Michigan Laws 400.602 – Definitions
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Terms Used In Michigan Laws 400.602
- Benefit: means the receipt of money, goods, or anything of pecuniary value. See Michigan Laws 400.602
- Claim: means any attempt to cause the department of community health to pay out sums of money under the social welfare act. See Michigan Laws 400.602
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Deceptive: means making a claim or causing a claim to be made under the social welfare act that contains a statement of fact or that fails to reveal a fact, which statement or failure leads the department to believe the represented or suggested state of affair to be other than it actually is. See Michigan Laws 400.602
- Health facility or agency: means a health facility or agency, as defined in section 20106 of the public health code, 1978 PA 368, MCL 333. See Michigan Laws 400.602
- knowingly: means that a person is in possession of facts under which he or she is aware or should be aware of the nature of his or her conduct and that his or her conduct is substantially certain to cause the payment of a medicaid benefit. See Michigan Laws 400.602
- Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
- Person: means an individual, corporation, association, partnership, or other legal entity. See Michigan Laws 400.602
- Social welfare act: means the social welfare act, 1939 PA 280, MCL 400. See Michigan Laws 400.602
- state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories belonging to the United States; and the words "United States" shall be construed to include the district and territories. See Michigan Laws 8.3o
As used in this act:
(a) “Benefit” means the receipt of money, goods, or anything of pecuniary value.
(b) “Claim” means any attempt to cause the department of community health to pay out sums of money under the social welfare act.
(c) “Deceptive” means making a claim or causing a claim to be made under the social welfare act that contains a statement of fact or that fails to reveal a fact, which statement or failure leads the department to believe the represented or suggested state of affair to be other than it actually is.
(d) “False” means wholly or partially untrue or deceptive.
(e) “Health facility or agency” means a health facility or agency, as defined in section 20106 of the public health code, 1978 PA 368, MCL 333.20106.
(f) “Knowing” and “knowingly” means that a person is in possession of facts under which he or she is aware or should be aware of the nature of his or her conduct and that his or her conduct is substantially certain to cause the payment of a medicaid benefit. Knowing or knowingly includes acting in deliberate ignorance of the truth or falsity of facts or acting in reckless disregard of the truth or falsity of facts. Proof of specific intent to defraud is not required.
(g) “Medicaid benefit” means a benefit paid or payable under a program for medical assistance for the medically indigent in accordance with the social welfare act.
(h) “Person” means an individual, corporation, association, partnership, or other legal entity.
(i) “Social welfare act” means the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b.