As used in the Medicaid False Claims Act:
A. "claim" means a written or electronically submitted request for payment of health care services pursuant to the medicaid program;
B. "department" means the human services department;
C. "medicaid" means the federal-state program administered by the human services department pursuant to Title 19 or Title 21 of the federal Social Security Act;
D. "medicaid recipient" means an individual on whose behalf a person claims or receives a payment from the medicaid program, regardless of whether the individual was eligible for the medicaid program; and
E. "qui tam" means an action brought under a statute that allows a private person to sue for a recovery, part of which the state will receive.
History: Laws 2004, ch. 49, § 3.
Effective dates. — Laws 2004, ch. 49 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective May 19, 2004, 90 days after adjournment of the legislature.
Structure New Mexico Statutes
Chapter 27 - Public Assistance
Article 14 - Medicaid False Claims Act
Section 27-14-1 - Short title.
Section 27-14-3 - Definitions.
Section 27-14-4 - False claims against the state; liability for certain acts.
Section 27-14-5 - Documentary material in possession of state agency.
Section 27-14-7 - Civil action for false claims.
Section 27-14-8 - Rights of the parties to qui tam actions.
Section 27-14-9 - Award to qui tam plaintiff.
Section 27-14-10 - Certain actions barred.
Section 27-14-11 - Department not liable for certain expenses.
Section 27-14-12 - Employee protection.
Section 27-14-13 - False claims and reporting procedure.