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UNOFFICIAL 1700.1-26 Federal Register by the Secretary of Health and Human Services under the authority of 42 U.S.C. §9902(2), as in effect for the applicable budget period used to determine an individual's eligibility in the medical assistance programs. “FQHC” or “federally qualified health center” means an entity that has been determined by the Secretary of the DHHS to meet the qualifications for a federally qualified health center, as defined in section 1861(aa)(4) of the Social Security Act. “Fraud” means an intentional deception or misrepresentation made by an individual with the knowledge that the deception could result in some unauthorized benefit to that individual or some other individual. It includes any act that constitutes fraud under applicable Federal or State law. “Freestanding” means a medical institution that is not a part of a parent medical institution or a medical institution that is separated geographically from the parent medical institution. “FUL” or “federal upper limits” means the price established by the Center for Medicaid and State Operations. “Full benefit dual eligible” means an individual who is eligible for both Medicare and Medicaid. “Furnished” means items and services provided directly by, or under the direct supervision of, or ordered by, a practitioner or other individual (either as an employee or in his or her own capacity), a provider, or other supplier of services. For purposes of denial of reimbursement within this part, it does not refer to services ordered by one party but billed for and provided by or under the supervision of another. “FY 98 rebasing” means the rebasing that used the cost reports for fiscal years that ended during the state fiscal year ending June 30, 1995. The basic PPS rates that resulted from the FY 98 rebasing are effective July 1, 1997. “G&A” means general and administrative.