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ROBERT L. EHRLICH, JR., Governor
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Ch. 70
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(H) (G) (1) "PROVIDER" MEANS:
(I) AN INDIVIDUAL LICENSED OR CERTIFIED UNDER THE HEALTH
OCCUPATIONS ARTICLE TO PROVIDE HEALTH CARE;
(II) A LICENSED FACILITY THAT PROVIDES HEALTH CARE TO
INDIVIDUALS; OR
(III) ANY OTHER PERSON WHO OR ENTITY THAT PROVIDES HEALTH
CARE, PRODUCTS, OR SERVICES TO A PROGRAM RECIPIENT.; OR
(2) "PROVIDER" INCLUDES:
(I) A FACILITY AS DEFINED IN § 15 101 OF THE HEALTH GENERAL
ARTICLE;
(II) A HISTORIC PROVIDER AS DEFINED IN § 15 101 OF THE HEALTH
GENERAL ARTICLE;
(III) A MANAGED CARE ORGANIZATION AS DEFINED IN § 15 101 OF
THE HEALTH GENERAL ARTICLE;
(IV) A HEALTH MAINTENANCE ORGANIZATION AS DEFINED IN §
10 701 OF THE HEALTH GENERAL ARTICLE;
(V) A FEDERALLY QUALIFIED HEALTH CENTER AS DEFINED IN §
13 1101 OF THE HEALTH GENERAL ARTICLE; AND
(VI) (IV) A CONTRACTOR, SUBCONTRACTOR, OR VENDOR WHO
DIRECTLY OR INDIRECTLY PROVIDES THE DEPARTMENT OR ITS RECIPIENTS
SUPPLIES, DRUGS, EQUIPMENT, OR SERVICES.
(3) (2) "PROVIDER" DOES NOT INCLUDE A STATE AGENCY THAT
RECEIVES GRANT FUNDING FROM OR THROUGH THE DEPARTMENT IF THAT AGENCY
HAS IN PLACE A CORPORATE COMPLIANCE PROGRAM THAT MEETS DEPARTMENTAL
REQUIREMENTS.
(I) "REASONABLE" MEANS FAIR, PROPER, OR SUITABLE UNDER THE
CIRCUMSTANCES.
(J) (H) "RECIPIENT" MEANS AN INDIVIDUAL WHO RECEIVES BENEFITS
UNDER A PROGRAM.
(K) (I) "RECOVERY" MEANS THE REPAYMENT OF MONEYS TO THE
DEPARTMENT BY A PROVIDER THROUGH RETURN, REIMBURSEMENT, RECOUPMENT,
WITHHOLDING OF FUTURE PAYMENTS, OFFSETS, OR ANY OTHER METHOD.
2-502.
THERE IS AN OFFICE OF THE INSPECTOR GENERAL IN THE DEPARTMENT.
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