Antifraud plan definition

Antifraud plan means the insurance antifraud plan required to be filed and maintained pursuant to this article.
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Antifraud plan means the insurance antifraud plan required
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Antifraud plan means antifraud plans as provided for in Insurance Article, §27-803, Annotated Code of Maryland.
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Examples of Antifraud plan in a sentence

  • Antifraud plan confidential.--Antifraud certifications, plans and reports submitted to the department shall be privileged and confidential and shall not be a public record and shall not be subject to discovery or subpoena in a civil or criminal action.

  • Anti-fraud plan certification.Each insurer writing workers’ compensation insurance as of August 31, 1993, shall certify in writing to the Department by December 31, 1993, that it has instituted and is maintaining an anti-fraud plan that satisfies the requirements of the act as explained by this chapter.

  • Clarifies that the provisions of Title 27, Subtitle 4 of the Insurance Article (submission of an Antifraud plan to the MIA) apply to health maintenance organizations.

  • In the Commissioner’s discretion, an insurance carrier who fails to comply with the requirements of Rules 24.1200 through 24.1400 above may be subject to administrative penalties and other sanctions as provided in 21 V.S.A. §688.24.1600 Anti-fraud plan.

  • Antifraud plan (a) Every health care service plan licensed to do business in this state shall establish an antifraud plan.

  • The Internal Audit 2022-23 plan and the Anti-fraud plan includes provision for the delivery of Fraud awareness sessions to both operational and non-operational staff and the Authority’s members.

  • Medicaid HMO Non-Reform Contract d/b/a HealthEase Contract Section Submission Plan Type Frequency Submit To Section X, Item E.5. Compliance plan, anti-fraud plan, and related fraud and abuse policies & procedures All Within forty-five (45) calendar days after Agency contract execution; Upon initial implementation or revision; or As requested by MPI MPI Section X, Item E.5.b. Anti-fraud plan annual submission All Annually on September 1, beginning September 1, 2013, upon revision, or as requested by MPI.

  • This rule sets forth the criteria for these anti- fraud plans.SUBJECT AREA TO BE ADDRESSED: Anti-fraud plan criteria, including due process requirements.RULEMAKING AUTHORITY: 1001.213(2), 1002.91(8) FS.

  • Groupe ADP continues to strengthen prevention, detection and treatment of fraud with its 3rd Anti-fraud plan for 2015- 2017.To promote the understanding and the application of ethical principals, "Ethical reflex" cards, which present very specific cases, were sent to managers and Human Resources managers in 2016 to help them in supporting employees in the application of ethical principles.

  • Clarifies that the provisions of Title 27, Subtitle 4 of the Insurance Article (submission of an Antifraud plan to the MIA) apply to health maintenance organizations.Repeals fees for appointments under § 2-112(a)(5).

Related to Antifraud plan

  • Broad-Based Black Economic Empowerment Act means the Broad-Based Black Economic Empowerment Act, 2003 (Act No. 53 of 2003);

  • Broad-Based Black Economic Empower-ment Act means the Broad-Based Black Economic Empowerment Act, 2003 (Act No. 53 of 2003);

  • Health and Safety Plan means a documented plan which addresses hazards identified and includes safe work procedures to mitigate, reduce or control the hazards identified;

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Care Plan means a licensee's written description of a resident's needs, preferences, and capabilities, including by whom, when, and how often care and services are to be provided.

  • Rail Safety Act means the Rail Safety Act 1998 (WA);

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • POPI Act means the Protection of Personal Information Act, Act 4 of 2013;

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Occupational Health and Safety Act means the Occupational Health and Safety Act, 1993 (Act No 85 of 1993);

  • Disaster Management Act means the Disaster Management Act, 2002 (Act No.57 of 2002)

  • HITECH Act means the Health Information Technology for Economic and Clinical Health Act, TitleXIII, Subtitle D, Part 1 & 2 of the American Recovery and Reinvestment Act of 2009.

  • Biological safety cabinet means a containment unit suitable for the preparation of low to moderate risk agents where there is a need for protection of the product, personnel, and environment, according to National Sanitation Foundation (NSF) Standard 49.

  • Emergency Response Plan means the plan constituting the set of procedures developed by the Owner for dealing with an Incident which may impact on the Network or Connecting Infrastructure, including all actions to be taken to minimise or alleviate any threat or danger to any person or property:

  • CER Act means the Canadian Energy Regulator Act (Canada), and regulations thereunder, all as amended or replaced from time to time.

  • health and safety file means a file, or other record containing the information in writing required by these Regulations "health and safety plan" means a site, activity or project specific documented plan in accordance with the client's health and safety specification;

  • Spatial Planning and Land Use Management Act means the Spatial Planning and Land Use Management Act, 2013 (Act 16 of 2013);

  • Licensed clinical social worker means an individual who meets the licensed clinical social worker requirements established in KRS 335.100.

  • Health and Safety Laws means all applicable laws, statutes, regulations, secondary legislation, by-laws, directives, treaties and other measures, judgments and decisions of any court or tribunal, codes of practice and guidance notes which are legally binding and in force as at the date of this Agreement in so far as they relate to or apply to the health and safety of any person.

  • PBR Act means the Plant Breeder’s Rights Xxx 0000 (Cth) as amended from time to time.

  • StarCompliance Code of Ethics application means the web-based application used to electronically pre-clear personal securities transactions and file many of the reports required herein. The application can be accessed via the AB network at: https://alliance-ng.starcompliance.com/.

  • Statutory Plan means a plan required in terms of any legislation, including but not limited to, any structure plan, land use plan, zoning scheme, integrated development plan, water services plan, skills development plan and employment equity plan;

  • Adopt a comprehensive land use plan means to enact a new

  • FFDCA means the United States Federal Food, Drug, and Cosmetic Act, 21 U.S.C. §301 et seq., as amended from time to time, together with any rules, regulations and requirements promulgated thereunder (including all additions, supplements, extensions, and modifications thereto).