RS 440.6 - Purposes of the task force
The purposes of the task force shall include the following:
(1) To study and evaluate on an ongoing basis the laws, rules, policies, and processes by which the state implements Medicaid fraud detection and prevention efforts.
(2) To identify and recommend opportunities for improving coordination of Medicaid fraud detection and prevention initiatives across state agencies and branches of state government.
(3) To identify any systemic or systemwide issues of concern within the Medicaid program with respect to fraud, waste, and abuse.
(4) To develop recommendations for policies and procedures by which to facilitate and implement all of the following:
(a) Random sampling of Medicaid cases to be selected for verification of enrollee eligibility.
(b) Improvements in the Medicaid program integrity functions of the Louisiana Department of Health.
(c)(i) Optimization of data mining among state-owned data sets for purposes of Medicaid fraud detection and prevention.
(ii) For purposes of this Subparagraph, "data mining" means the practice of electronically sorting data through statistical modeling, intelligent technologies, and other methods in order to uncover patterns, relationships, and other indicators of actual or potential Medicaid fraud, waste, or abuse.
(5) To make reports to the governor and to the legislature in accordance with R.S. 46:440.7.
Acts 2017, No. 420, §1.
NOTE: See R.S. 46:440.8 regarding termination of Subpart on Aug. 1, 2019.