205.8463 Fraudulent acts -- Penalties. - Kentucky Statutes

Download pdf

Loading PDF...

Page 1 of 1 205.8463 Fraudulent acts -- Penalties. (1) No person shall knowingly or wantonly devise a scheme or plan a scheme or artifice, or enter into an agreement, combination, or conspiracy to obtain or aid
another in obtaining payments from any medical assistance program under this
chapter by means of any fictitious, false, or fraudulent application, claim, report, or
document submitted to the Cabinet for Health and Family Services, or intentionally
engage in conduct which advances the scheme or artifice. (2) No person shall intentionally, knowingly, or wantonly make, present, or cause to be made or presented to an employee or officer of the Cabinet for Health and Family
Services any false, fictitious, or fraudulent statement, representation, or entry in any
application, claim, report, or document used in determining rights to any benefit or
payment. (3) No person shall, with intent to defraud, knowingly make, or induce, or seek to induce the making of a false statement or false representation of a material fact with
respect to the conditions or operations of an institution or facility in order that the
institution or facility may qualify, upon initial certification or upon recertification,
as a hospital, skilled-nursing facility, intermediate-care facility, home-health
agency, or other provider of services to the Medical Assistance Program. (4) No person shall, in any matter within the jurisdiction of the Cabinet for Health and Family Services under this chapter, knowingly falsify, conceal, or cover up by any
trick, scheme, or device a material fact, or make any false, fictitious, or fraudulent
statement or representation, or make or use any false writing or document knowing
the same to contain any false, fictitious, or fraudulent statement or entry. (5) Any person who violates subsections (1) and (2) of this section shall be guilty of a Class A misdemeanor unless the sum total of benefits or payments claimed in any
application, claim, report, or document, or in any combination or aggregation
thereof, is valued at three hundred dollars ($300) or more in which case it shall be a
Class D felony. Any person who violates the provisions of subsection (3) of this
section shall be guilty of a Class C felony. Any person who violates the provisions
of subsection (4) of this section shall be guilty of a Class D felony. Effective: June 20, 2005
History: Amended 2005 Ky. Acts ch. 99, sec. 279, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 226, effective July 15, 1998. -- Created 1994 Ky. Acts
ch. 96, sec. 7, effective July 15, 1994; and ch. 316, sec. 7, effective July 15, 1994.