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False Claims Act Information

Oklahoma Medicaid False Claims Act

The Oklahoma Medicaid False Claims Act (“Oklahoma Medicaid FCA”) provides severe penalties for individuals who submit false claims to SoonerCare (Oklahoma’s Medicaid program). It also provides powerful incentives and protections for private individuals with knowledge of Medicaid fraud to pursue claims on the State’s behalf. The Oklahoma Legislature adopted the Oklahoma Medicaid FCA in [...]

Utah False Claims Act

Utah has enacted a False Claims Act (“Utah FCA”), Utah Code Annotated sections 26–20–9.5 et seq.). The Utah FCA prohibits parties from “enter[ing] into an agreement, combination, or conspiracy to defraud the state by obtaining or aiding another to obtain the payment or allowance of a false, fictitious, or fraudulent claim for a medical benefit.” Utah Code [...]

What is an Organizational Relator?

Under the False Claims Act (“FCA”), an organizational relator is a person with knowledge - typically a current or former employee - of a company involved in defrauding the federal government. The FCA incentivizes relators to come forward and report fraudulent activity by enabling the relator to claim a portion of the recovery if [...]

Whistleblower Rewards: How They Work

The federal False Claims Act (“FCA”) allows an individual with knowledge of fraud upon the federal government, often known as a whistleblower or qui tam relator, to bring a lawsuit on the federal government’s behalf to recover the funds. Many states  have adopted similar laws that apply to fraud upon state and local government entities. [...]

What is a Qui Tam Relator?

In False Claims Act (“FCA”) cases, the qui tam relator is the whistleblower who brings the FCA claims against the company or individual who is committing fraud. Usually a qui tam relator is an insider—typically a current or former employee—who has access to confidential information showing that his or her employer has been committing [...]

Tennessee Whistleblower Law

The Tennessee False Claims Act  (“Tennessee FCA”) mirrors the federal False Claims Act (“FCA”), but it involves claims made to state and local governments in Tennessee, as opposed to the federal government. The Tennessee Medicaid False Claims Act (“Tennessee Medicaid FCA”) applies to any false claims made to Tennessee’s state Medicaid program. The Tennessee [...]

What is Whistleblowing?

The eighteenth-century philosopher, Edmund Burke, long ago cautioned that, “All that is necessary for the triumph of evil is that good people do nothing.” That admonition still holds true today.  Whistleblowing involves individuals willing to come forward to stop fraud and other wrongdoing against the government (and by extension, the taxpayers). Those individuals who [...]

Vermont False Claims Act

In 2015, Vermont enacted its own version of the federal False Claims Act.[1] Generally speaking, the Vermont False Claims Act is very similar to the Federal False Claims Act except that the Vermont law prohibits fraud upon the state government, while the federal law prohibits fraud upon the federal government. What the Vermont False [...]

What is the Florida Private Sector Whistleblower Act?

Like many states, Florida generally has an “at-will” employment policy, meaning that employees can be fired at any time for any reason that doesn’t violate a statutory or constitutional protection. For whistleblowers, that statutory protection comes from the Florida Whistleblower’s Act, which protects public employees, or the Florida Private Sector Whistleblower Act, Fla. Stat. [...]

Tennessee Medicaid False Claims Act

(Tenn. Code Ann. §§ 71-5-181 to 185)   The Tennessee Medicaid False Claims Act (“Tennessee Medicaid FCA”) allows whistleblowers to sue in the name of the State of Tennessee where a wrongdoer engages in conduct that defrauds the state or local government of its healthcare dollars. This statute is designed to address Medicaid fraud. The Tennessee Medicaid FCA imposes liability [...]

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