76-8-1205 - Public assistance fraud defined.
76-8-1205. Public assistance fraud defined.
Each of the following persons, who intentionally, knowingly, or recklessly commits anyof the following acts, is guilty of public assistance fraud:
(1) any person who uses, transfers, acquires, traffics in, falsifies, or possesses any foodstamp, food stamp identification card, certificate of eligibility for medical services, Medicaididentification card, fund transfer instrument, payment instrument, or public assistance warrant ina manner not allowed by law;
(2) any person who fraudulently misappropriates any funds exchanged for food stamps,any food stamp, food stamp identification card, certificate of eligibility for medical services,Medicaid identification card, or other public assistance with which he has been entrusted or thathas come into his possession in connection with his duties in administering any state or federallyfunded public assistance program;
(3) any person who receives an unauthorized payment as a result of acts described in thissection;
(4) any provider who receives payment or any client who receives benefits after failing tocomply with any applicable requirement in Sections 76-8-1203 and 76-8-1204;
(5) any provider who files a claim for payment under any state or federally funded publicassistance program for goods or services not provided to or for a client of that program;
(6) any provider who files or falsifies a claim, report, or document required by state orfederal law, rule, or provider agreement for goods or services not authorized under the state orfederally funded public assistance program for which the goods or services were provided;
(7) any provider who fails to credit the state for payments received from other sources;
(8) any provider who bills a client or a client's family for goods or services not provided,or bills in an amount greater than allowed by law or rule;
(9) any client who, while receiving public assistance, acquires income or resources inexcess of the amount he previously reported to the state agency administering the publicassistance, and fails to notify the state agency to which the client previously reported within 10days after acquiring the excess income or resources;
(10) any person who fails to act as required under Section 76-8-1203 or 76-8-1204 withintent to obtain or help another obtain an "overpayment" as defined in Section 35A-3-602; and
(11) any person who obtains an overpayment by violation of Section 76-8-1203 or76-8-1204.
Amended by Chapter 90, 2003 General Session