Senate Bill 310 - Medicaid Fraud Summary

• Persons convicted of public assistance fraud or tax fraud are ineligible for medical assistance for 1 year (misdemeanor) or 10 years (felony), with ineligibility beginning on sentencing date or release from incarceration.

• Office of Medicaid Policy and Planning may adopt rules to suspend persons from receiving medical assistance if reasonable suspicion exists that they committed public assistance fraud.

• Medicaid recipients must notify the office within 30 days of asserting a claim or filing legal action against a third party for medical services costs, and the office must send an itemized statement and notice of lien intent to the third party within 21 days.

• No settlement, judgment, award, or recovery in a Medicaid recipient's action may become final without first giving the office written notice and reasonable opportunity to perfect a right of recovery.

• "Public assistance" is expanded to explicitly include medical assistance, and welfare fraud statute now applies to applicants and recipients of public relief or assistance.