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ROBERT L. EHRLICH, JR., Governor Ch. 70
(11) ADOPT REGULATIONS TO CARRY OUT THIS SUBTITLE.
2-505.
A PERSON MAY NOT;
(1) KNOWINGLY PRESENT, OR CAUSE TO BE PRESENTED, TO A
PROGRAM, OFFICER, OR EMPLOYEE OF THE DEPARTMENT A WRONGFUL OR
FRAUDULENT CLAIM FOR PAYMENT OR APPROVAL;
(2) KNOWINGLY MAKE, USE, OR CAUSE TO BE MADE OR USED A FALSE
RECORD OR STATEMENT TO GET A WRONGFUL OR FRAUDULENT CLAIM PAID OR
APPROVED BY THE STATE;
(3) CONSPIRE TO DEFRAUD A PROGRAM BY GETTING A WRONGFUL OR
FRAUDULENT CLAIM APPROVED OR PAID;
(4) KNOWINGLY MAKE A WRONGFUL OR FRAUDULENT CLAIM AGAINST
A PROGRAM;
(5) ENGAGE IN PRACTICES PROHIBITED UNDER THIS SECTION OR BY
FEDERAL OR STATE LAW OR REGULATION REGARDING PARTICIPATION IN A
PROGRAM OR PROVIDING HEALTH CARE SERVICES TO A RECIPIENT; OR
(6) FAIL TO COOPERATE WITH AN INVESTIGATION BY THE
DEPARTMENT, INCLUDING;
(I) FAILURE TO PROVIDE ACCESS TO THE PREMISES FOR
INSPECTION, AUDIT, AND COPYING OF RECORDS OF A PROVIDER;
(II) FAILURE TO RESPOND TO A REQUEST FOR PRODUCTION OF
DOCUMENTS IN A TIMELY MANNER;
(III) FAILURE TO MAINTAIN RECORDS FOR 5 YEARS AFTER A CLAIM
IS SUBMITTED FOR PAYMENT, OR THE PERIOD OF TIME REQUIRED BY THE PAYING
PROGRAM, WHICHEVER IS GREATER;
(IV) MAKING A FALSE STATEMENT; OR
(V) FAILURE TO PROVIDE STATEMENTS UNDER OATH.
2-506.
(A) IF A PROVIDER HAS A REASONABLE INDICATION OF FRAUD, WASTE, OR
ABUSE, THE PROVIDER SHALL IMMEDIATELY NOTIFY IN WRITING THE APPROPRIATE
PROGRAM, THE INSPECTOR GENERAL, OR THE MEDICAID FRAUD CONTROL UNIT OF
THE OFFICE OF THE ATTORNEY GENERAL.
(B) ON RECEIPT OF NOTIFICATION, THE INSPECTOR GENERAL MAY:
(1) CONDUCT AN INVESTIGATION;
(2) REFER THE MATTER TO THE APPROPRIATE PROGRAM FOR
INVESTIGATION OR RECOVERY; OR
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