35-43-5-7.1. Medicaid fraud

IN Code § 35-43-5-7.1 (2019) (N/A)

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Sec. 7.1. (a) Except as provided in subsection (b), a person who knowingly or intentionally:

(1) makes, utters, presents, or causes to be presented to the Medicaid program under IC 12-15 a Medicaid claim that contains materially false or misleading information concerning the claim;

(2) obtains payment from the Medicaid program under IC 12-15 by means of a false or misleading oral or written statement or other fraudulent means;

(3) acquires a provider number under the Medicaid program except as authorized by law;

(4) alters with the intent to defraud or falsifies documents or records of a provider (as defined in 42 CFR 1000.30) that are required to be kept under the Medicaid program; or

(5) conceals information for the purpose of applying for or receiving unauthorized payments from the Medicaid program;

commits Medicaid fraud, a Class A misdemeanor.

(b) The offense described in subsection (a) is:

(1) a Level 6 felony if the fair market value of the offense is at least seven hundred fifty dollars ($750) and less than fifty thousand dollars ($50,000); and

(2) a Level 5 felony if the fair market value of the offense is at least fifty thousand dollars ($50,000).

As added by P.L.10-1994, SEC.8. Amended by P.L.273-1999, SEC.179; P.L.1-2006, SEC.531; P.L.158-2013, SEC.480; P.L.58-2015, SEC.1.

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35-43-5-7.2. Insurance fraud