§ 32.1-320. Duties of Attorney General; medical services providers audit and investigation unit
A. There shall be established within the Office of the Attorney General a unit to audit and investigate providers of services furnished under the State Medical Assistance Plan. The Department of Medical Assistance Services shall cooperate with the Office of the Attorney General in conducting such audits and investigations and shall provide such information for […]
§ 32.1-315. Solicitation or receipt of remuneration for certain services; offer or payment of remuneration for inducement of such services; penalty
A. A person shall be guilty of a Class 6 felony and, in addition, may be fined an amount not to exceed $25,000, if he knowingly and willfully solicits or receives any remuneration, including any kickback, bribe or rebate, directly or indirectly, overtly or covertly, in cash or in-kind, or causes such remuneration to be […]
§ 32.1-316. False statement or representation as to conditions or operations of institution or facility; penalty
Any person who knowingly, willfully, and fraudulently makes or causes to be made, or induces or seeks to induce the making of, any false statement or representation of a material fact with respect to the conditions or operations of any institution or facility in order that such institution or facility may qualify, either upon initial […]
§ 32.1-317. Collecting excess payment for services; charging, soliciting, accepting or receiving certain consideration as precondition for admittance to facility or requirement for continued stay; penalty
When the cost of services provided in a facility or by an individual to a patient is paid for, in whole or in part, under medical assistance, any person who: 1. Knowingly and willfully collects or causes to be collected from a patient for any service provided under medical assistance, money or other consideration at […]
§ 32.1-311. Repealed
Repealed by Acts 1982, c. 41.
§ 32.1-312. Fraudulently obtaining excess or attempting to obtain excess benefits or payments; penalty
A. No person, agency or institution, but not including an individual medical assistance recipient of health care, on behalf of himself or others, whether under a contract or otherwise, shall obtain or attempt to obtain benefits or payments where the Commonwealth directly or indirectly provides any portion of the benefits or payments pursuant to the […]
§ 32.1-313. Liability for excess benefits or payments obtained without intent to violate chapter
A. Any person, agency or institution, but not including an individual medical assistance recipient of health care, that, without intent to violate this chapter, whether under contract or otherwise, obtains benefits or payments where the Commonwealth directly or indirectly provides any portion of the benefits or payments under medical assistance to which such person, agency […]
§ 32.1-314. False statement or representation in applications for payment or for use in determining rights to payment; concealment of facts; penalty
A. Any person who engages in the following activities shall be guilty of a felony punishable by a term of imprisonment of not less than one nor more than 20 years, or in the discretion of the jury or the court trying the case without a jury, confinement in jail for not more than 12 […]
§ 32.1-310. Declaration of purpose; authority to audit records; authority to review complaints of abuse or neglect
The General Assembly finds and declares it to be in the public interest and for the protection of the health and welfare of the residents of the Commonwealth that a proper regulatory and inspection program be instituted in connection with the providing of medical, dental and other health services to recipients of medical assistance. In […]