Common use of Penalties for Billing Members Clause in Contracts

Penalties for Billing Members. Any provider who knowingly and willfully bills an MCO member for a Medicaid covered service may be guilty of a felony and upon conviction shall be fined, imprisoned, or both, as defined in s. 1128B(d)(1)[42 U.S.C. 1320-7b] of the Social Security Act and s. 49.49(3m), Wis. Stats.

Penalties for Billing Members. Any provider who knowingly and willfully bills an MCO member for a Medicaid covered service may be guilty of a felony and upon conviction shall be fined, imprisoned, or both, as defined in s. 1128B(d)(1)[42 U.S.C. 1320-7b] of the Social Security Act and s. Wis. Stat. § 49.49(3m), Wis. Stats.