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Amend CSHB 2292 by striking page 80, line 3, through page 81,
line 11, and substituting the following:
Sec. 531.1063. MEDICAID FRAUD PILOT PROGRAM. (a) The
commission, with cooperation from the Texas Department of Human
Services, shall develop and implement a back-end Medicaid fraud
reduction pilot program in one or more counties in this state to
address provider fraud and appropriate cases of third-party and
recipient fraud.
(b) The program must be designed to reduce:
(1) the number of fraud cases arising from
authentication fraud and abuse; and
(2) the number of fraudulent participants.
(c) The program must include:
(1) development and implementation of back-end fraud
detection technology, other than technology located or based at the
provider level; and
(2) procedures and systems to identify patterns of
fraud by Medicaid providers, recipients, or third-parties.
(d) The commission may extend the program to additional
counties if the commission determines that expansion would be
cost-effective.