Oklahoma § 56-1007 - Additional penalties

§ 56-1007. Additional penalties

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:

Oklahoma Statutes - Title 56. Poor Persons

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.