False Claims Acts – Policy CMP-212

This policy from Colorado Access defines organizational responsibilities and procedures related to federal and state False Claims Acts, including the Colorado Medicaid False Claims Act. It details examples of fraud, abuse, and waste, and establishes processes for identifying and reporting violations. It includes whistleblower protections, required training, and compliance reporting channels. All workforce members and contractors are expected to adhere to the policy to ensure integrity in billing and reimbursement practices. The policy is reviewed and updated annually to maintain legal and regulatory compliance.