Terms Used In Utah Code > Title 63A > Chapter 13 > Part 6 - Miscellaneous Provisions

• Abuse: means :
       (1)(a) an action or practice that:

            (1)(a)(i) is inconsistent with sound fiscal, business, or medical practices; and

            (1)(a)(ii) results, or may result, in unnecessary Medicaid related costs; or
       (1)(b) reckless or negligent upcoding. See Utah Code 63A-13-102
• Contract: A legal written agreement that becomes binding when signed.
• Division: means the Division of Integrated Healthcare, created in Section 26B-3-102. See Utah Code 63A-13-102
• Office: means the Office of Inspector General of Medicaid Services, created in Section 63A-13-201. See Utah Code 63A-13-102
• 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
• Waste: includes an activity that:
            (13)(b)(i) does not constitute abuse or necessarily involve a violation of law; and
            (13)(b)(ii) relates primarily to mismanagement, an inappropriate action, or inadequate oversight. See Utah Code 63A-13-102