Texas Human Resources Code

§ 36.001 — DEFINITIONS

HR § 36.001Title 2. HUMAN SERVICES AND PROTECTIVE SERVICES IN GENERAL · Part C. ASSISTANCE PROGRAMS · Ch. 36. HEALTH CARE PROGRAM FRAUD PREVENTION · Art. A. GENERAL PROVISIONS

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In this chapter:

(1)"Child health plan program" means the child health plan program established under Chapters 62 and 63, Health and Safety Code. (1-a) "Claim" means a written or electronically submitted request or demand that:

(A)is signed by a provider or a fiscal agent and that identifies a product or service provided or purported to have been provided to a health care recipient as reimbursable under a health care program, without regard to whether the money that is requested or demanded is paid; or

(B)states the income earned or expense incurred by a provider in providing a product or a service and that is used to determine a rate of payment under a health care program.

(2)"Documentary material" means a record, document, or other tangible item of any form, including:

(A)a medical document or X ray prepared by a person in relation to the provision or purported provision of a product or service to a health care recipient;

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Legislative history

Acts 2005, 79th Leg., Ch. 806 (S.B. 563), Sec. 1, eff. September 1, 2005. Acts 2011, 82nd Leg., R.S., Ch. 398 (S.B. 544), Sec. 1, eff. September 1, 2011. Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 4.179, eff. April 2, 2015. Acts 2023, 88th Leg., R.S., Ch. 273 (S.B. 745), Sec. 3, eff. September 1, 2023. Acts 2023, 88th Leg., R.S., Ch. 273 (S.B. 745), Sec. 12, eff. September 1, 2023.