Health Care Fraud and Abuse Laws: Georgia

Georgia’s key health care fraud and abuse laws are outlined in this Q&A, including the Patient Self-Referral Act, the Georgia State False Medicaid Claims Act, the Georgia Taxpayers Protection False Claims Act and the prohibition on patient brokering for substance abuse programs. It explains the elements required to prove violations, the individuals and entities covered (such as licensed providers and Medicaid participants), and the state agencies responsible for enforcement, including regulatory boards, the Department of Community Health, and the Office of the Attorney General.

Republished with permission. The full article, Health Care Fraud and Abuse Laws: Georgia, summarizes civil and criminal penalties, whistleblower protections, Medicaid program integrity requirements and other related state laws addressing false statements, unprofessional conduct and improper financial incentives. (login required)