Rulemaking authority.

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  • (1) inspecting and monitoring the state Medicaid Program;
  • (2) discovering and investigating potential fraud, waste, or abuse in the State Medicaid program;
  • (3) developing and implementing the principles and standards described in Subsection 63A-13-202(1)(q);
  • (4) auditing, inspecting, and evaluating the functioning of the division under Subsection 63A-13-202(1)(h);
  • (5) conducting an audit under Subsection 63A-13-202(1)(h) or (2); or
  • (6) ordering a hold on the payment of a claim for reimbursement under Section 63A-13-205.





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