Title 34, Welfare
17 chapters · 204 sections in this title.
34 V.I.C. § 680 Short title
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This chapter may be cited as “The Virgin Islands Medicaid Program Integrity Act”.
34 V.I.C. § 681 Definitions
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(a) As used in this chapter the following terms have the meaning set forth in this section, unless the context requires otherwise:(a) “Claim” means any application for payment made by any provider from the Virgin Islands Medicaid Program, or its fiscal agents, for each good or se…
34 V.I.C. § 682 Medicaid Fraud Control Unit
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(a) There is established within the Office of the Attorney General, the Medicaid Fraud Control Unit.(a) The Department of Human Services or its fiscal agents shall refer all cases of suspected Medicaid fraud to the Medicaid Fraud Control Unit for the purpose of investigation, civ…
34 V.I.C. § 683 Medicaid Fraud Control Unit Revolving Fund
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(a) There is established in the General Fund a revolving fund designated as “The Medicaid Fraud Control Unit Revolving Fund”. (b) The Medicaid Fraud Control Unit Revolving Fund is a continuing fund, not subject to fiscal year limitations, and shall be comprised of monies appropri…
34 V.I.C. § 684 Posting requirements
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The Department of Human Services may require providers to display information about how to report providers and recipients suspected of fraudulent activity relating to the Virgin Islands Medicaid Program. The Department of Human Services shall require that signs be posted at all …
34 V.I.C. § 685 Recordkeeping
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(a) (1) All providers subject to the Virgin Islands Medicaid Program are required to maintain at their principal place of Medicaid business all records for a minimum of 6 years from the date of a claimed provision of any goods or services to a Medicaid recipient.(2) Any provider …
34 V.I.C. § 686 Medicaid Fraud; penalties
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(a) (1) It is unlawful for any provider willfully and knowingly to:(A) Make or cause to be made a claim, knowing the claim to be false, in whole or in part, whether by commission or omission;(B) Make or cause to be made a claim, statement, or representation for use in obtaining o…
34 V.I.C. § 687 Annual report
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The Attorney General shall submit an annual report by July 1 of each year to the Governor of the Virgin Islands detailing the number of Medicaid fraud cases investigated and litigated, and the amount of money collected in the previous fiscal year under this chapter.