amended 2017 Ky. Acts ch. 80, sec. 37, effective June 29, 2017. -- Amended 2005 Ky. Acts ch. 99, sec. 287, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 234, effective Ju ly 15, 1998. -- Created 1994 Ky. Acts ch. 96, sec. 17, effective July 15, 1994; and ch. 316, sec. 17, effective July 15, 1994.