As used in the Medicaid False Claims Act:

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Terms Used In New Mexico Statutes 27-14-3

  • Statute: A law passed by a legislature.

A. “claim” means a written or electronically submitted request for payment of health care services pursuant to the medicaid program;

B. “department” or “authority” means the health care authority;

C. “medicaid” means the federal-state program administered by the health care authority pursuant to Title 19 or Title 21 of the federal Social Security Act;

D. “medicaid recipient” means a person on whose behalf a person claims or receives a payment from the medicaid program, regardless of whether the person was eligible for the medicaid program; and

E. “qui tam” means an action brought under a statute that allows a private person to sue for a recovery, part of which the state will receive.