Sec. 09.58.100. Definitions.

253 words·~1 min read·/ak/title-9/chapter-58/09-58-100

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

In this chapter,

(1)“attorney general” includes a designee of the attorney general;

(2)“claim” means a request for payment of health care services or equipment, whether made to a contractor, grantee, or other person, when the state provides, directly or indirectly, a portion of the money, property, or services requested or demanded, or when the state will, directly or indirectly, reimburse the contractor, grantee, or other recipient for a portion of the money, property, or services requested or demanded;

(3)“controversy” means the aggregate of one or more false claims submitted by the same medical assistance provider or medical assistance recipient under this chapter;

(4)“knowingly” means that a person, with or without specific intent to defraud,

(A)has actual knowledge of the information;

(B)acts in deliberate ignorance of the truth or falsity of the information; or

(C)acts in reckless disregard of the truth or falsity of the information;

(5)“medical assistance program” means the federal-state program administered by the Department of Health under AS 47.05 and AS 47.07 and regulations adopted under AS 47.05 and AS 47.07 ;

(6)“medical assistance provider” has the meaning given in AS 47.05.290 ;

(7)“medical assistance recipient” has the meaning given in AS 47.05.290 ;

(8)“obligation” means an established duty, whether or not fixed, arising from

(A)an express or implied contractual grantor or grantee or licensor or licensee relationship;

(B)a fee-based or similar relationship;

(C)a statute or regulation; or

(D)the retention of any overpayment.