198.142. Health care provider and vendor not to misrepresent or conceal facts or convert benefits for payments. - Missouri Statutes

Health care provider and vendor not to misrepresent or conceal factsor convert benefits for payments.

198.142. A health care provider or vendor shall notknowingly:

(1) Make or cause to be made any false statement orrepresentation of a material fact in any application for anybenefit or payment under Medicaid for services provided to anyresident;

(2) Make or cause to be made any false statement orrepresentation of any material fact for use in determining theperson's eligibility for any benefit or payment under Medicaidfor services provided to any resident;

(3) Conceal or fail to disclose any material fact thataffects his eligibility for any benefit or payment under Medicaidfor services provided to any resident or affects the eligibilityof another for whom he applies or for whom he receives suchbenefit or payment, with the intent to secure the benefit orpayment in a greater quantity than is due or to secure thebenefit or payment when none is permitted;

(4) Convert a benefit or payment he receives under Medicaidfor services provided to a resident for a use or benefit otherthan that for which it was specifically intended.

(L. 1979 S.B. 328, et al. § 46)

Effective 7-1-79