§56-1007. Additional penalties.
473 words·~2 min read·
/ok/title-56-poor-persons/56-1007A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
A. Any person who receives payment for furnishing goods or services under the Oklahoma Medicaid Program, which the person is not entitled to receive by reason of offenses under paragraphs 1 through 6 of subsection A of Section 1005 of this title, shall, in addition to any other penalties provided by law, be liable for:
1. Full restitution to the Oklahoma Health Care Authority of all funds or payments received in violation of the Oklahoma Medicaid Program Integrity Act which shall be returned to the Authority for deposit to the Oklahoma Health Care Authority Medicaid Program Fund, created in Section 6 of this act;
2. Payment of interest on the amount of the excess payment at the maximum legal rate in effect on the date the payment was made to the person for the period from the date upon which payment was made to the date upon which the repayment is made to the Authority. All such payments shall be deposited in the Oklahoma Health Care Authority Medicaid Program Fund, created in Section 6 of this act; and
3. The cost of investigation, litigation, and attorney fees, which shall be deposited to the General Revenue Fund.
B. 1. In addition to the penalties imposed by paragraphs 1, 2 and 3 of subsection A of this section, any person who receives payment for furnishing goods or services under the Oklahoma Medicaid Program, which the person is not entitled to receive by reason of violation of paragraphs 1 through 6 of subsection A of Section 1005 of this title, shall be liable for one of the following penalties:
a. a civil penalty of two
(2)times the amount of
restitution and interest thereon from date of
judgment, which shall be deposited to the General
Revenue Fund, or
b. a civil penalty in the sum of Two Thousand Dollars
($2,000.00) and interest thereon from date of judgment
for each false or fraudulent claim, statement, or
representation submitted for providing goods or
services, which shall be deposited to the General
Revenue Fund.
2. A criminal action need not be brought against the person before civil liability attaches under this section.
C. In addition to the sanctions provided by the Oklahoma Medicaid Program Integrity Act, the Authority may, upon the conviction of or the entry of an administrative, civil or criminal judgment against any person wherein Medicaid fraud on the person's part is involved, suspend the provider agreement between the Authority and the person and stop reimbursement to the person for goods or services claimed for a period of up to five
(5)years from the date of final adjudication of the matter. Added by Laws 1989, c. 220, § 7, operative July 1, 1989. Amended by Laws 1990, c. 144, § 6, emerg. eff. May 1, 1990; Laws 1995, c. 306, § 5, eff. July 1, 1995.