Md. Code Regs. 10.66.01.02

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.66.01.02 - Definitions

A. The following terms have the meaning indicated.

B. Terms Defined.

(1) "Civil money remedy" means a monetary remedy authorized by Health-General Article, §2-504.1, Annotated Code of Maryland, and imposed for a violation of statute or regulation governing the conditions of payment for any service or item for which the provider submitted a claim for payment and received payment.

(2) "Department" means the Department of Health and Mental Hygiene.

(3) "Hearing" means a contested case hearing as defined by the Administrative Procedure Act, State Government Article, Title 10, Subtitle 2, Annotated Code of Maryland.

(4) "Identified recovery" means the total dollar amount of claims identified by the OIG as paid to the provider for a service or item not provided in accordance with applicable statute and regulations.

(5) "Inspector General" means the Inspector General, or the designated Assistant Inspector General, within the Department of Health and Mental Hygiene.

(6) "Office of Administrative Hearings (OAH)" means the independent unit in the Executive Branch of State government authorized to conduct hearings in contested cases, pursuant to the Administrative Procedure Act and this chapter.

(7) "OIG" means the Office of the Inspector General within the Department of Health and Mental Hygiene.

(8) "Violation " means the provision of a service that does not comply with applicable statutes or regulations or both.

Md. Code Regs. 10.66.01.02

Regulation .02 adopted effective 44:14 Md. R. 655, eff. 7/17/2017