“Benefit” means the receipt of money, goods, or any other thing of pecuniary value.
Terms Used In Utah Code 26B-3-1101
Benefit: means the receipt of money, goods, or any other thing of pecuniary value. See Utah Code 26B-3-1101
Claim: means any request or demand for money or property:
(a)
made to any:
(i)
employee, officer, or agent of the state;
(ii)
contractor with the state; or
(iii)
grantee or other recipient, whether or not under contract with the state; and
(b)
if:
(i)
any portion of the money or property requested or demanded was issued from or provided by the state; or
(ii)
the state will reimburse the contractor, grantee, or other recipient for any portion of the money or property. See Utah Code 26B-3-1101
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.
Medical assistance: means services furnished or payments made to or on behalf of a member. See Utah Code 26B-3-101
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.
Recipient: means a person who has received medical assistance under the Medicaid program. See Utah Code 26B-3-101
State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
(2)
“Claim” means any request or demand for money or property:
(a)
made to any:
(i)
employee, officer, or agent of the state;
(ii)
contractor with the state; or
(iii)
grantee or other recipient, whether or not under contract with the state; and
(b)
if:
(i)
any portion of the money or property requested or demanded was issued from or provided by the state; or
(ii)
the state will reimburse the contractor, grantee, or other recipient for any portion of the money or property.
(3)
“False statement” or “false representation” means a wholly or partially untrue statement or representation which is:
(a)
knowingly made; and
(b)
a material fact with respect to the claim.
(4)
“Health care provider” means the same as that term is defined in Section 26B-8-411.
(5)
“Knowing” and “knowingly”:
(a)
for purposes of criminal prosecutions for violations of this part, is one of the culpable mental states described in Subsection 26B-3-1108(1); and
(b)
for purposes of civil prosecutions for violations of this part, is the required culpable mental state as defined in Subsection 26B-3-1109(1).
(6)
“Medical benefit” means a benefit paid or payable to:
(a)
a health care provider; or
(b)
a recipient or a provider under a program administered by the state under:
(i)
Titles V and XIX of the federal Social Security Act;
(ii)
Title X of the federal Public Health Services Act;
(iii)
the federal Child Nutrition Act of 1966 as amended by Pub. L. No. 94-105; and
(iv)
any programs for medical assistance of the state.
(7)
“Person” means an individual, corporation, unincorporated association, professional corporation, partnership, or other form of business association.
Renumbered and Amended by Chapter 306, 2023 General Session Amended by Chapter 331, 2023 General Session
