Section 42-4-412 – Rules.
42-4-412. Rules. The attorney general, in consultation with the department of health, may adopt rules to implement W.S. 42-4-401 through 42-4-409 and 42-4-411.
Section 42-5-101 – Provision of Information and Services; Refusal to Accept.
42-5-101. Provision of information and services; refusal to accept. (a) The department of health may provide and pay for family planning and birth control information and services including interviews with trained personnel, distribution of literature, referral to a licensed physician for consultation, examination, tests, medical treatment and prescription and to the extent prescribed, the distribution […]
Section 42-5-102 – Statutory Interpretation.
42-5-102. Statutory interpretation. (a) Nothing in W.S. 42-5-101 shall be interpreted to: (i) Interfere with a person’s religious beliefs; (ii) In any way abridge the right to accept or refuse family planning and birth control services; (iii) Impose practices offensive to a person’s moral standards; or (iv) Restrict self-determination in the procreation of children.
Section 42-4-403 – Medicaid Fraud Control Unit Created; Duties.
42-4-403. Medicaid fraud control unit created; duties. (a) The Medicaid fraud control unit is recognized and continued in existence within the office of the attorney general. The unit shall conduct a statewide program for investigating and prosecuting violations of all applicable state laws pertaining to fraud in the administration of the Medicaid program and the […]
Section 42-4-404 – Access to Records.
42-4-404. Access to records. (a) Notwithstanding any other provision of law, the unit shall have full access to all records held by a provider or by another person or entity acting on the provider’s behalf, if the unit determines that such information is material to its duties under this act. A provider, or another person […]
Section 42-4-405 – Reporting to Unit.
42-4-405. Reporting to unit. The department of health, department of family services, health care licensing boards, state agencies and the agents, contractors and subcontractors of these entities shall refer to the unit all cases where reasonable cause likely exists that fraud, waste, abuse, bribery or kickbacks relating to Medicaid has occurred, is occurring or will […]
Section 42-4-406 – Fraud and False Statements; Criminal Penalty.
42-4-406. Fraud and false statements; criminal penalty. (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 […]
Section 42-4-407 – Kickbacks, Bribes, Undisclosed Payments, Referral Fees and Illegal Copayments; Criminal Penalty; Exception.
42-4-407. Kickbacks, bribes, undisclosed payments, referral fees and illegal copayments; criminal penalty; exception. (a) A person shall not knowingly, in whole or in part: (i) Act on behalf of a provider to purchase or lease a service or supply for which payment may be made, in whole or in part, under Medicaid and then solicit […]
Section 42-4-408 – Failure to Maintain Records; Destruction of Records; Penalty.
42-4-408. Failure to maintain records; destruction of records; penalty. (a) A person, after submitting a claim or receiving a payment for a service or supply under Medicaid, shall not knowingly fail to maintain records required under Medicaid, including records that fully disclose the nature of the services or supplies provided to a recipient. (b) A […]
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 […]