Section 177.05. Health care fraud in the fifth degree  


Latest version.
  • A person is guilty of health care fraud in the fifth degree when, with
      intent  to  defraud  a  health  plan,  he or she knowingly and willfully
      provides materially false information or omits material information  for
      the  purpose  of requesting payment from a health plan for a health care
      item or service and, as a result of such information or omission, he  or
      she or another person receives payment in an amount that he, she or such
      other person is not entitled to under the circumstances.
        Health care fraud in the fifth degree is a class A misdemeanor.