Section 25.5-1-115.5 - Medical assistance fraud - report(1) Notwithstanding section 24-1-136 (11)(a)(I), on or before November 1, 2017, and each November 1 thereafter, the state department shall submit a written report to the joint budget committee; to the house of representatives judiciary committee and the house of representatives public and behavioral health and human services committee, or their successor committees; and to the senate judiciary committee and the senate health and human services committee, or their successor committees, concerning fraud in the medicaid program. The state department shall compile a single, comprehensive report that includes the information described in this subsection (1), as well as information that the attorney general provides to the state department pursuant to section 25.5-4-303.3. The state department shall report to the general assembly concerning the fraudulent receipt of medicaid benefits, including, at a minimum:(a) Investigations of member fraud during the year;(b) Termination of member medicaid benefits due to fraud;(c) District attorney action, including, at a minimum, criminal complaints requested, cases dismissed, cases acquitted, convictions, and confessions of judgment;(d) Recoveries, including fines and penalties, restitution ordered, and restitution collected;(e) Trends in methods used to commit member fraud, excluding law enforcement-sensitive information; and(f) An estimate of the total savings, total cost, and net cost-effectiveness of fraud detection and recovery efforts.Amended by 2024 Ch. 152,§ 4, eff. 8/7/2024.Amended by 2017 Ch. 298, § 1, eff. 8/9/2017.Amended by 2017 Ch. 6, § 2, eff. 3/1/2017.L. 2012: Entire section added, (SB 12-060), ch. 166, p. 577, § 1, effective August 8. L. 2017: IP(1) amended, (HB 17-1060), ch. 6, p. 14, § 2, effective March 1; IP(1), (1)(d), and (1)(e) amended and (1)(f) added, (SB 17-295), ch. 298, p. 1636, § 1, effective August 9.Amendments to the introductory portion of subsection (1) by HB 17-1060 and SB 17-295 were harmonized.
2024 Ch. 152, was passed without a safety clause. See Colo. Const. art. V, § 1(3).