On March 15, 2013, the U.S. Department of Health and Human Services’ Office of Inspector General (“OIG”) released the UpdatedOIG Guidelines for Evaluating State False Claims Acts (“2013 Guidelines”),[1] which replaces the original version released in 2006 (“2006 Guidelines”). The 2013 Guidelines describe OIG’s methodology for determining whether a state’s Medicaid false claims law satisfies the four requirements in Section 1909(b) of the Social Security Act (“Act”) that are necessary to qualify for a 10-percentage-point increase in the state share of Medicaid-related false claims recoveries.
HEALTH REFORM: OIG Issues Updated Guidelines for Evaluating State False Claims Acts: Is More State Litigation on the Horizon?
By Epstein Becker & Green on March 28th, 2013