216.2950 Self-referral restrictions -- Offenses.
299 words·~1 min read·
/ky/chapter-216/216-2950A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(1)Except as otherwise provided in KRS 205.510 to 205.630, no provider shall
knowingly solicit, receive, or offer any remuneration (including any kickback, bribe,
or rebate) for furnishing medical assistance benefits or in return for purchasing,
leasing, ordering, or arranging for or recommending purchasing, leasing, or ordering
any goods, facility, service, or item for which payment may be received from
Medicare or Medicaid.
(a)No provider shall knowingly make, offer, or receive a payment, a rebate of a
fee, or a charge for referring a patient to another provider for furnishing of
Medicare or Medicaid benefits.
(b)Any conduct or activity which does not violate or which is protected under the
provisions of 42 U.S.C. sec. 1395nn or 42 U.S.C. sec. 1320A-7B(b), as
amended, or federal regulations promulgated under those statutes, shall not be
deemed to violate the provisions of this section and the conduct or activity
shall be accorded the same protections allowed under federal law and
regulation. Any conduct of activity by any provider which violates the
provisions of 42 U.S.C. sec. 1395nn or 42 U.S.C. sec. 1320A-7B(b), as
amended, where Medicare and Medicaid payment is involved, shall be
deemed to violate the provisions of this section.
(3)Any person who violates subsection
(1)or
(2)of this section shall be guilty of a
Class A misdemeanor unless the combination or aggregation of offenses is valued at
three hundred dollars ($300) or more, in which case it shall be a Class D felony. In
addition to any other penalty authorized by law, any person who violates the
provisions of subsection (2)(a) of this section shall not be entitled to bill or collect
from the patient or any third-party payor and shall repay any payments due the
Commonwealth for services provided which were related to the referral.