Section 2-903 – Authority to Regulate Health Care Facility, Institution, Service, or Program Not Affected by Subtitle
This subtitle does not affect the authority of the Secretary, the Maryland Health Care Commission, or the Health Services Cost Review Commission to regulate a health care facility, a health care institution, a health care service, or a health care program under this article.
Section 2-607 – Retaliatory Action
(a) A person may not take a retaliatory action against an employee, contractor, or grantee because the employee, contractor, or grantee: (1) Acts lawfully in furtherance of an action filed under this subtitle, including an investigation for, initiation of, testimony for, or assistance in an action filed or to be filed under this subtitle; (2) Discloses or threatens […]
Section 2-608 – Notice of Protections and Obligations
An employer shall: (1) Conspicuously display notices of the protections provided to and obligations required of its employees under this subtitle; and (2) Use any appropriate means to inform its employees of the protections and obligations provided under this subtitle.
Section 2-609 – Procedural Matters
(a) A civil action filed under this subtitle may not be filed after the later of: (1) 6 years after the date on which the underlying violation of § 2–602(a) of this subtitle occurred; or (2) 3 years after the date when facts material to the right of action are known by the relator, the State’s Inspector General, […]
Section 2-610 – In General
(a) Any remedy provided under this subtitle is in addition to any other appropriate legal or equitable relief provided under any other applicable State or federal statute or regulation. (b) (1) The State shall make all reasonable efforts to coordinate any investigation of an alleged violation under this subtitle with any investigation conducted by the federal government involving […]
Section 2-611 – Annual Reports
(a) Beginning October 1, 2010, the Inspector General of the Department and the Director of the Medicaid Fraud Control Unit in the Office of the Attorney General shall report annually to the General Assembly, in accordance with § 2–1257 of the State Government Article, the following information for the previous fiscal year: (1) The number of civil […]
Section 2-701 – Definitions
(a) In this subtitle the following words have the meanings indicated. (b) “Claim” has the meaning stated in § 2–501 of this title. (c) “Extrapolation” means the process of estimating an unknown value by projecting, with a calculated precision or margin of error, the results of the review of a sample to the universe from which the sample […]
Section 2-702 – Use of Extrapolation During Audits to Recover Overpayments
(a) Subject to the requirements of this subtitle, the Inspector General, or a contractor or an agent acting on behalf of the Inspector General, may use extrapolation during an audit to recover an overpayment from a provider if: (1) The federal government has also conducted an audit of the program for overpayment; and (2) The monetary recovery amount […]
Section 2-703 – When Extrapolation Permitted
(a) On a finding of an overpayment to a provider, the Inspector General may not use extrapolation unless there is a determination of a sustained or high level of payment error, as defined by regulation. (b) When using extrapolation to determine an overpayment, the sample to be used may not include claims: (1) In which the alleged overpayment […]
Section 2-704 – Methodology; Audit Team
(a) The Inspector General or a contractor or an agent of the Inspector General that conducts an audit under this subtitle in which extrapolation may be used shall: (1) Perform the audit in accordance with a methodology used by the federal government or conducted in accordance with Generally Accepted Auditing Standards (GAAS) and the Statement on Accounting […]