Section 19-14 - A-01. Definitions.
§ 19-14A-01. Definitions.
(a) In general.- In this subtitle the following words have the meanings indicated.
(b) Final report.- "Final report" means the third party liability audit report issued to a nursing home stating the total amount due to the Department as a result of the completed audit.
(c) Nursing home.- "Nursing home" has the meaning stated in § 19-1401(e) of this title.
(d) Third party.-
(1) "Third party" means any individual, entity, or program that is or may be liable to pay all or part of the medical cost of any medical assistance furnished to a recipient under the Medical Assistance Program.
(2) "Third party" includes private health insurance, employment-related health insurance, medical support from absent parents, automobile insurance, court judgments or settlements from a liability insurer, State workers' compensation, first party probate-estate recoveries, or any federal programs.
(e) Third party liability audit.- "Third party liability audit" means a financial review of Medical Assistance payments to a provider to ascertain the legal liability of third parties to pay for care and services available under the Medical Assistance Program.
(f) Third party liability review.- "Third party liability review" means a financial review of the credit balances of a nursing home to ascertain the legal liability of third parties to pay for care and services available under the Medical Assistance Program.
[2003, ch. 394.]