§ 2-501. Definitions
West's Annotated Code of MarylandHealth--GeneralEffective: July 1, 2022
Effective: July 1, 2022
MD Code, Health - General, § 2-501
§ 2-501. Definitions
(b) “Abuse” means provider practices that are inconsistent with sound fiscal, business, or medical practices and result in unnecessary costs to a program, or in reimbursement for services that are not medically necessary or that fail to meet professionally recognized health care standards.
(c) “Claim” means a request or demand for money, property, or services made under contract or otherwise, by a contractor, grantee, provider, or other person seeking money for the provision of health services if:
(d) “Employee” means any individual who performs services for, or under the control or direction of, a provider for wages or other remuneration.
(e)(1) “Fraud” means an intentional material deception or misrepresentation made by a person with the knowledge that the deception or misrepresentation could result in some unauthorized benefit or payment.
(e-1) “Office” means the Maryland Office of the Inspector General for Health established under § 2-502 of this subtitle.
(f) “Program” means the Medical Assistance Program, the Cigarette Restitution Fund Program, the Developmental Disabilities Administration, the Behavioral Health Administration, the Prevention and Health Promotion Administration, or any other unit of the Department that pays a provider for a service rendered or claimed to have been rendered to a recipient.
(g)(1) “Provider” means:
Credits
Added by Acts 2006, c. 70, § 1, eff. Oct. 1, 2006. Amended by Acts 2014, c. 460, § 1, eff. July 1, 2014; Acts 2021, c. 325, § 1, eff. July 1, 2022; Acts 2021, c. 326, § 1, eff. July 1, 2022.
MD Code, Health - General, § 2-501, MD HEALTH GEN § 2-501
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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