Medicaid Fraud Detection Technology

Sec. 544.0453. MEDICAID FRAUD DETECTION TECHNOLOGY. The commission may contract with a contractor who specializes in developing technology capable of identifying fraud patterns exhibited by Medicaid recipients to: (1) develop and implement the fraud detection technology; and (2) determine whether a fraud pattern by Medicaid recipients is present in the recipients' eligibility files the commission maintains. Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.