An individual may not provide false information to receive Medicaid or Healthy Vermonters benefits.1 The Department of Mental Health and the Department for Children and Families may conduct audits to review utilization of Medicaid services and prevent fraud.2 The Department of Mental Health and the Department for Children and Families must impose sanctions against a provider for Medicaid fraud.3
| Subtopic | Statute/Regulation | Description |
|---|
| Federal and State Program Integrity | 12-6 Vt. Code R. 4:6 - Sanctioning under the Agency of Human Services regulations | “Sanctioning under the Agency of Human Services regulations” The Department of Mental Health may impose sanctions against a provider for... |
| 12-6 Vt. Code R. 4:7 - Right to appeal under the Agency of Human Services regulations | “Right to appeal under the Agency of Human Services regulations” A provider may appeal a sanction within 10 days of the notice of the... | |
| 12-6 Vt. Code R. § 4:5 - Monitoring under the Agency of Human Services regulations | “Monitoring under the Agency of Human Services regulations” The Department of Mental Health must audit community mental health centers... | |
| 12-7 Vt. Code R. 1:7107 - Utilization control under the Agency of Human Services regulations | “Utilization control under the Agency of Human Services regulations” The Department for Children and Families must establish a statewide... | |
| 13-170 Vt. Code R. 570 - Beneficiary fraud under the Agency of Human Services regulations | “Beneficiary fraud under the Agency of Human Services regulations” A person who knowingly gives fraudulent information in order to obtain... | |
| Vermont Administrative Code §13 170 710 | “Violations of provider responsibility under the Agency of Human Services regulations” The Department for Children and Families may... |
Please consider making a donation to keep this project's resources available at no cost to the public. Your donation will support new research, updates to current resources, and website maintenance for HealthInfoLaw.org.
.png)