Montana Code 53-6-159. Permitted disclosure of information obtained in medicaid fraud control unit investigations
53-6-159. Permitted disclosure of information obtained in medicaid fraud control unit investigations. Records, documents, and other information obtained in the course of an investigation by the medicaid fraud control unit or its agents, employees, or attorneys may be disclosed:
Terms Used In Montana Code 53-6-159
- Fraud: Intentional deception resulting in injury to another.
- Fraud: means any conduct or activity prohibited by statute, regulation, or rule involving purposeful or knowing conduct or omission to perform a duty that results in or may result in medicaid payments or benefits to which the applicant, recipient, or provider is not entitled. See Montana Code 53-6-155
- Medicaid: means the Montana medical assistance program established under Title 53, chapter 6. See Montana Code 53-6-155
- Medicaid agency: means any agency or entity of state, county, or local government that administers any part of the medicaid program, whether under direct statutory authority or under contract with an authorized agency of the state or federal government. See Montana Code 53-6-155
- Records: means medical, professional, business, or financial information and documents, whether in written, electronic, magnetic, microfilm, or other form:
(i)pertaining to the provision of treatment, care, services, or items to a recipient;
(ii)pertaining to the income and expenses of the provider; or
(iii)otherwise relating to or pertaining to a determination of eligibility for or entitlement to payment or reimbursement under the medicaid program. See Montana Code 53-6-155
(1)in accordance with the Montana Criminal Justice Information Act of 1979, as provided in Title 44, chapter 5; and
(2)to a medicaid agency for purposes related to administration of the medicaid program.