§ 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.

HISTORY: 2003, ch. 394.