25.5-1-115.5. Medical assistance fraud - report

25.5-1-115.5. Medical assistance fraud - report. (1) Notwithstanding section 24-1-136 (11)(a)(I), on or before November 1, 2017, and each November 1 thereafter, the state department shall submit a written report to the joint budget committee; to the house of representatives judiciary committee and the house of representatives public and behavioral health and human services committee, or their successor committees; and to the senate judiciary committee and the senate health and human services committee, or their successor committees, concerning fraud in the medicaid program. The state department shall compile a single, comprehensive report that includes the information described in this subsection (1), as well as information that the attorney general provides to the state department pursuant to section 25.5-4-303.3. The state department shall report to the general assembly concerning the fraudulent receipt of medicaid benefits, including, at a minimum: (a) Investigations of member fraud during the year; (b) Termination of member medicaid benefits due to fraud; (c) District attorney action, including, at a minimum, criminal complaints requested, cases dismissed, cases acquitted, convictions, and confessions of judgment; (d) Recoveries, including fines and penalties, restitution ordered, and restitution collected; (e) Trends in methods used to commit member fraud, excluding law enforcement-sensitive information; and (f) An estimate of the total savings, total cost, and net cost-effectiveness of fraud detection and recovery efforts.