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2006 LAWS OF MARYLAND
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Ch. 70
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2-503.
THE INSPECTOR GENERAL:
(1) MAY INVESTIGATE MISTAKEN CLAIMS, AND FRAUD, WASTE, AND
ABUSE OF DEPARTMENTAL FUNDS;
(2) SHALL COOPERATE WITH AND COORDINATE INVESTIGATIVE
EFFORTS WITH THE MEDICAID FRAUD CONTROL UNIT AND WHERE A PRELIMINARY
INVESTIGATION ESTABLISHES A SUFFICIENT BASIS TO WARRANT REFERRAL, SHALL
REFER SUCH MATTERS TO THE MEDICAID FRAUD CONTROL UNIT; AND
(3) SHALL COOPERATE WITH AND COORDINATE INVESTIGATIVE
EFFORTS WITH DEPARTMENTAL PROGRAMS AND OTHER STATE AND FEDERAL
AGENCIES TO ENSURE A PROVIDER IS NOT SUBJECT TO DUPLICATIVE AUDITS.
2-504.
THE INSPECTOR GENERAL, IN COLLABORATION WITH THE APPROPRIATE
DEPARTMENTAL PROGRAM, MAY:
(1) TAKE NECESSARY STEPS TO RECOVER ANY MISTAKEN, WRONGFUL,
MISTAKEN CLAIMS PAID OR PAYMENTS OBTAINED IN ERROR OR FRAUDULENT
CLAIMS PAID TO OR OBTAINED BY A PROVIDER; AND
(2) TAKE NECESSARY STEPS TO RECOVER THE COST OF BENEFITS
MISTAKENLY, WRONGFULLY MISTAKENLY PAID OR OBTAINED IN ERROR, OR
FRAUDULENTLY PAID TO OR OBTAINED BY A RECIPIENT;
(3) PERFORM AUDITS AND INSPECTIONS OF PROVIDERS;
(4) WORK WITH PROVIDERS TO REDUCE MISTAKEN CLAIMS AND FRAUD,
WASTE, AND ABUSE IN THE HEALTH CARE SYSTEM;
(5) COORDINATE INVESTIGATIVE AND RECOVERY EFFORTS WITH
OTHER DEPARTMENTS AND AGENCIES;
(6) ISSUE AN ADMINISTRATIVE SUBPOENA FOR THE PRODUCTION OF
ALL INFORMATION, DOCUMENTS, REPORTS, ANSWERS, RECORDS, ACCOUNTS,
PAPERS, ELECTRONIC MEDIA, AND OTHER DATA AND DOCUMENTARY EVIDENCE
THAT MAY ASSIST IN THE INVESTIGATION OF POTENTIAL FRAUD, WASTE, ABUSE,
AND MISTAKEN OR WRONGFUL CLAIMS;
(7) ADMINISTER TO AND ACCEPT FROM AN INDIVIDUAL AN OATH,
AFFIRMATION, OR AFFIDAVIT;
(8) REQUIRE A PROVIDER SEEKING PAYMENT FROM A STATE HEALTH
PROGRAM TO ADOPT AND HAVE IN PLACE A CORPORATE COMPLIANCE PROGRAM;
(9) WHEN A PROVIDER'S FISCAL SITUATION WARRANTS, REQUIRE A
SURETY BOND FROM A PROVIDER TO ASSURE THAT SUFFICIENT FUNDS ARE
AVAILABLE TO SATISFY ANY RECOVERY AMOUNTS DUE TO THE DEPARTMENT;
(10) ENFORCE THE PENALTIES IN § 3 507 OF THIS SUBTITLE; AND
- 584 -
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