The office may make rules, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and Section 63A-13-305, that establish policies, procedures, and practices, in accordance with the provisions of this chapter, relating to:
- (1) inspecting and monitoring the Medicaid program;
- (2) discovering and investigating potential fraud, waste, or abuse in the Medicaid program;
- (3) developing and implementing the principles and standards described in Subsection 63A-13-202(1)(t);
- (4) auditing, investigating, inspecting, and evaluating the functioning of the Medicaid program under Subsection 63A-13-202(1)(h);
- (5) conducting a performance, compliance, or financial audit under Subsection 63A-13-202(1)(h) or (2); or
- (6) ordering a hold on the payment of a claim for reimbursement under Section 63A-13-205.
Amended by Chapter 48, 2026 General Session