Maryland § 8-508

§ 8-508.

    (a)    In this part the following words have the meanings indicated.

    (b)    “False representation” means the knowing and willful:

        (1)    concealing, falsifying, or omitting of a material fact;

        (2)    making of a materially false or fraudulent statement; or

        (3)    use of a document that contains a statement of material fact that the user knows to be false or fraudulent.

    (c)    (1)    “Health care service” means health or medical care procedures, goods, or services that:

            (i)    provide testing, diagnosis, or treatment of human disease or dysfunction; or

            (ii)    dispense drugs, medical devices, medical appliances, or medical goods for the treatment of human disease or dysfunction.

        (2)    “Health care service” includes any procedure, goods, or service that is a required benefit of a State health plan.

    (d)    “Representation” includes an acknowledgment, certification, claim, ratification, report of demographic statistics, encounter data, enrollment claims, financial information, health care services available or rendered, and qualifications of a person rendering health care or ancillary services.

    (e)    “Serious injury” means an injury that:

        (1)    creates a substantial risk of death;

        (2)    causes serious permanent or serious protracted disfigurement;

        (3)    causes serious permanent or serious protracted loss of the function of any body part, organ, or mental faculty;

        (4)    causes serious permanent or serious protracted impairment of the function of any bodily member or organ; or

        (5)    involves extreme physical pain.

    (f)    (1)    “State health plan” includes:

            (i)    the State Medical Assistance Plan established in accordance with Title XIX of the federal Social Security Act of 1939;

            (ii)    a medical assistance plan established by the State; or

            (iii)    a private health insurance carrier, health maintenance organization, managed care organization as defined in § 15-101 of the Health - General Article, health care cooperative or alliance, or other person that provides or contracts to provide health care services that are wholly or partly reimbursed by or are a required benefit of a health plan established in accordance with Title XIX of the federal Social Security Act of 1939 or by the State.

        (2)    “State health plan” includes a person that provides or contracts or subcontracts to provide health care services for an entity described in paragraph (1) of this subsection.