(a) A person shall not knowingly make or cause to be made a false statement or false representation of any material fact in an application for medical assistance under the medical programs of the Department of Health and Human Resources.
(b) A person shall not knowingly make or cause to be made a false statement or false representation of any material fact necessary to determine the rights of any other person to medical assistance under the medical programs of the Department of Health and Human Resources.
(c) A person shall not knowingly and intentionally conceal or fail to disclose any fact with the intent to obtain medical assistance under the medical programs of the Department of Health and Human Resources to which the person or any other person is not entitled.
(d) Any person found to be in violation of subsection (a), (b) or (c) of this section is guilty of a felony and, upon conviction, shall be imprisoned in a state correctional facility not less than one nor more than ten years, or shall be fined not to exceed $10,000 or both fined and imprisoned.
Structure West Virginia Code
Article 7. Fraud and Abuse in the Medicaid Program
§9-7-3. Investigations; Procedure
§9-7-3a. Agency Lawyers Assisting Prosecutors
§9-7-4. Applications for Medical Assistance; False Statements or Representations; Criminal Penalties
§9-7-5. Bribery; False Claims; Conspiracy; Criminal Penalties; Failure to Maintain Records
§9-7-5a. Venue for Criminal Offenses
§9-7-6. Civil Remedies; Statute of Limitations
§9-7-7. Licensing of Vehicles for Use by the Medicaid Fraud Control Unit