Maryland Code, HEALTH – GENERAL 15-123
Terms Used In Maryland Code, HEALTH - GENERAL 15-123
- Fiduciary: A trustee, executor, or administrator.
- Fraud: Intentional deception resulting in injury to another.
- Nolo contendere: No contest-has the same effect as a plea of guilty, as far as the criminal sentence is concerned, but may not be considered as an admission of guilt for any other purpose.
- Plea: In a criminal case, the defendant's statement pleading "guilty" or "not guilty" in answer to the charges, a declaration made in open court.
- state: means :
(1) a state, possession, territory, or commonwealth of the United States; or
(2) the District of Columbia. See
(2) “Convicted” includes being convicted after a plea of nolo contendere.
(3) “Fraud” includes the commission of or an attempt or conspiracy to commit the crimes of:
(i) Concealment of medical records;
(ii) Violation of Title 8, Subtitle 5, Part II of the Criminal Law Article;
(iii) False representations relating to Medicaid health plans;
(iv) Misappropriation by a fiduciary; and
(v) Theft.
(b) A health care provider who is convicted of fraud in connection with the Program or a similar federal or State program is ineligible for further payment under the Program.