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Utah Code Title 26B. Utah Health and Human Services Codes § 26B-3-1113. Medicaid fraud enforcement

Current as of January 01, 2025 | Updated by Findlaw Staff

(1) This part shall be enforced in accordance with this section.

(2) The department is responsible for:

(a)(i) investigating and prosecuting suspected civil violations of this part; or

(ii) referring suspected civil violations of this part to the attorney general for investigation and prosecution; and

(b) promptly referring suspected criminal violations of this part to the attorney general for criminal investigation and prosecution.

(3) The attorney general has:

(a) concurrent jurisdiction with the department for investigating and prosecuting suspected civil violations of this part; and

(b) exclusive jurisdiction to investigate and prosecute all suspected criminal violations of this part.

(4) The department and the attorney general share concurrent civil enforcement authority under this part and may enter into an interagency agreement regarding the investigation and prosecution of violations of this part in accordance with this section, the requirements of Title XIX of the federal Social Security Act,  1 and applicable federal regulations.

(5)(a) Any violation of this part which comes to the attention of any state government officer or agency shall be reported to the attorney general or the department.

(b) All state government officers and agencies shall cooperate with and assist in any prosecution for violation of this part.

1 42 U.S.C.A. § 1396 et seq.
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Cite this article: FindLaw.com - Utah Code Title 26B. Utah Health and Human Services Codes § 26B-3-1113. Medicaid fraud enforcement - last updated January 01, 2025 | https://codes.findlaw.com/ut/title-26b-utah-health-and-human-services-codes/ut-code-sect-26b-3-1113/

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