Utah Code 26B-3-1101. Definitions
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As used in this part:
(1) “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:(2)(a) made to any:(2)(a)(i) employee, officer, or agent of the state;(2)(a)(ii) contractor with the state; or(2)(a)(iii) grantee or other recipient, whether or not under contract with the state; and(2)(b) if:(2)(b)(i) any portion of the money or property requested or demanded was issued from or provided by the state; or(2)(b)(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.
- Health care provider: means the same as that term is defined in Section 26B-8-411. See Utah Code 26B-3-1101
- 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.
- Property: includes both real and personal property. See Utah Code 68-3-12.5
- 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:(2)(a) made to any:(2)(a)(i) employee, officer, or agent of the state;(2)(a)(ii) contractor with the state; or(2)(a)(iii) grantee or other recipient, whether or not under contract with the state; and(2)(b) if:(2)(b)(i) any portion of the money or property requested or demanded was issued from or provided by the state; or(2)(b)(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:(3)(a) knowingly made; and(3)(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”:(5)(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(5)(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:(6)(a) a health care provider; or(6)(b) a recipient or a provider under a program administered by the state under:(6)(b)(i) Titles V and XIX of the federal Social Security Act;(6)(b)(ii) Title X of the federal Public Health Services Act;(6)(b)(iii) the federal Child Nutrition Act of 1966 as amended by Pub. L. No. 94-105; and(6)(b)(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.