False Claims Act Education

Section 6023 of the Deficit Reduction Act (DRA) of 2005 requires providers receiving annual Medicaid payments of $5 million or more to educate employees, contractors, and agents about Federal and State fraud and false claims laws and the whistleblower protections available under those laws.

Beginning September 2007 and annually thereafter, DMA will notify providers that they received a minimum of five million dollars in Medicaid payments during the last federal fiscal year and that they must submit a Letter of Attestation to show that they are in compliance with the DRA. This minimum amount may have been paid to one North Carolina Medicaid provider number or to multiple provider numbers associated with the same tax identification number. Each Medicaid provider who receives a notification must sign and submit the Letter of Attestation to EDS within 30 days of the date of notification.  Additional copies of the Letter of Attestation may be printed from this web page.  A separate Letter of Attestation must be submitted for each Medicaid provider number.

Compliance with Section 6023 of the DRA is a condition of receiving Medicaid payments. Medicaid payments will be denied for providers that do not submit a signed Letter of Attestation within 30 days of the date of notification. Denied claims may be resubmitted by the provider once Medicaid has received the Letter of Attestation. DMA will publish information on the status of receipt of providers' Letters of Attestation on this web page.

• False Claims Act Compliance Plan
• Director Approval Letter from CMS
• Employee Education about False Claims Recovery - FAQs
• Deficit Reduction Act 2005
• Civil Monetary Penalties Law
• 31 USC Sect 3729, 3730, 3731, 3732, 3733
• North Carolina State Plan Amendment for False Claims Act Education
• September 2008 Medicaid Bulletin, False Claims Act Education Compliance for Federal Fiscal Year 2007
• Dear Medicaid Provider Letter
• Attestation letter
• False Claims Status Search - You can verify if your signed Letter of Attestation has been received by EDS.

Updated September 15, 2008