Regulation .16 Prohibited Acts.

An applicant for payment from the Fund may not:

(1)

Make, or cause to be made, a false statement or false claim; or

(2)

Engage in fraud in submitting a claim or application.

Violation of §A of this regulation may result in:

(1)

Referral to the appropriate Medicaid fraud administrative and prosecutorial authorities, to the Office of the State's Attorney, or both;

(2)

Rescission of, or an action for recovery of, any prior reimbursement improperly made by the Fund; and

(3)

Any other appropriate referrals or administrative action.