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Medicaid Alliance for Program Safeguards

National Association of Medicaid Fraud Control Units Model Managed Care Criminal and Civil Fraud Statutes

The Medicaid Alliance for Program Safeguards is pleased to announce an additional enhancement to the information available on its Web site. Thanks to the National Association of Medicaid Fraud Control Units (NAMFCU), the Web site now contains NAMFCU's model managed care criminal and civil fraud statutes. These model statutes may be of use to states that are considering passing similar legislation to combat fraud and abuse in their Medicaid managed care programs. The Alliance thanks NAMFCU for sharing this information, and for allowing it to be posted to the Alliance Web site.  

If you have any questions regarding these model statutes, please contact:

Barbara Zelner
750 First Street, N.E., Suite 1100
Washington, DC 20002
Phone 202-326-6020 or E-mail: Bzelner@naag.org

To obtain a copy of one or both statutes, click one of the following links below.

For "Criminal Model (PDF, 518KB)"

For "Civil Model (PDF, 1.13 MB)"

Note: Some of the files on this page are available only in Adobe Acrobat - Portable Document Format (PDF). To view PDF files, you must have the Adobe Acrobat Reader (minimum version 5, version 6 suggested). You can check here to see if you have the Acrobat Reader installed on your computer. If you do not already have the Acrobat Reader installed, please go to Adobe's Acrobat download page now.

(Disclaimer)

This site contains two Model Managed Care Statutes, one criminal and one civil, which were provided for informational purposes only, by the NAMFCU. These statutes are not the responsibility of, or under the control of, the Centers for Medicare & Medicaid Services or the U. S. Department of Health and Human Services.

If you have any questions or comments on this web site, please use the feedback form.

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