{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-321.3.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-321.3.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-321.3.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-321.3.html"}],"law_id":77053,"edition_id":1,"section_id":77053,"structure_id":15865,"section_number":"32.1-321.3","catch_line":"Fraudulently obtaining benefits; liability for fraudulently issued benefits; civil action to recover; penalty","history":"1986, c. 551; 1996, cc. 941, 991; 2010, c. 305.","full_text":"Any person who, on behalf of himself or another, issues, obtains or attempts to obtain medical assistance benefits by means of (i) knowingly and willfully making or causing to be made any false statement or false representation of material fact; (ii) knowingly and willfully concealing or causing to be concealed a material fact; or (iii) engaging in any other fraudulent scheme or device shall be liable for repayment of the cost of all benefits issued as a result of such fraud, plus interest on the amount of the benefits issued at the rate of 1.5 percent per month for the period from the date upon which payment was made for such benefits to the date on which repayment is made to the Commonwealth.\n\t\tSuch matters may be referred for criminal action to the attorney for the Commonwealth having jurisdiction over the case. The Attorney General may, independent of any referral to or decision of the attorney for the Commonwealth, petition the circuit court in the jurisdiction of the alleged offense to seek an order assessing civil penalties in the amount of the benefits issued, in addition to repayment and interest and any other penalties provided by law.\n\t\tAll civil penalties shall be deposited in the general fund of the state treasury upon receipt.","order_by":null,"text":{"0":{"id":276461,"text":"Any person who, on behalf of himself or another, issues, obtains or attempts to obtain medical assistance benefits by means of (i) knowingly and willfully making or causing to be made any false statement or false representation of material fact; (ii) knowingly and willfully concealing or causing to be concealed a material fact; or (iii) engaging in any other fraudulent scheme or device shall be liable for repayment of the cost of all benefits issued as a result of such fraud, plus interest on the amount of the benefits issued at the rate of 1.5 percent per month for the period from the date upon which payment was made for such benefits to the date on which repayment is made to the Commonwealth.\n\t\tSuch matters may be referred for criminal action to the attorney for the Commonwealth having jurisdiction over the case. The Attorney General may, independent of any referral to or decision of the attorney for the Commonwealth, petition the circuit court in the jurisdiction of the alleged offense to seek an order assessing civil penalties in the amount of the benefits issued, in addition to repayment and interest and any other penalties provided by law.\n\t\tAll civil penalties shall be deposited in the general fund of the state treasury upon receipt.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":15865,"edition_id":1,"name":"Regulation of Recipient Eligibility","identifier":"2","label":"article","depth":3,"order_by":1,"parent_id":13437,"metadata":{},"date_created":"2026-06-26 04:00:50","date_modified":"2026-06-26 04:00:50","permalink":{"id":204763,"object_type":"structure","relational_id":15865,"identifier":"2","token":"32.1\/9\/2","url":"\/32.1\/9\/2\/","edition_id":1,"permalink":0,"preferred":1}},{"id":13437,"edition_id":1,"name":"Regulation of Medical Assistance","identifier":"9","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:44:53","date_modified":"2026-06-26 03:44:53","permalink":{"id":204699,"object_type":"structure","relational_id":13437,"identifier":"9","token":"32.1\/9","url":"\/32.1\/9\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":83593,"structure_id":15865,"section_number":"32.1-321.1","catch_line":"Powers and duties of Department","url":"\/32.1-321.1\/","token":"32.1\/9\/2\/32.1-321.1","metadata":false},{"id":73059,"structure_id":15865,"section_number":"32.1-321.2","catch_line":"Liability for excess benefits or payments obtained without intent to violate this article; recovery of Medical Assistance erroneously paid","url":"\/32.1-321.2\/","token":"32.1\/9\/2\/32.1-321.2","metadata":false},{"id":77053,"structure_id":15865,"section_number":"32.1-321.3","catch_line":"Fraudulently obtaining benefits; liability for fraudulently issued benefits; civil action to recover; penalty","url":"\/32.1-321.3\/","token":"32.1\/9\/2\/32.1-321.3","metadata":false},{"id":80881,"structure_id":15865,"section_number":"32.1-321.4","catch_line":"False statement or representation in applications for eligibility or for use in determining rights to benefits; concealment of facts; criminal penalty","url":"\/32.1-321.4\/","token":"32.1\/9\/2\/32.1-321.4","metadata":false},{"id":61327,"structure_id":15865,"section_number":"32.1-322","catch_line":"Repealed","url":"\/32.1-322\/","token":"32.1\/9\/2\/32.1-322","metadata":false}],"previous_section":{"id":73059,"structure_id":15865,"section_number":"32.1-321.2","catch_line":"Liability for excess benefits or payments obtained without intent to violate this article; recovery of Medical Assistance erroneously paid","url":"\/32.1-321.2\/","token":"32.1\/9\/2\/32.1-321.2","metadata":false},"next_section":{"id":80881,"structure_id":15865,"section_number":"32.1-321.4","catch_line":"False statement or representation in applications for eligibility or for use in determining rights to benefits; concealment of facts; criminal penalty","url":"\/32.1-321.4\/","token":"32.1\/9\/2\/32.1-321.4","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-321.3\/","history_text":"

This law was first created in 1986. The record of its establishment is cataloged in chapter 551 of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. Unfortunately, the 1986 \u201cActs\u201d aren\u2019t available online. It has been modified 2 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 1996, chapters 941<\/a> and 991<\/a>; in 2010, chapter 305<\/a>.<\/p>","references":false,"refers_to":false,"permalink":{"id":204773,"object_type":"law","relational_id":77053,"identifier":"32.1-321.3","token":"32.1\/9\/2\/32.1-321.3","url":"\/32.1-321.3\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-321.3\/","token":"32.1\/9\/2\/32.1-321.3","dublin_core":{"Title":"Fraudulently obtaining benefits; liability for fraudulently issued benefits; civil action to recover; penalty","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-321.3","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

Any person<\/span> who, on behalf of himself or another, issues<\/span>, obtains or attempts to obtain medical assistance benefits by means of (i) knowingly and willfully making or causing to be made any false statement or false representation of material<\/span> fact<\/span>; (ii) knowingly and willfully concealing or causing to be concealed a material<\/span> fact<\/span>; or (iii) engaging in any other fraudulent scheme or device shall be liable for repayment of the cost of all benefits issued as a result of such fraud<\/span>, plus interest on the amount of the benefits issued at the rate of 1.5 percent per month for the period from the date upon which payment was made for such benefits to the date on which repayment is made to the Commonwealth.\n\t\tSuch matters may be referred for criminal action to the attorney for the Commonwealth having jurisdiction<\/span> over the case. The Attorney General<\/span> may, independent of any referral to or decision of the attorney for the Commonwealth, petition<\/span> the circuit<\/span> court<\/span> in the jurisdiction<\/span> of the alleged offense<\/span> to seek an order<\/span> assessing civil penalties in the amount of the benefits issued, in addition to repayment and interest and any other penalties provided by law<\/span>.\n\t\tAll civil penalties shall be deposited in the general fund of the state treasury upon receipt.<\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nFRAUDULENTLY OBTAINING BENEFITS; LIABILITY FOR FRAUDULENTLY ISSUED BENEFITS;\nCIVIL ACTION TO RECOVER; PENALTY (\u00a7 32.1-321.3)\n\nAny person who, on behalf of himself or another, issues, obtains or attempts to\nobtain medical assistance benefits by means of (i) knowingly and willfully\nmaking or causing to be made any false statement or false representation of\nmaterial fact; (ii) knowingly and willfully concealing or causing to be\nconcealed a material fact; or (iii) engaging in any other fraudulent scheme or\ndevice shall be liable for repayment of the cost of all benefits issued as a\nresult of such fraud, plus interest on the amount of the benefits issued at the\nrate of 1.5 percent per month for the period from the date upon which payment\nwas made for such benefits to the date on which repayment is made to the\nCommonwealth.\n\t\tSuch matters may be referred for criminal action to the attorney for the\nCommonwealth having jurisdiction over the case. The Attorney General may,\nindependent of any referral to or decision of the attorney for the Commonwealth,\npetition the circuit court in the jurisdiction of the alleged offense to seek an\norder assessing civil penalties in the amount of the benefits issued, in\naddition to repayment and interest and any other penalties provided by law.\n\t\tAll civil penalties shall be deposited in the general fund of the state\ntreasury upon receipt.\n\nHISTORY: 1986, c. 551; 1996, cc. 941, 991; 2010, c. 305.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}