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205.8463 Fraudulent acts -- Penalties.

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Page 1 of 1 205.8463 Fraudulent acts -- Penalties. (1) No person shall knowingly or wantonly devise a scheme or plan a scheme or artifice, or enter into an agreement, combination, or conspiracy to obtain or aid <br>another in obtaining payments from any medical assistance program under this <br>chapter by means of any fictitious, false, or fraudulent application, claim, report, or <br>document submitted to the Cabinet for Health and Family Services, or intentionally <br>engage in conduct which advances the scheme or artifice. (2) No person shall intentionally, knowingly, or wantonly make, present, or cause to be made or presented to an employee or officer of the Cabinet for Health and Family <br>Services any false, fictitious, or fraudulent statement, representation, or entry in any <br>application, claim, report, or document used in determining rights to any benefit or <br>payment. (3) No person shall, with intent to defraud, knowingly make, or induce, or seek to induce the making of a false statement or false representation of a material fact with <br>respect to the conditions or operations of an institution or facility in order that the <br>institution or facility may qualify, upon initial certification or upon recertification, <br>as a hospital, skilled-nursing facility, intermediate-care facility, home-health <br>agency, or other provider of services to the Medical Assistance Program. (4) No person shall, in any matter within the jurisdiction of the Cabinet for Health and Family Services under this chapter, knowingly falsify, conceal, or cover up by any <br>trick, scheme, or device a material fact, or make any false, fictitious, or fraudulent <br>statement or representation, or make or use any false writing or document knowing <br>the same to contain any false, fictitious, or fraudulent statement or entry. (5) Any person who violates subsections (1) and (2) of this section shall be guilty of a Class A misdemeanor unless the sum total of benefits or payments claimed in any <br>application, claim, report, or document, or in any combination or aggregation <br>thereof, is valued at three hundred dollars (&#36;300) or more in which case it shall be a <br>Class D felony. Any person who violates the provisions of subsection (3) of this <br>section shall be guilty of a Class C felony. Any person who violates the provisions <br>of subsection (4) of this section shall be guilty of a Class D felony. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 279, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 226, effective July 15, 1998. -- Created 1994 Ky. Acts <br>ch. 96, sec. 7, effective July 15, 1994; and ch. 316, sec. 7, effective July 15, 1994.