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Ch. 259
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2000 LAWS OF MARYLAND
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(3) CAUSES SERIOUS PERMANENT OR SERIOUS PROTRACTED LOSS OF
THE FUNCTION OF ANY BODY PART, ORGAN, OR MENTAL FACULTY;
(4) CAUSES SERIOUS PERMANENT OR SERIOUS PROTRACTED
IMPAIRMENT OF THE FUNCTION OF ANY BODILY MEMBER OR ORGAN; OR
(5) INVOLVES EXTREME PHYSICAL PAIN.
(F) (1) "STATE HEALTH PLAN" INCLUDES:
(I) THE STATE MEDICAL ASSISTANCE PLAN ESTABLISHED IN
ACCORDANCE WITH TITLE XIX OF THE FEDERAL SOCIAL SECURITY ACT OF 1939;
(II) A MEDICAL ASSISTANCE PLAN ESTABLISHED BY THE STATE; OR
(III) A PRIVATE HEALTH INSURANCE CARRIER, HEALTH
MAINTENANCE ORGANIZATION, MANAGED CARE ORGANIZATION AS DEFINED IN §
15-101 OF THE HEALTH - GENERAL ARTICLE, HEALTH CARE COOPERATIVE OR
ALLIANCE, OR OTHER PERSON THAT PROVIDES OR CONTRACTS TO PROVIDE HEALTH
CARE SERVICES THAT ARE WHOLLY OR PARTLY REIMBURSED BY OR ARE A
REQUIRED BENEFIT OF A HEALTH PLAN ESTABLISHED IN ACCORDANCE WITH TITLE
XIX OF THE FEDERAL SOCIAL SECURITY ACT OF 1939 OR BY THE STATE.
(2) "STATE HEALTH PLAN" INCLUDES A PERSON THAT PROVIDES OR
CONTRACTS OR SUBCONTRACTS TO PROVIDE HEALTH CARE SERVICES FOR AN
ENTITY DESCRIBED IN PARAGRAPH (1) OF THIS SUBSECTION.
230C.
A PERSON MAY NOT:
(1) WILLFULLY KNOWINGLY AND WILLFULLY DEFRAUD OR ATTEMPT TO
DEFRAUD A STATE HEALTH PLAN IN CONNECTION WITH THE DELIVERY OF OR
PAYMENT FOR HEALTH CARE SERVICES;
(2) WILLFULLY KNOWINGLY AND WILLFULLY OBTAIN OR ATTEMPT TO
OBTAIN BY MEANS OF A FALSE REPRESENTATION MONEY, PROPERTY, OR ANY THING
OF VALUE IN CONNECTION WITH THE DELIVERY OF OR PAYMENT FOR HEALTH CARE
SERVICES THAT WHOLLY OR PARTLY ARE REIMBURSED BY OR ARE A REQUIRED
BENEFIT OF A STATE HEALTH PLAN;
(3) WILLFULLY KNOWINGLY AND WILLFULLY DEFRAUD OR ATTEMPT TO
DEFRAUD A STATE HEALTH PLAN OF THE RIGHT TO HONEST SERVICES; OR
(4) WITH THE INTENT TO DEFRAUD MAKE A FALSE REPRESENTATION
RELATING TO HEALTH CARE SERVICES OR A STATE HEALTH PLAN.
230D.
(A) A PERSON WHO HAS APPLIED FOR OR RECEIVED A BENEFIT OR PAYMENT
UNDER A STATE HEALTH PLAN FOR THE USE OF ANOTHER INDIVIDUAL MAY NOT
WILLFULLY KNOWINGLY AND WILLFULLY CONVERT ALL OR ANY PART OF A STATE
HEALTH PLAN BENEFIT OR PAYMENT TO A USE THAT IS NOT FOR THE AUTHORIZED
BENEFICIARY.
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- 1588 -
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