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Utah Code Title 26B. Utah Health and Human Services Codes § 26B-3-1101. Definitions

Current as of January 01, 2025 | Updated by Findlaw Staff

As used in this part:

(1) “Benefit” means the receipt of money, goods, or any other thing of pecuniary value.

(2) “Claim” means any request or demand for money or property:

(a) made to any:

(i) employee, officer, or agent of the state;

(ii) contractor with the state; or

(iii) grantee or other recipient, whether or not under contract with the state; and

(b) if:

(i) any portion of the money or property requested or demanded was issued from or provided by the state; or

(ii) the state will reimburse the contractor, grantee, or other recipient for any portion of the money or property.

(3) “False statement” or “false representation” means a wholly or partially untrue statement or representation which is:

(a) knowingly made; and

(b) a material fact with respect to the claim.

(4) “Health care provider” means the same as that term is defined in Section 26B-8-411.

(5) “Knowing” and “knowingly”:

(a) for purposes of criminal prosecutions for violations of this part, is one of the culpable mental states described in Subsection 26B-3-1108(1); and

(b) for purposes of civil prosecutions for violations of this part, is the required culpable mental state as defined in Subsection 26B-3-1109(1).

(6) “Medical benefit” means a benefit paid or payable to:

(a) a health care provider; or

(b) a recipient or a provider under a program administered by the state under:

(i) Titles V and XIX of the federal Social Security Act;  1

(ii) Title X of the federal Public Health Services Act;  2

(iii) the federal Child Nutrition Act of 1966 as amended by Pub. L. No. 94-105; and

(iv) any programs for medical assistance of the state.

(7) “Person” means an individual, corporation, unincorporated association, professional corporation, partnership, or other form of business association.

1 42 U.S.C.A. § 701 et seq. and 42 U.S.C.A. § 1396 et seq.
2 42 U.S.C.A. § 300 et seq.
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Cite this article: FindLaw.com - Utah Code Title 26B. Utah Health and Human Services Codes § 26B-3-1101. Definitions - last updated January 01, 2025 | https://codes.findlaw.com/ut/title-26b-utah-health-and-human-services-codes/ut-code-sect-26b-3-1101/

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