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DHS urges stronger payment-withhold authority, anti-kickback law as part of governor’s anti-fraud package
Summary
DHS and the Bureau of Criminal Apprehension outlined gaps in existing authority to pause payments to suspected fraudsters and asked for legislation to expand transparency and to criminalize kickbacks not covered by current law.
Department of Human Services officials told the Fraud Prevention and State Agency Oversight Committee on March 17 that expanding payment-withhold authority and widening anti-kickback tools are central elements of the governor’s proposed anti-fraud package.
Temporary Commissioner Shereen Gandhi and DHS staff described payment withholds as "a temporary action to stop payments to providers during an investigation," and told the committee that the agency has used withholds roughly 725 times over the past five years while conducting about 4,000 investigations. Gandhi said the proposed changes would reduce the chance that a court would later overturn a department action by clarifying administrative authority.
Why it matt…
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