Article 11 Section 01 Fraud Definition Table of Contents TITLE PG CITE Definition 110101A 110101 Fraud Definition 110101A Definition Fraud exists when an applicantbeneficiary on behalf of himherself or others has 1 Knowingly and with intent to deceive or defraud made a false statement or representation to become certified for CMS 2 Knowingly and with intent to deceive or defraud failed to disclose a fact which if disclosed could have resulted in a denial of CMS 3 Knowingly and with intent to deceive or defraud accept benefits to which heshe was not entitled 4 Made statements which heshe knew to be untrue for the purpose of avoiding denial of CMS