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Provider Manual

Anti-Kickback Statute

Last Updated on January 24, 2019

There are criminal penalties for individuals or providers that knowingly and willfully offer, pay, solicit, or receive remuneration (payment) in order to induce or reward businesses payable (or reimbursable) under Medicare or other federal health care programs. In addition to applicable criminal sanctions, an individual or provider may be excluded from participation in the Medicare and other federal health care programs and subject to civil monetary penalties. For purposes of the anti-kickback statute, “remuneration” includes the transfer of anything of value, directly or indirectly, overtly or covertly, in cash or in kind.

To report any violations of the False Claims Act, Anti-kickback Statute, or fraud, waste and abuse, please contact Security Health Plan between 8 a.m. and 5 p.m., Monday through Friday at 1-877-998-0998 (TTY 711). The Compliance Hotline number is 715-221-9570, the External Compliance Hotline number is 1-855-274-5540, and the Security Health Plan Pharmacy Medicare Part D Hotline number is 1-888-472-2363 or 715-221-9909.