Section 249A.47 – Improperly filed claims — other violations — imposition of monetary recovery and sanctions.
249A.47 Improperly filed claims — other violations — imposition of monetary recovery and sanctions. 1. In addition to any other remedies or penalties prescribed by law, including but not limited to those specified pursuant to section 249A.51 or chapter 685, all of the following shall be applicable to violations under the medical assistance program: a. […]
Section 249A.48 – Temporary moratoria.
249A.48 Temporary moratoria. 1. The Iowa Medicaid enterprise shall impose a temporary moratorium on the enrollment of new providers or provider types identified by the centers for Medicare and Medicaid services of the United States department of health and human services as posing an increased risk to the medical assistance program. a. This section shall […]
Section 249A.49 – Internet site — providers found in violation of medical assistance program.
249A.49 Internet site — providers found in violation of medical assistance program. 1. The director shall maintain on the department’s internet site, in a manner readily accessible by the public, all of the following: a. A list of all providers that the department has terminated, suspended, or placed on probation. b. A list of all […]
Section 249A.50 – Fraudulent practices — investigations and audits — Medicaid fraud fund.
249A.50 Fraudulent practices — investigations and audits — Medicaid fraud fund. 1. A person who obtains assistance or payments for medical assistance under this chapter by knowingly making or causing to be made, a false statement or a misrepresentation of a material fact or by knowingly failing to disclose a material fact required of an […]
Section 249A.51 – Fraudulent practice.
249A.51 Fraudulent practice. A person who knowingly makes or causes to be made false statements or misrepresentations of material facts or knowingly fails to disclose material facts in application for payment of services or merchandise rendered or purportedly rendered by a provider participating in the medical assistance program under this chapter commits a fraudulent practice. […]
Section 249A.52 – Garnishment.
249A.52 Garnishment. When payment is made by the department for medical care or expenses through the medical assistance program on behalf of a recipient, the department may garnish the wages, salary, or other compensation of the person obligated to pay child support or may withhold amounts pursuant to chapter 252D from the income of the […]
Section 249A.53 – Recovery of payment.
249A.53 Recovery of payment. 1. Medical assistance paid to, or on behalf of, a recipient or paid to a provider of services is not recoverable, except as provided in subsection 2, unless the assistance was incorrectly paid. Assistance incorrectly paid is recoverable from the provider, or from the recipient, while living, as a debt due […]
Section 249A.54 – Assignment — lien.
249A.54 Assignment — lien. 1. a. As a condition of eligibility for medical assistance, a recipient who has the legal capacity to execute an assignment shall do all of the following: (1) Assign to the department any rights to payments of medical care from any third party. (2) Cooperate with the department in obtaining payments […]
Section 249A.55 – Restitution.
249A.55 Restitution. If restitution is ordered by the court pursuant to section 910.2, and the victim is a recipient of medical assistance for whom expenditures were made as a result of the offender’s criminal activities, restitution may be made to the medical assistance program in accordance with section 910.2. 2010 Acts, ch 1093, §1 C2011, […]
Section 249A.56 – County attorney to enforce.
249A.56 County attorney to enforce. It is the intent of the general assembly that violations of law relating to the family investment program, medical assistance, and supplemental assistance shall be prosecuted by county attorneys. Area prosecutors of the office of the attorney general shall provide assistance in prosecution as required. [C79, 81, §249A.14] 85 Acts, […]