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New York · Through 2026-09-11

N.Y. Penal Law § 177.00: Definitions

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Where this section sits in the code
  1. Penal Law
  2. Part 3. Specific Offenses
  3. Title K. Offenses Involving Fraud
  4. Article 177. Health Care Fraud

§ 177.00 Definitions.

The following definitions are applicable to this article:

1. "Health plan" means any publicly or privately funded health

insurance or managed care plan or contract, under which any health care

item or service is provided, and through which payment may be made to

the person who provided the health care item or service. The state's

medical assistance program (Medicaid) shall be considered a single

health plan. For purposes of this article, a payment made pursuant to

the state's managed care program as defined in paragraph (c) of

subdivision one of section three hundred sixty-four-j of the social

services law shall be deemed a payment by the state's medical assistance

program (Medicaid).

2. "Person" means any individual or entity, other than a recipient of

a health care item or service under a health plan unless such recipient

acts as an accessory to such an individual or entity.

Collected 2026-09-14T19:32:45Z. Source file · JSON

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