§ 42-4-406 — Fraud and false statements; criminal penalty

Wyoming § 42-4-406

• Jurisdiction: Wyoming
• Title 42: Welfare
• Ch. 4: MEDICAL ASSISTANCE AND SERVICES
• Art. 4: MEDICAID FRAUD CONTROL

Text

(a) In relation to the delivery of or payment for services
or supplies under Medicaid, a person shall not knowingly, in
whole or in part:
(i) Make or cause to be made a false or fraudulent
claim;
(ii) Deliberately conceal a material fact;
(iii) Make or cause to be made a false statement or
misrepresentation which will be used by another person;
(iv) Execute a scheme or artifice to commit fraud.
(b) A person who violates subsection (a) of this section
is guilty of:
(i) A misdemeanor punishable by imprisonment of not
more than six (6) months, a fine of not more than seven hundred
fifty dollars ($750.00), or both, if the amount of the claims
for services or supplies under Medicaid is less than one
thousand dollars ($1,000.00); or
(ii) A felony punishable by imprisonment for not more
than ten (10) years, a fine of not more than ten thousand
dollars ($10,000.00), or both, if the amount of the claims for
services or supplies under Medicaid is one thousand dollars
($1,000.00) or more.
(c) The department of health shall ensure that the
following documents contain a statement, under penalty of
perjury and signed by the responsible provider, that all matters
stated therein are true and accurate:
(i) An application to become a Medicaid provider;
(ii) All reports stating income or expenses upon
which rates of payment by the department of health may be based;
and
(iii) Each invoice for payment of a service or supply
provided to a person eligible for Medicaid.
(d) A person commits perjury if the person signs or
submits, or causes to be signed or submitted a statement under
subsection (c) of this section, knowing that the application,
report or invoice contains information that is false, in whole
or in part. Perjury under this subsection shall be punished as
specified in W.S. 6-5-301(b).