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Title 7 . Health and Social Services
Chapter 43 . Hearings
Section 1890. Definitions

7 AAC 43.1890. Definitions

In 7 AAC 43.1800 - 7 AAC 43.1890, unless the context requires otherwise,

(1) "intentional program violation" means an action that

(A) an individual takes for the purpose of establishing or maintaining an individual's eligibility for Medicaid benefits; and

(B) intentionally misrepresents, conceals, or withholds a material fact;

(2) "program abuse" means an action that

(A) an individual takes to misuse or overuse Medicaid benefits, including medical transportation; and

(B) results in unnecessary cost to the Medicaid program.

History: Eff. 3/26/2003, Register 165

Authority: AS 47.05.010

AS 47.07.040


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Last modified 7/05/2006