Title 63A, Utah Government Operations Code

63A-13-204. Selection and review of claims. (1)(a) The office shall periodically select and review a representative sample of claims submitted for reimbursement under the Medicaid program to determine whether fraud, waste, or abuse occurred. (b) The office shall limit the office'…

63A-13-205. Placement of hold on claims for reimbursement -- Injunction. (1) The inspector general or the inspector general's designee may, without prior notice, order a hold on the payment of a claim for reimbursement submitted by a claimant if there is reasonable cause to belie…

63A-13-301. Access to records -- Retention of designation under Government Records Access and Management Act. (1) In order to fulfill the duties described in Section 63A-13-202, and in the manner provided in Subsection (4), the office shall have unrestricted access to all records…

63A-13-302. Access to employees -- Cooperating with investigation or audit. (1) The office shall have access to interview the following persons if the inspector general determines that the interview may assist the inspector general in fulfilling the duties described in Section 63…

63A-13-303. Cooperation and support. The Department of Health and Human Services, the division, each consultant or contractor of the Department of Health and Human Services or division, and each provider shall provide its full cooperation and support to the inspector general and …

63A-13-304. Interference with an investigation or audit prohibited. No person may: (1) interfere with or impede an investigation or audit of the office or fraud unit; or (2) interfere with the office relative to the content of a report, the conclusions reached in a report, or the…

63A-13-305. Audit and investigation procedures. (1)(a) The office shall, in accordance with Section 63A-13-602, adopt administrative rules in consultation with providers and health care professionals subject to audit and investigation under this chapter to establish procedures fo…

63A-13-401. Subpoena power -- Enforcement. (1) The inspector general has the power to issue a subpoena to obtain a record or interview a person that the office or inspector general has the right to access under Part 3, Investigation or Audit. (2) A person who fails to comply with…

63A-13-501. Duty to report potential Medicaid fraud to the office or fraud unit. (1)(a) Except as provided in Subsection (1)(b), a health care professional, a provider, or a state or local government official or employee who becomes aware of fraud, waste, or abuse shall report th…

63A-13-502. Report and recommendations to governor and General Government Appropriations Subcommittee. (1) The inspector general of Medicaid services shall, on an annual basis, prepare an electronic report on the activities of the office for the preceding fiscal year. (2) The rep…

63A-13-601. Provision of contract services to Office of Inspector General of Medicaid Services. (1) The division and the assistant attorneys general assigned to the division shall provide, without charge, contract review, contract enforcement, and other contract management servic…

63A-13-602. Rulemaking authority. The office may make rules, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and Section 63A-13-305, that establish policies, procedures, and practices, in accordance with the provisions of this chapter, relating to: (1…

63A-13-701. Office of Inspector General of Medicaid Services Advisory Board. (1) In consultation with the inspector general, the executive director or the executive director's designee shall create an advisory board known as the "Office of Inspector General of Medicaid Services A…

63A-14-101. Title. (1) This chapter is known as "Review of Executive Branch Ethics Complaints." (2) This part is known as "General Provisions."

63A-14-102. Definitions. As used in this chapter: (1) "Commission" means the Independent Executive Branch Ethics Commission, created in Section 63A-14-202. (2) "Complainant" means an individual who files a complaint under Subsection 63A-14-402(1)(a). (3) "Executive branch elected…

63A-14-201. Title. This part is known as "Independent Executive Branch Ethics Commission."

63A-14-202. Independent Executive Branch Ethics Commission -- Membership. (1)(a) There is created the Independent Executive Branch Ethics Commission, consisting of the following five members appointed by the governor, each of whom shall be registered to vote in the state at the t…

63A-14-203. Independent Executive Branch Ethics Commission -- Meetings -- Annual summary report -- Staff -- Legal counsel -- Supplemental appropriations. (1) The commission shall meet for the purpose of reviewing an ethics complaint when: (a) except as otherwise expressly provide…

63A-14-301. Title. This part is known as "General Powers and Procedures."

63A-14-302. Authority to review complaint -- Grounds for complaint -- Limitations on filings. (1) Subject to the requirements of this chapter, the commission may review an ethics complaint against an executive branch elected official if the complaint alleges that the executive br…

63A-14-303. General powers -- Jurisdiction. (1) The commission has jurisdiction only over an individual who is currently serving as an executive branch elected official. (2) The commission or the chair shall dismiss an ethics complaint if: (a) the respondent resigns from the resp…

63A-14-401. Title. This part is known as "Ethics Complaints."

63A-14-402. Ethics complaints -- Filing -- Form. (1)(a) The following individuals may file an ethics complaint against an executive branch elected official if the complaint meets the requirements of Section 63A-14-302 and Subsection (1)(b): (i) two or more executive branch electe…

63A-14-403. Privacy of ethics complaint -- Dismissal -- Contempt. (1)(a) Except as provided in Subsection (2) or (4), a person, including the complainant, the respondent, a commission member, or staff to the commission may not disclose the existence of a complaint, a response, or…

63A-14-405. Motion to disqualify commission member for conflict of interest. (1) A complainant may file a motion to disqualify one or more members of the commission from participating in proceedings relating to the complaint if the individual files the motion within 20 days after…

63A-14-501. Title. This part is known as "Preliminary Action."

63A-14-502. Initial review of ethics complaint -- Notice. (1)(a) Except as provided in Subsection (1)(b), within five business days after the day on which the commission receives a complaint, the director of the commission, in consultation with the chair, shall examine the compla…

63A-14-503. Meeting of the commission for review of complaint -- Procedures. (1) No later than 10 days after the day on which a complaint is accepted under Section 63A-14-502, the chair shall: (a) except as provided in Subsection (2), schedule a commission meeting on a date: (i) …

63A-14-504. Response to ethics complaint -- Filing -- Form. (1) A respondent shall file a response to a complaint with the commission no later than 20 days after the day on which the respondent receives delivery of the complaint. (2) A respondent shall ensure that the response is…

63A-14-601. Title. This part is known as "Ethics Proceedings."

63A-14-602. Review of ethics complaint by commission. (1) The scope of the commission's review of a complaint is limited to the alleged violations stated in the complaint. (2) Before holding a meeting for review of a complaint, the chair may schedule a separate meeting of the com…

63A-14-603. Record -- Recording of meetings. (1)(a) Except as provided in Subsection (1)(b), an individual may not use a camera or other recording device in a meeting authorized by this chapter. (b) The commission shall keep an audio or video recording of all portions of each mee…

63A-14-604. Process for making a decision -- Deliberations. (1)(a) After each party presents a closing argument, the commission shall, at the direction of the chair, begin private deliberations. (b) The deliberations described in Subsection (1)(a) may be held: (i) immediately aft…

63A-14-605. Order or finding of merit by the commission. (1) If the commission determines that all allegations in the complaint are without merit, the commission shall: (a) issue and enter into the record an order that the complaint is dismissed because no allegations in the comp…

63A-14-606. Comments on complaint under review by Legislature. (1) Except as provided in Subsection (2), while a complaint is under review by the Legislature, a member of the commission may not comment publicly or privately about the commission's decision, reasoning, or other mat…

63A-14-701. Title. This part is known as "General Provisions Governing Hearings on Ethics Complaints."

63A-14-702. General procedures for conducting a hearing on an ethics complaint. (1) In conducting a hearing on a complaint, the commission shall comply with the following process in the order specified: (a) introduction and instructions for procedure and process, at the discretio…

63A-14-703. Chair as presiding judge. (1) Except as expressly provided otherwise in this chapter, the chair is vested with the power to direct the commission during meetings authorized by this chapter. (2) Except as otherwise provided in this chapter, the commission may overrule …

63A-14-704. Subpoena powers. (1) For all proceedings authorized by this chapter, the commission may issue a subpoena to: (a) require the attendance of a witness; or (b) direct the production of evidence. (2) The commission shall issue a subpoena under this section: (a) as require…

63A-14-705. Contempt of the commission -- Enforcement. (1) Except as provided in Subsection (9), the following actions constitute contempt of the commission: (a) disobedience to a direction of the commission or the chair in relation to actions and proceedings under this chapter; …

63A-14-706. Testimony and examination of witnesses -- Oath -- Procedure -- Contempt. (1) The chair shall ensure that each witness listed in a complaint and response is subpoenaed for appearance at the hearing unless: (a) the witness is unable to be properly identified or located;…

63A-14-707. Communications of commission members. (1) As used in this section, "third party" means a person who is not a member of the commission or staff to the commission. (2) While a complaint is under review by the commission, a member of the commission may not initiate, enga…

63A-14-708. Attorney fees and costs. (1) A complainant: (a) may, but is not required to, retain legal representation during the complaint review process; and (b) is responsible for payment of the complainant's attorney fees and costs incurred. (2) A respondent: (a) may, but is no…

63A-15-101. Title. This chapter is known as "Political Subdivisions Ethics Review Commission."

63A-15-102. Definitions. (1) "Commission" means the Political Subdivisions Ethics Review Commission established in Section 63A-15-201. (2) "Complainant" means a person who files a complaint in accordance with Section 63A-15-501. (3) "Ethics violation" means a violation of: (a) Ti…

63A-15-103. Local ethics commission permitted -- Filing requirements. (1) A political subdivision, other than a municipality described in Section 10-3-1311, a county described in Section 17-70-511, or a school district may establish a local political subdivision ethics commission…