False Claim Act (FCA):
Pursuant to Section 6032 of the Deficit Reduction Act of 2005, any Medicaid Provider that receives Medicaid revenue in excess of $5 million dollars, per Federal Fiscal Year (FFY), must inform their service providers of the False Claim Act. The False Claim Act states that it is against federal law to submit a claim for payment or federal award to the Federal Government if services have not been provided. Pursuant to the False Claim Act (FCA), you have the right to report fraud, waste or abuse and your full disclosure of fraudulent practices, waste or abuse is protected by the Whistleblower Protection Act, and you will be afforded protection under such federal laws. Each year clinicians must sign a “SHARS Signature Authorization Form”, certifying the Medicaid claims provided are true, accurate, and that services were rendered. Submitting false claims constitutes an FCA violation which can result in investigation and prosecution. It’s imperative that SHARS clinicians and other applicable personnel are properly trained, monitored and informed of all FCA rules and regulations.