Maryland Code § HG-19-14A-01

Section HG-19-14A-01
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(a) In this subtitle the following words have the meanings indicated.
(b) "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" has the meaning stated in § 19-1401(e) of this title.
(d) (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" 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" 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.

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