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PARRIS N. GLENDENING, Governor
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H.B. 354
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(1) Knowingly and wilfully making or causing to be made any false
statement or representation of a material fact in any application for any benefit or
payment under a State plan established by Title XIX of the Social Security Act of
1939;
(2) Knowingly and wilfully making or causing to be made any. false
statement or representation of a material fact for use in determining rights to those
benefits or payments;
(3) Having knowledge of the occurrence of any event affecting (i) the
initial or continued right to those benefits or payments; or (ii) the initial or continued
right to those benefits or payments to any other individual in whose behalf an
application has been made or in whose behalf benefits or payments are being
received; and concealing or failing to disclose that event with an intent to secure
fraudulently those benefits or payments either in a greater amount or quantity than
is due or when benefits or payments are not authorized;
(4) Having made application to receive or having received any of those
benefits or payments for the use and benefit of another; and knowingly and wilfully
converting any part of the benefit or payment to a use other than for the use and
benefit of that other person;
(5) Furnishing to a person items or services for which payment of any
part is or may be made from federal or State funds under a State medical assistance
program; and soliciting, offering, or receiving any (i) kickback or bribe in connection
with the furnishing of those items or services, or the making or receipt of any
payment; or (ii) rebate of any fee or charge for referring a person to another person for
the furnishing of those items or services;
(6) Knowingly or wilfully making or causing to be made, inducing or
seeking to induce the making of any false statement or representation of a material
fact with respect to the conditions or operation of any institution or facility so that the
institution or facility may qualify as a hospital, skilled nursing facility, intermediate
care facility, or home health agency;
(7) Fraudulently obtaining, attempting to obtain, or aiding another
person in obtaining or attempting to obtain any drug product or any medical care, the
benefit or payment of any part of which is or may be made from federal or State funds
under a State medical assistance program, by use of:
(i) Fraud, deceit, misrepresentation or subterfuge;
(ii) Forgery or alteration of a medical assistance or pharmacy
assistance prescription; or
(iii) Concealment of any material fact or by the use of false names or
addresses;
(8) Unauthorized possession of a blank medical assistance prescription;
or
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- 4425 -
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