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Prohibited acts re medical assistance. Penalties - Conn. Gen. Stat. § 17b-301b

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As of June 13, 2014 this has been repealed. 


Connecticut prohibits persons from (1) knowingly making a false or fraudulent claim for medical assistance program payment or approval; (2) knowingly using a false record or statement to obtain medical assistance program payment or approval; (3) conspire to obtain payment of a false medical assistance program claim; (4) willfully conceal property or money to be used for the medical assistance program; (5) intending to defraud the state by delivering a document certifying the receipt of medical assistance property “without completely knowing that the information on the document is true; (6) knowingly obtaining property from a state employee that may not legally sell the property; and (7) knowing using a false record or statement to avoid medical assistance program payment.

Persons that violate these prohibitions are joint and severally liable for a $5,000-$10,000 civil penalty, damages equal to three times the amount of damage suffered by the state, and costs for the investigation and prosecution.  A court may reduce the damage award to twice the amount of state damages if the defendant fully cooperates with investigators within 30 days of learning of the violation and, at the time of cooperation, was not yet party to a criminal, civil, or administrative proceeding related to the violation. Information provided by a defendant is not subject to the Freedom of Information Act.   


Current as of June 2015