Federal and State Program Integrity in Indiana
In addition to federal law, the state of Indiana has passed its own laws concerning fraud and abuse of Medicaid and the Children’s Health Insurance Program (CHIP). Indiana makes it a Class D felony to knowingly or intentionally file a false Medicaid claim, use false information to obtain payment from Medicaid, or obtain unauthorized payment from Medicaid by concealing information.1 The penalties that can be imposed for violations of Medicaid rules include denial of payment, termination from the Medicaid program, and civil monetary penalties.2 Indiana also has an Anti-kickback statute for the CHIP Program, which makes it a Class A misdemeanor to provide services for payment and knowingly and willingly receive a bribe or kickback.3