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Ohio bill aims to thwart Medicaid fraud

Cincinnati Enquirer, April 9, 2008

A bill pending in the Ohio Legislature would allow the state to sue healthcare providers who submit fraudulent Medicaid claims. The bill is sponsored by state Rep. Jim Hughes, and includes a "whistleblower" clause that allows private individuals to red-flag violations in the state's name. The bill mirrors federal regulations, and some opponents argue laws already are in place that allow the recovery of fraudulent Medicaid claims. Hughes also admitted that he has heard concerns that insurers or providers who mistakenly bill Medicaid could be targeted under the legislation.