Source: https://www.bafirm.com/practice-areas/qui-tam-litigation/federal-state-county-and-city-acts/michigan-medicaid-false-claim-act/
Timestamp: 2019-04-26 15:39:05+00:00

Document:
Sec. 1. This act shall be known and may be cited as “the medicaid false claim act”.
Amended by P.A.1984, No. 333, § 1, Imd. Eff. Dec. 26, 1984; P.A.2008, No. 421, Imd. Eff. Jan. 6, 2009.
Sec. 3. (1) A person shall not knowingly make or cause to be made a false statement or false representation of a material fact in an application for medicaid benefits.
Sec. 4. A person who solicits, offers, or receives a kickback or bribe in connection with the furnishing of goods or services for which payment is or may be made in whole or in part pursuant to a program established under Act No. 280 of the Public Acts of 1939,1 as amended, who makes or receives the payment, or who receives a rebate of a fee or charge for referring an individual to another person for the furnishing of the goods and services is guilty of a felony, punishable by imprisonment for not more than 4 years, or by a fine of not more than $30,000.00, or both.
Sec. 5. (1) A person shall not knowingly and willfully make, or induce or seek to induce the making of, a false statement or false representation of a material fact with respect to the conditions or operation of an institution or facility in order that the institution or facility may qualify, upon initial certification or upon recertification, as a hospital, skilled nursing facility, intermediate care facility, or home health agency.
Sec. 6. (1) A person shall not enter into an agreement, combination, or conspiracy to defraud the state by obtaining or aiding another to obtain the payment or allowance of a false claim under the social welfare act, Act No. 280 of the Public Acts of 1939, as amended, being sections 400.1to 400.121 of the Michigan Compiled Laws.
Amended by P.A.1984, No. 333, § 1, Imd. Eff. Dec. 26, 1984.
Sec. 7. (1) A person shall not make or present or cause to be made or presented to an employee or officer of this state a claim under the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b, upon or against the state, knowing the claim to be false.
Sec. 8. (1) In a prosecution under this act, it shall not be necessary to show that the person had knowledge of similar acts having been performed in the past by a person acting on his or her behalf, nor to show that the person had actual notice that the acts by the persons acting on his or her behalf occurred to establish the fact that a false statement or representation was knowingly made.
Sec. 9. (1) A person who is convicted 3 or more time for an offense under this act and who is subsequently convicted of another offense under this act may be sentenced to imprisonment for a term of not more than 10 years. To be subject to punishment under this section, it is not necessary to establish that the person was indicted and convicted as a previous offender, but the increased punishment provided in this section shall be imposed in accordance with the procedure prescribed in section 13 of chapter 9 of Act No. 175 of the Public Acts of 1927, as amended, being section 769.13 of the Michigan Compiled Laws.
Sec. 10. (1) The attorney general or an assistant attorney general on behalf of the attorney general may conduct an investigation of an alleged violation of this act.
Amended by P.A.1982, No. 518, § 1, Imd. Eff. Dec. 31, 1982; P.A.1984, No. 333, § 1, Imd. Eff. Dec. 26, 1984.
Sec. 10a. (1) Any person may bring a civil action in the name of this state under this section to recover losses that this state suffers from a violation of this act. A suit filed under this section shall not be dismissed unless the attorney general has been notified and had an opportunity to appear and oppose the dismissal. The attorney general waives the opportunity to oppose the dismissal if it is not exercised within 28 days of receiving notice.
P.A.1977, No. 72, § 10a, added by P.A.2005, No. 337, Imd. Eff. Jan. 3, 2006. Amended by P.A.2008, No. 421, Imd. Eff. Jan. 6, 2009.
P.A.1977, No. 72, § 10b, added by P.A.2005, No. 337, Imd. Eff. Jan. 3, 2006.
Sec. 10c. (1) An employer shall not discharge, demote, suspend, threaten, harass, or in any other manner, discriminate against an employee in the terms and conditions of employment because the employee engaged in lawful acts, including initiating, assisting in, or participating in the furtherance of an action under this act or because the employee cooperates with or assists in an investigation under this act. This prohibition does not apply to an employment action against an employee who the court finds brought a frivolous claim, as defined in section 2591 of the revised judicature act of 1961, 1961 PA 236, MCL 600.2591; the court finds to have planned and initiated the conduct upon which the action is brought; or is convicted of criminal conduct arising from a violation of this act.
P.A.1977, No. 72, § 10c, added by P.A.2005, No. 337, Imd. Eff. Jan. 3, 2006. Amended by P.A.2008, No. 421, Imd. Eff. Jan. 6, 2009.
Sec. 11. (1) An action brought by the attorney general under this act may be filed in Ingham county and may be prosecuted to final judgment in satisfaction there.
Amended by P.A.2005, No. 337, Imd. Eff. Jan. 3, 2006; P.A.2008, No. 421, Imd. Eff. Jan. 6, 2009.
Sec. 12. (1) A person who receives a benefit that the person is not entitled to receive by reason of fraud or making a fraudulent statement or knowingly concealing a material fact, or who engages in any conduct prohibited by this statute, shall forfeit and pay to the state the full amount received, and for each claim a civil penalty of not less than $5,000.00 or more than $10,000.00 plus triple the amount of damages suffered by the state as a result of the conduct by the person.
Amended by P.A.2008, No. 421, Imd. Eff. Jan. 6, 2009.
Sec. 13. (1) As a means of protecting the health, safety, and welfare of patients in a residential health care facility, including hospitals, nursing homes, and other institutions reimbursed for resident or patient care by the medical assistance program established by Act No. 280 of the Public Acts of 1939, as amended, if the license of a residential health care facility is revoked for violation of this act, the attorney general may file a petition with the circuit court for the county of Ingham or the circuit court in the county in which the residential health care facility is located for the appointment of a receiver.
P.A.1977, No. 72, § 14, added by P.A.2008, No. 421, Imd. Eff. Jan. 6, 2009.
Sec. 15. A person bringing a civil action under this act is required to prove all essential elements of the cause of action, including damages, by a preponderance of the evidence.
P.A.1977, No. 72, § 15, added by P.A.2008, No. 421, Imd. Eff. Jan. 6, 2009.

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