Colorado § 25.5-1-115.5 Medical assistance fraud - report

Colorado Statutes

§ 25.5-1-115.5 — Medical assistance fraud - report

Colorado § 25.5-1-115.5

Title 25.5Health

Art.Department of

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Bluebook

Colo. Rev. Stat. § 25.5-1-115.5 (2026).

Text

(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 de

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(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.

Legislative History

Source: 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. L. 2024: IP(1), (1)(a), (1)(b), and (1)(e) amended, (SB 24-176), ch. 152, p. 616, � 4, effective August 7.