Vendor fraud penalties. Distribution of medical assistance program rules. Regulations. Audits of service providers. Appeal - Conn. Gen. Stat. § 17b-99

Vendors that are guilty of “vendor fraud” pursuant to Connecticut’s Criminal Code face suspension or revocation of their license or franchise. Vendors convicted of Medicare or Medicaid fraud in federal or state court will be terminated from the program. The Commissioner of Social Services may delay termination in order to protect beneficiaries that are receiving services from the vendor.

Vendors must report the name, interest, and services of persons convicted of Medicare or Medicaid fraud within 30 days of conviction or the persons employment. Vendors must also report the name of an individual that has an ownership interest in or is an agent of the vendor before the Commissioner accepts a provider agreement. The Commissioner may not approve a provider agreement if an individual with a Medicare or Medicaid fraud conviction has an ownership interest in the vendor or is an agent of the vendor.