Virginia § 32.1-319.1 - Department to establish pilot program to use data analytics to mitigate risk of improper payments

Full text of Virginia Code of Virginia § 32.1-319.1 — Department to establish pilot program to use data analytics to mitigate risk of improper payments, with citation guidance and answers to common questions.

§ 32.1-319.1. Department to establish pilot program to use data analytics to mitigate risk of improper payments

A. The Department shall conduct a pilot program to develop and implement means to mitigate the risk of improper payments to providers of services furnished under the state plan for medical assistance and all applicable waivers. The pilot program shall include the use of predictive modeling, provider profiling, trend analysis, and other analytics to identify providers with a high likelihood of fraud, abuse, or error and prevent payments on potentially fraudulent or erroneous claims from being made until such claims have been validated.

B. The Department may enter into a contract or agreement with a vendor for the operation of the pilot program to mitigate the risk of improper payments to providers of services furnished under the state plan for medical assistance and all applicable waivers required by this section. However, selection of a vendor shall be dependent on the demonstration of a proof of concept, prior to entering into a contract or agreement.

2017, c. 750; 2019, c. 422.

Source: official Virginia text · Last verified 2026-08-27

Frequently Asked Questions About Virginia § 32.1-319.1

What does Code of Virginia § 32.1-319.1 cover?

Section 32.1-319.1 ("Department to establish pilot program to use data analytics to mitigate risk of improper payments") is part of the Code of Virginia, the codified statutory law of Virginia. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Virginia § 32.1-319.1?

A common citation format is "Code of Virginia § 32.1-319.1" (Virginia). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Virginia law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Virginia official source linked on this page or consult a licensed Virginia attorney.

How does Virginia § 32.1-319.1 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Virginia can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Virginia.