Section 42-4-303 – Acts Subjecting Person to Treble Damages; Costs and Civil Penalties; Exceptions.
42-4-303. Acts subjecting person to treble damages; costs and civil penalties; exceptions. (a) Except as provided in subsection (c) of this section, any person who commits any of the following acts in relation to the Wyoming Medicaid program shall be liable to the state for three (3) times the amount of damages which the state […]
Section 42-4-304 – Investigations and Prosecutions; Powers of Prosecuting Authority; Remedies for Retaliation; Venue; No Private Right of Action.
42-4-304. Investigations and prosecutions; powers of prosecuting authority; remedies for retaliation; venue; no private right of action. (a) The Medicaid fraud control unit created by W.S. 42-4-403 or a district attorney may investigate alleged violations of W.S. 42-4-303(a) and (c). If the Medicaid fraud control unit or district attorney finds that a person has violated […]
Section 42-4-305 – Limitation of Actions; Retroactivity; Burden of Proof.
42-4-305. Limitation of actions; retroactivity; burden of proof. (a) A civil action under W.S. 42-4-304(a) shall not be brought more than six (6) years after the date on which the violation was committed or more than three (3) years after the date when facts material to the right of action are known or reasonably should […]
Section 42-4-306 – Remedies Under Other Laws; Liberality of Construction; Joint and Several Liability.
42-4-306. Remedies under other laws; liberality of construction; joint and several liability. (a) The provisions of this act are not exclusive, and the remedies provided for in this act shall be in addition to any other remedies provided for in any other law or available under common law. (b) Liability pursuant to this act is […]
Section 42-4-401 – Short Title.
42-4-401. Short title. This act may be cited as the “Wyoming Medicaid Fraud Control Act”.
Section 42-4-402 – Definitions.
42-4-402. Definitions. (a) As used in this act: (i) “Claim” means as defined in W.S. 42-4-302(a)(i); (ii) “Provider” means a person who furnishes services or supplies for which payment is claimed under Medicaid; (iii) “Record” means information in physical or electronic form relating to: (A) The treatment or care of any patient; (B) A service […]
Section 42-4-208 – Recovery for Cost of Health Care.
42-4-208. Recovery for cost of health care. (a) The department, to the extent necessary to reimburse its costs, shall be entitled to recover from any parent who: (i) Is required by court or administrative order to provide coverage of the cost of health services to a child eligible for medical assistance under this act; and […]
Section 42-4-301 – Short Title.
42-4-301. Short title. This act shall be known and may be cited as the “Wyoming Medicaid False Claims Act.”
Section 42-4-302 – Definitions.
42-4-302. Definitions. (a) As used in this act: (i) “Claim” means any request or demand under the Medicaid program, whether under a contract or otherwise, for money, property or services that: (A) Is presented to an officer, employee or agent of the state or a political subdivision of the state; or (B) Is made to […]
Section 42-4-205 – Insurance Policy Termination Notification Requirement.
42-4-205. Insurance policy termination notification requirement. (a) With respect to cases for which there is an assignment in effect pursuant to W.S. 42-4-204: (i) The department, upon receipt of the health coverage information, shall notify the obligor’s insuring entity that the department shall be notified thirty (30) days prior to discontinuance of coverage; (ii) Entities […]