Relating to investigations conducted by the Department of Health and Human Resources to prevent fraud and abuse

HB 4417 Relating to investigations conducted by the Department of Health and Human Resources to prevent fraud and abuse

West Virginia 2018 Regular Session

Relating to investigations conducted by the Department of Health and Human Resources to prevent fraud and abuse
HB-4417


About HB-4417

The purpose of this bill is to prevent fraud and abuse through investigations, inspections, evaluations, and review conducted by the Department of Health and Human Resources; dis-enrolling providers who commit fraud and requiring repayment; defining fraud as it relates to Medicaid; authorizing penalties against providers for failure to keep medical records for a specific time period; authorizing a civil cause of action for fraud when a person or entity knew or should have known a claim to be false; enlarging the statute of limitations to file health care fraud civil actions; defining terms relating to public assistance fraud; providing for an asset test for SNAP benefits which authorizes the access of information of various federal, state and miscellaneous sources; requiring cooperation with the Bureau for Child Support Enforcement; requiring a design or establishment of a computerized income, asset, and identity verification system for each public assistance program administered by the department; allowing for contracting with a third-party vendor; setting out required contract terms; requiring accessing information of various federal, state, and miscellaneous sources for eligibility verification; requiring identity authentication as a condition to receive public assistance; authorizing the department to study the feasibility of requiring photos on EBT cards; prohibiting payment of public assistance benefits in specified instances; setting forth notice requirements and right to a hearing; requiring referrals for fraud, misrepresentation, and inadequate documentation; requiring report to the Governor and Legislature; setting forth prohibitions on the use of an electronic benefit transfer card; tracking out-of-state spending of SNAP and TANF benefits; providing for rulemaking; and providing a penalty for taking the identity of another person for the purpose of gaining employment.

  

Bill Texts

Introduced

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Sponsors (5)

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History

Filed For Introduction

02/02/2018

To Health And Human Resources Then Judiciary

02/02/2018

Introduced In House

02/02/2018

To House Health And Human Resources

02/02/2018

Subject(s)