§ 2–701
Statutes in effect as of October 1, 2026.
Md. Code Ann., Health-Gen. § 2-701 (2026)
Title 2. Maryland Department of Health
Subtitle 7. Use of Extrapolation in Recovery of Health Claim Overpayments
§ 2–701LinkCopy Citation
(a)
In this subtitle the following words have the meanings indicated.
(b)
“Claim” has the meaning stated in § 2–501 of this title.
(c)
“Extrapolation” means the process of estimating an unknown value by projecting, with a calculated precision or margin of error, the results of the review of a sample to the universe from which the sample was drawn using a statistically valid sampling methodology.
(d)
“Federal government” means an agency of the United States government or a contractor retained by the agency of the United States government.
(e)
“Overpayment” means a payment that:
(1)
Is made by the Department to a provider for services or goods for which the provider submitted a claim to the Department;
(2)
Is found to be incorrect; and
(3)
Results in a payment greater than that to which the provider is entitled.
(f)
“Program” has the meaning stated in § 2–501 of this title.
(g)
“Provider” has the meaning stated in § 2–501 of this title.
(h)
“Statistically valid sampling methodology” means a methodology used for extrapolation that has a confidence level of 90% or greater and is validated by a statistician who possesses at least a master’s degree in statistics.
(i)
“Universe” means a defined population of claims submitted by a provider to the Department and paid to the provider by the Department during a specified time period.