(A)(1) It is unlawful for a person to knowingly and wilfully to make or cause to be made a false statement or representation of material fact on an application for assistance, goods, or services under the state's Medicaid program when the false statement or representation is made for the purpose of determining the person's entitlement to assistance, goods, or services.
(2) It is unlawful for any applicant, recipient, or other person acting on behalf of the applicant or recipient knowingly and wilfully to conceal or fail to disclose any material fact affecting the applicant's or recipient's initial or continued entitlement to receive assistance, goods, or services under the state's Medicaid program.
(3) It is unlawful for a person eligible to receive benefits, services, or goods under the Medicaid program to sell, lease, lend, or otherwise exchange rights, privileges, or benefits to another person.
(B) A person who violates the provisions of this section is guilty of medical assistance recipient fraud, a Class A misdemeanor and, upon conviction, must be imprisoned not more than three years or fined not more than one thousand dollars, or both.
HISTORY: 1994 Act No. 468, Section 1, eff July 14, 1994.
Editor's Note
1994 Act No. 468, Section 2, provides as follows:
"The offenses created by this act are not exclusive and must not be construed to limit the power of the State to prosecute a person for conduct which constitutes a crime under another statute or at common law."
Structure South Carolina Code of Laws
Chapter 7 - Medical And Hospital Care
Section 43-7-20. State Department shall secure Federal funds.
Section 43-7-90. Enforcement of Sections 43-7-60 to 43-7-80.
Section 43-7-220. Petition for attachment; effective date of order.
Section 43-7-230. Service of summons, petition and order on employee and employer; answers.
Section 43-7-240. Time for showing cause for dismissal; grounds for dismissal without prejudice.
Section 43-7-250. Production of payroll records and other information.
Section 43-7-270. Return of money wrongfully withheld with interest and attorney's fee.
Section 43-7-280. Deduction from payments for employer's services.
Section 43-7-410. Definitions.
Section 43-7-430. Subrogation of rights to department.
Section 43-7-450. Claims or actions pending or brought before June 11, 1986.
Section 43-7-460. Recovery of medical assistance paid from estates of certain individuals.