Office of Inspector General of Medicaid Services Amendments

The Office of Inspector General of Medicaid Services is no longer an independent entity but is now placed within the Department of Government Operations, subjecting it to the executive director's oversight.

The office's authority to conduct performance and financial audits of state executive branch entities and local governments was removed and transferred to the Office of the Legislative Auditor General.

A new appropriation of $700,000 from the General Fund was added for fiscal year 2027 to support the office's operations.

A sunset date was added for the newly created advisory board, requiring it to terminate on a specific date unless reauthorized.

The advisory board's role was modified to include reviewing employee concerns and making recommendations to the Legislative Audit Subcommittee regarding those concerns.

The Office of Inspector General of Medicaid Services is moved from being an independent state entity to an office within the Department of Government Operations.

The executive director of the department must establish performance metrics for the OIG and create a process for employees and the public to report concerns anonymously.

A new advisory board is created to review the OIG's audit plans, risk assessments, and employee concerns, and to recommend audit priorities.

The definitions of 'Abuse', 'Fraud', 'Waste', and 'Upcoding' were updated and renumbered to clarify what constitutes improper Medicaid practices.

The provisions establishing the advisory board and related reporting requirements are set to expire (sunset) on July 1, 2029.

The Office of Inspector General of Medicaid Services is no longer an independent state entity but is now established as an office within the Department of Government Operations.

The department executive director must establish performance metrics for the office and create a process for employees and the public to report concerns to an advisory board.

An advisory board is created to review employee concerns, audit plans, and agency implementation of audit recommendations, with the executive director reporting its findings to the board.

The bill amends the list of divisions within the department to explicitly include the Office of Inspector General of Medicaid Services.

The Office of Inspector General of Medicaid Services is reclassified from an independent state entity to an office within the Department of Government Operations, removing the Governor's direct supervisory control.

A new Advisory Board is created to review the office's audit plans, risk assessments, and employee concerns, and to make recommendations on audit prioritization.

The Executive Director of the Department of Government Operations must establish performance metrics for the office and create a process for employees and the public to report concerns anonymously.

The definition of 'Office' was updated to specify it is created in Section 63A-13-201, and the definition of 'Department' was changed to refer to the Department of Health and Human Services in some contexts while the office itself moved to the Department of Government Operations.

The bill clarifies that the office must submit its budget directly to the Department of Government Operations and provides specific rules for placing holds on claims and using extrapolation in audits.

Specific sunset dates are established for the Advisory Board and related provisions, set to expire on July 1, 2029.

The Office of Inspector General of Medicaid Services is no longer an independent entity but is now an office within the Department of Government Operations.

The office was removed from the list of independent entities subject to Title 63H, Independent State Entities.

The executive director of the Department of Government Operations must establish performance metrics for the office and create an advisory board to review audit plans and employee concerns.

The office must submit its budget directly to the Department of Government Operations rather than operating independently.

New provisions require the advisory board to review the office's annual risk assessment, audit plan, and implementation of audit recommendations.

The definition of 'Department' was updated to refer to the Department of Government Operations instead of the Department of Health and Human Services.

The list of Utah Code sections affected was updated to include new sections and remove references to the Department of Health and Human Services where the Department of Government Operations is now relevant.