§ 12-15-2-20 — Conviction of certain offenses and ineligibility for Medicaid assistance time frame; removal for Medicaid fraud; appeal; rules

Indiana § 12-15-2-20

• Jurisdiction: Indiana
• Art. 15: MEDICAID
• Ch. 2: Eligibility

Text

(a) A person convicted of an offense under
IC 35-43-5 or IC 35-43-10 related to the application for or receipt of
Medicaid assistance is ineligible to receive Medicaid assistance under
this article for the following time:
(1) One (1) year if the conviction is for the person's first offense.
(2) Two (2) years if the conviction is for the person's second
offense.
(3) Ten (10) years if the conviction is for the person's third or
subsequent offense.
(b) A person's ineligibility period for Medicaid assistance described
in subsection (a) begins either:
(1) on the date the person is sentenced, if the person's sentence
does not include incarceration; or
(2) on the date the individual is released from incarceration.
(c) Upon receipt of substantiated evidence that a person has
committed fraud concerning the application for or receipt of Medicaid
assistance, the office may remove the person from receiving Medicaid
assistance for one (1) year. If the office determines that a person
receiving Medicaid assistance is to be removed from receiving
Medicaid assistance under this subsection, the person may appeal the
determination. An appeal under this subsection is subject to IC 4-21.5.
(d) The office may adopt rules under IC 4-22-2 to implement this
section.

Legislative History

As added by P.L.46-1995, SEC.36. Amended by P.L.241-2003, SEC.3; P.L.197-2013, SEC.10.