New Hampshire Revised Statutes 167:58 – Definitions
Current as of: 2023 | Check for updates
|
Other versions
In this subdivision:
I. “Abuse” means provider practices that are inconsistent with sound fiscal, business, or medical practices, and result in an unnecessary cost to the medicaid program, or in reimbursement for services that are above those actually rendered, that are not medically necessary, or that fail to meet professionally recognized standards for health care.
I-a. “Commissioner” means the commissioner of the department of health and human services.
II. “Data” means information of any kind in any form, including computer software as defined in N.H. Rev. Stat. § 638:16, VI.
III. “Department” means the department of health and human services.
IV. “Fraud” means an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to himself or some other person. It includes any act that constitutes fraud under New Hampshire criminal code, RSA title LXII.
V. “Provider” means any individual, partnership, corporation or entity furnishing services under a written contract with the department.
VI. “Suspension” means the removal of a provider from participation in the medicaid program for not less than 60 days nor more than 6 months.
VII. “Termination” means the removal of a provider from participation in the medicaid program for an indefinite period of time.
I. “Abuse” means provider practices that are inconsistent with sound fiscal, business, or medical practices, and result in an unnecessary cost to the medicaid program, or in reimbursement for services that are above those actually rendered, that are not medically necessary, or that fail to meet professionally recognized standards for health care.
Terms Used In New Hampshire Revised Statutes 167:58
- Contract: A legal written agreement that becomes binding when signed.
- 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.
- Fraud: Intentional deception resulting in injury to another.
- 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: may extend and be applied to bodies corporate and politic as well as to individuals. See New Hampshire Revised Statutes 21:9
I-a. “Commissioner” means the commissioner of the department of health and human services.
II. “Data” means information of any kind in any form, including computer software as defined in N.H. Rev. Stat. § 638:16, VI.
III. “Department” means the department of health and human services.
IV. “Fraud” means an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to himself or some other person. It includes any act that constitutes fraud under New Hampshire criminal code, RSA title LXII.
V. “Provider” means any individual, partnership, corporation or entity furnishing services under a written contract with the department.
VI. “Suspension” means the removal of a provider from participation in the medicaid program for not less than 60 days nor more than 6 months.
VII. “Termination” means the removal of a provider from participation in the medicaid program for an indefinite period of time.