(a)    In this part the following words have the meanings indicated.

(b)    “False representation” means the knowing and willful:

(1)    concealing, falsifying, or omitting of a material fact;

(2)    making of a materially false or fraudulent statement; or

(3)    use of a document that contains a statement of material fact that the user knows to be false or fraudulent.

(c)    (1)    “Health care service” means health or medical care procedures, goods, or services that:

(i)    provide testing, diagnosis, or treatment of human disease or dysfunction; or

(ii)    dispense drugs, medical devices, medical appliances, or medical goods for the treatment of human disease or dysfunction.

(2)    “Health care service” includes any procedure, goods, or service that is a required benefit of a State health plan.

(d)    “Representation” includes an acknowledgment, certification, claim, ratification, report of demographic statistics, encounter data, enrollment claims, financial information, health care services available or rendered, and qualifications of a person rendering health care or ancillary services.

(e)    “Serious injury” means an injury that:

(1)    creates a substantial risk of death;

(2)    causes serious permanent or serious protracted disfigurement;

(3)    causes serious permanent or serious protracted loss of the function of any body part, organ, or mental faculty;

(4)    causes serious permanent or serious protracted impairment of the function of any bodily member or organ; or

(5)    involves extreme physical pain.

(f)    (1)    “State health plan” includes:

(i)    the State Medical Assistance Plan established in accordance with Title XIX of the federal Social Security Act of 1939;

(ii)    a medical assistance plan established by the State; or

(iii)    a private health insurance carrier, health maintenance organization, managed care organization as defined in § 15-101 of the Health - General Article, health care cooperative or alliance, or other person that provides or contracts to provide health care services that are wholly or partly reimbursed by or are a required benefit of a health plan established in accordance with Title XIX of the federal Social Security Act of 1939 or by the State.

(2)    “State health plan” includes a person that provides or contracts or subcontracts to provide health care services for an entity described in paragraph (1) of this subsection.