<html> <head> <title>Rule 67:48:01:05 Medical benefit paid in error as result of intentional program violation.</title> <META NAME="Keywords" Content="Administrative Rules 67:48:01:05"> <META NAME="Description" Content="Administrative Rules 67:48:01:05 Medical benefit paid in error as result of intentional program violation."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:48:01:05.&nbsp;&nbsp;Medical benefit paid in error as result of intentional program violation.</b> A medical benefit paid in error includes a payment made as a result of an intentional program violation. An intentional program violation exists if an administrative hearing or a court of appropriate jurisdiction finds that the individual or the individual's authorized representative intentionally made a false or misleading statement or misrepresented, concealed, or withheld facts or intentionally acted to mislead, misrepresent, conceal withhold facts, or propound a falsity for the purpose of establishing or maintaining eligibility under article 67:46 or increasing or preventing a reduction in the amount of medical benefits payable on behalf of the individual. The individual or the individual's authorized representative may sign a waiver waiving the individual's rights to an administrative hearing.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 25 SDR 141, effective May 20, 1999.</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(4).</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(4).</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Cross-Reference:</b> Hearing waiver, §&nbsp;67:48:01:14.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html>