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Library: Policy

317:30-3-18. Criminal penalties

Issued 7-27-95

     Section 1909 of the Social Security Act provides criminal penalties for providers or recipients who make false statements or representations or intentionally conceal facts in order to receive payments or benefits.  These penalties apply to kickbacks, bribes or rebates to refer or induce purchase of Medicaid compensable services.  The penalties also apply to individuals who knowingly and willfully charge for services to recipients an amount in excess of amounts established by the State.

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