Insurance Fraud

(a) Except as provided in subsection (b), a person who knowingly or intentionally:

(1) files a children’s health insurance program claim, including an electronic claim, in violation of IC 12-17.6;

(2) obtains payment from the children’s health insurance program under IC 12-17.6 by means of a false or misleading oral or written statement or other fraudulent means;

(3) acquires a provider number under the children’s health insurance program except as authorized by law;

(4) alters with intent to defraud or falsifies documents or records of a provider (as defined in 42 CFR 400.203) that are required to be kept under the children’s health insurance program; or

(5) conceals information for the purpose of applying for or receiving unauthorized payments from the children’s health insurance program;

commits insurance fraud, a Class A misdemeanor.

(b) The offense described in subsection (a) is:

(1) a Level 6 felony if the fair market value of the offense is at least seven hundred fifty dollars ($750) and less than fifty thousand dollars ($50,000); and

(2) a Level 5 felony if the fair market value of the offense is at least fifty thousand dollars ($50,000).

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