45 CFR Pt. 162 Subpt. D (relating to standard unique health
identifier for health care providers).
"Person" means any individual, facility or entity.
* * *
"Provider" means any individual [or], medical facility or
entity which [signs an agreement with the department to
participate in the medical assistance program, including, but
not limited to, licensed practitioners, pharmacies, hospitals,
nursing homes, clinics, home health agencies and medical
purveyors.] provides goods or services reimbursable under the
medical assistance program.
* * *
"Recipient" means an [eligible person who receives medical
assistance from a participating provider.] individual who
receives goods or services from a provider reimbursable under
the medical assistance program.
"Record" means any of the following:
(1) Any document in written, electronic or any other format
retained by a provider under the medical assistance program,
including, but not limited to, medical, professional, financial
or business documents which relate to:
(i) the treatment or care of a recipient;
(ii) goods or services provided to a recipient; or
(iii) rates paid for goods or services provided to a
recipient.
(2) Any document in written, electronic or any other format
that is required by the rules or regulations of the department
to be retained by a provider under the medical assistance
program.
* * *
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