Bill > SB0147

This bill amends various sections of Utah law to restructure and clarify the operations of the Office of Inspector General of Medicaid Services (OIGMS), an entity responsible for overseeing the state's Medicaid program to prevent fraud, waste, and abuse. Key provisions include formally establishing the OIGMS within the Department of Government Operations, defining its inspector general's qualifications and duties, and outlining the office's powers to audit, investigate, and recover improperly spent Medicaid funds. The bill also introduces an OIGMS Advisory Board to improve coordination and provide recommendations, and clarifies definitions related to Medicaid fraud, waste, and abuse. Furthermore, it establishes specific procedures for claim reviews, the use of extrapolation in audits, and the process for placing holds on potentially fraudulent claims, while also ensuring access to necessary records for the OIGMS. The bill also includes provisions for reporting OIGMS activities to legislative committees and the governor, and sets a repeal date for certain advisory board functions and reporting requirements in 2029.

Government Affairs

https://le.utah.gov/~2026/bills/static/SB0147.html