Sec. 10.25.10.16. Prohibited Acts  


Latest version.
  • A. An applicant for payment from the Fund may not:

    (1) Make, or cause to be made, a false statement or false claim; or

    (2) Engage in fraud in submitting a claim or application.

    B. Violation of §A of this regulation may result in:

    (1) Referral to the appropriate Medicaid fraud administrative and prosecutorial authorities, to the Office of the State's Attorney, or both; and

    (2) Rescission of, or an action for recovery of, any prior reimbursement improperly made by the Fund; and

    (3) Any other appropriate referrals or administrative action.