                                 CODE OF VIRGINIA

FALSE STATEMENT OR REPRESENTATION IN APPLICATIONS FOR ELIGIBILITY OR FOR USE IN
DETERMINING RIGHTS TO BENEFITS; CONCEALMENT OF FACTS; CRIMINAL PENALTY (§
32.1-321.4)

A. Any person who engages in the following activities, on behalf of himself or
another, shall be guilty of larceny and, in addition to the penalties provided
in §§ 18.2-95 and 18.2-96 as applicable, may be fined an amount not to exceed
$10,000:

   1. Knowingly and willfully making or causing to be made any false statement or
   misrepresentation of a material fact in an application for eligibility,
   benefits or payments under medical assistance;

   2. Knowingly and willfully falsifying, concealing or covering up by any trick,
   scheme, or device a material fact or causing a material fact to be falsified,
   concealed, or covered up in such a manner, in connection with an application
   for eligibility, benefits or payments;

   3. Knowingly and willfully concealing or failing to disclose any event
   affecting the initial or continued right of any individual to any benefits or
   payment or causing such concealment or failure to disclose such an event with
   an intent to secure fraudulently such benefits or payment in a greater amount
   or quantity than is authorized or when no such benefit or payment is
   authorized;

   4. Knowingly and willfully converting or causing to be converted any benefits
   or payment received pursuant to an application for another person and receipt
   of benefits or payment on behalf of such other person to use other than for
   the health and welfare of the other person; or

   5. Knowingly and willfully failing to notify or causing another to fail to
   notify the local department of social services, through whom medical
   assistance benefits were obtained, of changes in the circumstances of any
   recipient or applicant which could result in the reduction or termination of
   medical assistance services.

B. It shall be the duty of the Director of Medical Assistance Services or his
designee to enforce the provisions of this section. A warrant or summons may be
issued for violations of which the Director or his designee has knowledge. Trial
for violation of this section shall be held in the county or city in which the
application for medical assistance was made or obtained.

HISTORY: 1986, c. 551; 2002, c. 747; 2010, c. 305.