Terms Used In Montana Code > Title 53 > Chapter 6 > Part 7 - Medicaid Managed Care

• Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
• Contract: A legal written agreement that becomes binding when signed.
• Department: means the department of public health and human services. See Montana Code 53-6-702
• entity: means a health maintenance organization or an insurer regulated under Title 33 that:

  (i)contracts for an estimated annual value of $1 million or more of state and federal medicaid funds; or

  (ii)operates statewide or covers 20% or more of the medicaid population. See Montana Code 53-6-702

• Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
• Fraud: Intentional deception resulting in injury to another.
• Health maintenance organization: means a health maintenance organization as defined in 33-31-102. See Montana Code 53-6-702
• Oversight: Committee review of the activities of a Federal agency or program.
• Process: means a writ or summons issued in the course of judicial proceedings. See Montana Code 1-1-202
• Program: means an element of the integrated health care system created by this part. See Montana Code 53-6-702
• State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See Montana Code 1-1-201
• United States: includes the District of Columbia and the territories. See Montana Code 1-1-201