Texas Penal Code

§ 35A.01 — DEFINITIONS

PE § 35A.01Title 7. OFFENSES AGAINST PROPERTY · Ch. 35A. HEALTH CARE FRAUD

Statute text

In this chapter:

(1)"Claim" means a written or electronically submitted request or demand that:

(A)is submitted by a provider or the provider's agent and identifies a service or product 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 service or product and is used to determine a rate of payment under a health care program.

(2)"Fiscal agent" means:

(A)a person who, through a contractual relationship with a state agency or the federal government, receives, processes, and pays a claim under a health care program; or

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Legislative history

Acts 2011, 82nd Leg., R.S., Ch. 620 (S.B. 688), Sec. 8, eff. September 1, 2011. Acts 2019, 86th Leg., R.S., Ch. 381 (H.B. 2894), Sec. 6, eff. September 1, 2019.