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§ 2-611. Reporting requirements

West's Annotated Code of MarylandHealth--GeneralEffective: July 1, 2019

West's Annotated Code of Maryland
Health--General
Title 2. Maryland Department of Health (Refs & Annos)
Subtitle 6. False Claims Against State Health Plans and State Health Programs (Refs & Annos)
Effective: July 1, 2019
MD Code, Health - General, § 2-611
§ 2-611. Reporting requirements
Number of civil actions filed, judgments, and claims by State
(a) Beginning October 1, 2010, the Inspector General of the Department and the Director of the Medicaid Fraud Control Unit in the Office of the Attorney General shall report annually to the General Assembly, in accordance with § 2-1257 of the State Government Article, the following information for the previous fiscal year:
(1) The number of civil actions filed under this subtitle;
(2) The number of civil actions under this subtitle in which a judgment was entered, whether by settlement or adjudication; and
(3) The number of claims made by the State based on alleged violations of § 2-602(a) of this subtitle that are settled without the filing of a civil action under this subtitle.
Information relating to filing, defendants, and alleged violation or violation
(b) Unless the action is under seal in accordance with § 2-604 of this subtitle, for each civil action reported under subsection (a)(1) or (2) of this section, the report shall state:
(1) Whether the action was filed by the State or by a person on behalf of the State and, if filed by a person, whether the State intervened and proceeded with the action;
(2) The name of the defendant and the following information about the defendant:
(i) The number of employees and any other data relevant to the size of the defendant;
(ii) The amount of payments made to the defendant in the year prior to the filing of the action from State health plans and, to the extent known by the Inspector General and the Medicaid Fraud Control Unit, from other sources; and
(iii) Whether the defendant is a minority-owned business enterprise as defined by § 14-301 of the State Finance and Procurement Article;
(3) A description of the violation or alleged violation of § 2-602 of this subtitle; and
(4) The amount sought in the action and, if applicable, the amount for which the defendant is liable under a settlement agreement or court order.
Information relating to resolution and amount paid and collected by State
(c) For each claim reported under subsection (a)(3) of this section, the report shall state:
(1) A description of the violation or alleged violation of § 2-602 of this subtitle;
(2) The resolution of the claim;
(3) The amount, if any, the person against whom the claim was made agreed to pay in settlement of the claim; and
(4) The amount, if any, collected by the State.

Credits

Added by Acts 2010, c. 4, § 1, eff. Oct. 1, 2010. Amended by Acts 2019, c. 8, § 5.
MD Code, Health - General, § 2-611, MD HEALTH GEN § 2-611
Current through legislation effective through May 9, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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