Each medicaid managed care organization shall comply with federal and state efforts to identify fraud, waste, and abuse in the medicaid program. Upon the identification of credible evidence of fraud, waste, or abuse, or materially inconsistent billing, each medicaid managed care organization shall make a report to the department of medicaid. The department shall refer potential fraud in a timely manner to the attorney general for investigation.
Identification of fraud, waste, and abuse
Ohio Rev. Code Ann. § 5167.18, under Medicaid Managed Care.
Ohio Rev. Code Ann. § 5167.18