Okla. Stat. tit. 56, § 56-1002
This is the official text of Okla. Stat. tit. 56, § 56-1002, part of Oklahoma’s Stat. tit. 56, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 56,." Browse the sections below, each linked to its official government source.
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Definitions
Official statutory text
As used in the Oklahoma Medicaid Program Integrity Act:
1. "Authority" means the Oklahoma Health Care Authority;
2. "Attorney General" means the Attorney General of this state,
his employees or his authorized representatives;
3. "Claim" means a communication, including written,
electronic, or magnetic, which is utilized to identify a good, item,
or service as reimbursable pursuant to the Oklahoma Medicaid
Program, or which states income or expense and is or may be used to
determine a rate of payment pursuant to the Oklahoma Medicaid
Program; and any application for payment by any person from the
Oklahoma Medicaid Program or its fiscal agents for each good or
service purported by any person to have been provided by any person
to any Medicaid recipient;
4. "Fiscal agents" means any individual, firm, corporation,
professional association, partnership, organization, or other legal
entity which, through a contractual relationship with the Oklahoma
Health Care Authority and, thereby, the State of Oklahoma, receives,
processes, and pays claims under the Oklahoma Medicaid Program;
5. "Kickback" means a return in any form by any individual,
company, corporation, partnership, or association of a part of an
expenditure made by a provider:
a. to the same provider,
b. to an entity controlled by the provider or,
c. to an entity which the provider intends to benefit
whenever such expenditure is reimbursed, or
reimbursable, or claimed by a provider as being
reimbursable by the Oklahoma Medicaid Program and when
the sum or value returned is not credited to the
benefit of the Oklahoma Medicaid Program;
6. "Medicaid recipient" means any individual in whose behalf
any person claimed or received any payment or payments from the
Oklahoma Medicaid Program or its fiscal agents, whether or not any
such individual was eligible for benefits under the Oklahoma
Medicaid Program;
Oklahoma Statutes - Title 56. Poor Persons Page 208
7. "Oklahoma Medicaid Program" means the state program
administered by the Oklahoma Health Care Authority pursuant to Title
XIX of the federal Social Security Act, which provides for payments
for medical goods or services on behalf of indigent families with
dependent children and of aged, blind, or disabled individuals whose
income and resources are insufficient to meet the cost of necessary
medical services;
8. "Person" means any Medicaid provider of goods or services or
any employee of such provider, whether that provider is an
individual, individual medical vendor, firm, corporation,
professional association, partnership, organization, or other legal
entity under the Oklahoma Medicaid Program, or any individual,
individual medical vendor, firm, corporation, professional
association, partnership, organization, other legal entity, or any
employee of such who is not a provider under the Oklahoma Medicaid
Program but who provides goods or services to a provider under the
Oklahoma Medicaid Program for which the provider submits claims to
the Oklahoma Medicaid Program or its fiscal agents;
9. "Provider" means any person who has applied to participate
or who participates in the Oklahoma Medicaid Program as a supplier
of a good or a service;
10. "Records" means all medical, professional, or business records
or documents relating to the treatment or care of any recipient, or
to a good or a service provided to any such recipient, or to rates
or amounts paid or claimed for such a good or a service including
but not limited to records of non-Medicaid goods or services to
verify rates or amounts; and any records required to be kept by the
Oklahoma Health Care Authority to be kept by any person; and
11. "Sign" means to affix a signature directly or indirectly by
means of handwriting, typewriter, signature stamp, computer impulse,
or other means recognized by Oklahoma Law.
1. "Authority" means the Oklahoma Health Care Authority;
2. "Attorney General" means the Attorney General of this state,
his employees or his authorized representatives;
3. "Claim" means a communication, including written,
electronic, or magnetic, which is utilized to identify a good, item,
or service as reimbursable pursuant to the Oklahoma Medicaid
Program, or which states income or expense and is or may be used to
determine a rate of payment pursuant to the Oklahoma Medicaid
Program; and any application for payment by any person from the
Oklahoma Medicaid Program or its fiscal agents for each good or
service purported by any person to have been provided by any person
to any Medicaid recipient;
4. "Fiscal agents" means any individual, firm, corporation,
professional association, partnership, organization, or other legal
entity which, through a contractual relationship with the Oklahoma
Health Care Authority and, thereby, the State of Oklahoma, receives,
processes, and pays claims under the Oklahoma Medicaid Program;
5. "Kickback" means a return in any form by any individual,
company, corporation, partnership, or association of a part of an
expenditure made by a provider:
a. to the same provider,
b. to an entity controlled by the provider or,
c. to an entity which the provider intends to benefit
whenever such expenditure is reimbursed, or
reimbursable, or claimed by a provider as being
reimbursable by the Oklahoma Medicaid Program and when
the sum or value returned is not credited to the
benefit of the Oklahoma Medicaid Program;
6. "Medicaid recipient" means any individual in whose behalf
any person claimed or received any payment or payments from the
Oklahoma Medicaid Program or its fiscal agents, whether or not any
such individual was eligible for benefits under the Oklahoma
Medicaid Program;
Oklahoma Statutes - Title 56. Poor Persons Page 208
7. "Oklahoma Medicaid Program" means the state program
administered by the Oklahoma Health Care Authority pursuant to Title
XIX of the federal Social Security Act, which provides for payments
for medical goods or services on behalf of indigent families with
dependent children and of aged, blind, or disabled individuals whose
income and resources are insufficient to meet the cost of necessary
medical services;
8. "Person" means any Medicaid provider of goods or services or
any employee of such provider, whether that provider is an
individual, individual medical vendor, firm, corporation,
professional association, partnership, organization, or other legal
entity under the Oklahoma Medicaid Program, or any individual,
individual medical vendor, firm, corporation, professional
association, partnership, organization, other legal entity, or any
employee of such who is not a provider under the Oklahoma Medicaid
Program but who provides goods or services to a provider under the
Oklahoma Medicaid Program for which the provider submits claims to
the Oklahoma Medicaid Program or its fiscal agents;
9. "Provider" means any person who has applied to participate
or who participates in the Oklahoma Medicaid Program as a supplier
of a good or a service;
10. "Records" means all medical, professional, or business records
or documents relating to the treatment or care of any recipient, or
to a good or a service provided to any such recipient, or to rates
or amounts paid or claimed for such a good or a service including
but not limited to records of non-Medicaid goods or services to
verify rates or amounts; and any records required to be kept by the
Oklahoma Health Care Authority to be kept by any person; and
11. "Sign" means to affix a signature directly or indirectly by
means of handwriting, typewriter, signature stamp, computer impulse,
or other means recognized by Oklahoma Law.
Status: in_force · Read it on the official government site
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