Bill lets Medicaid inspector general use PDMP data for narrow fraud audits
House Bill 13‑17 was passed by the committee to give the Office of Medicaid Inspector General limited, patient‑specific access to the state Prescription Drug Monitoring Program for audits of Medicaid recipients to detect fraud, waste and abuse; the inspector general emphasized statutory and database limits on broad searches.
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Representative Justin Boyd introduced House Bill 13‑17 and invited Elizabeth Smith, the Medicaid inspector general, to explain the measure. Smith said the change would allow her office to use PDMP data "on a person‑by‑person basis" and only for Medicaid recipients, to support audits that start from billing data. "We only are requesting, and we would only need access for Medicaid recipients," Smith said, adding that the office would use PDMP data secondarily after its own billing and data analysis.
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