249A.7 - FRAUDULENT PRACTICES -- INVESTIGATIONS AND AUDITS -- MEDICAID FRAUD ACCOUNT. - Iowa Statutes

249A.7 FRAUDULENT PRACTICES -- INVESTIGATIONS AND AUDITS -- MEDICAID FRAUD ACCOUNT. 1. A person who obtains assistance or payments for medical assistance under this chapter by knowingly making or causing to be made, a false statement or a misrepresentation of a material fact or by knowingly failing to disclose a material fact required of an applicant for aid under the provisions of this chapter and a person who knowingly makes or causes to be made, a false statement or a misrepresentation of a material fact or knowingly fails to disclose a material fact concerning the applicant's eligibility for aid under this chapter commits a fraudulent practice. 2. The department of inspections and appeals shall conduct investigations and audits as deemed necessary to ensure compliance with the medical assistance program administered under this chapter. The department of inspections and appeals shall cooperate with the department of human services on the development of procedures relating to such investigations and audits to ensure compliance with federal and state single state agency requirements. 3. A Medicaid fraud account is created in the general fund of the state under the authority of the department of inspections and appeals. Moneys from penalties and other amounts received as a result of prosecutions involving the department of inspections and appeals investigations and audits to ensure compliance with the medical assistance program that are not credited to the program may be credited to the account. Notwithstanding sections 8.33 and 8.39, moneys credited to the account shall not revert to any other account or fund and are not subject to transfer except as specifically provided by law. Moneys in the fund shall be used for costs associated with the department of inspections and appeals' efforts to address medical assistance program fraud and abuse and for costs incurred by the department of inspections and appeals or other agencies in providing regulation, responding to allegations, or other activity involving chapter 135O. The department of inspections and appeals and other agencies receiving moneys from the account shall provide a joint annual report to the governor and general assembly detailing the expenditures from the account and activities performed relating to the expenditures. This subsection is repealed on July 1, 2012.          Section History: Early Form [C62, 66, § 249A.15; C71, 73, 75, 77, 79, 81, § 249A.7]          Section History: Recent Form 90 Acts, ch 1204, §63; 97 Acts, ch 56, § 3; 2009 Acts, ch 136, §10 See § 714.8 et seq.