Massachusetts does not have extensive regulations concerning fraud and abuse of medical assistance programs, such as Medicaid. However, the state has passed laws outlining fraudulent activities, and the penalties associated with such actions.1 Illegal activities also include offering and accepting bribes for payment2, and extend to Medicaid participating providers.3
| Subtopic | Statute/Regulation | Description |
|---|
| Penalties for false claims | Mass. Gen. Laws. Ann. ch. 118E, § 39 - False Representations, Failure to Disclose; Penalty | Any person or institution that knowingly makes a false statement or intentionally fails to disclose a material fact to the Division of Medical... |
| Federal and State Program Integrity | Mass. Gen. Laws. Ann. ch. 118E, § 40 - False Statements or Representations by Providers; Penalty | Any provider who provides Medicaid services for payment and does any of the following, is subject to a maximum fine of $10,000, imprisonment, or both... |
| Mass. Gen. Laws. Ann. ch. 118E, § 41 - Bribery or Rebates; Penalty | This law makes it illegal to solicit or receive compensation for offering or accepting a bribe in the provision of Medicaid services. The... |
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