Md. Code Regs. 10.09.37.02

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.37.02 - Definitions

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) Applicant.

(a) "Applicant" means an individual whose written, signed application for the Family Planning Program has been submitted to the Department but has not received final action.

(b) "Applicant" includes a non-pregnant individual whose application is submitted through an authorized representative.

(2) "Application" means the filing of a written and signed application form for the Family Planning Program at the Department or its designee.

(3) "Application date" means the date on which a written, signed application is received by the Department.

(4) "Application form" means the form designated by the Department to be completed, signed, and submitted to the Department, or its designee, as an official application for the Family Planning Program.

(5) "Authorized representative" means a spouse, legal guardian, parent, individual with power of attorney, relative or other individual designated in writing to the Department, authorized concerning the applicant's or participant's eligibility under this chapter to:

(a) Act on an applicant's or participant's behalf; and

(b) Assist with the application or redetermination process and in other communication with the Department.

(6) "Continuing eligibility" means a participant's eligibility for a subsequent certification period after the current certification period, based on the Department's redetermination of eligibility with respect to an individual who is enrolled in Family Planning on the application date.

(7) "Department" means the Department of Health and Mental Hygiene as defined in COMAR 10.09.36.01B, or its authorized agents acting on behalf of the Department.

(8) "Determination" means a decision regarding an applicant's eligibility for the Family Planning Program.

(9) "Family Planning Program" means the program established in Health-General Article, § 15-103 et seq., Annotated Code of Maryland to provide services related to contraceptive care to individuals who meet the eligibility requirements specified in Regulation .03 of this chapter.

(10) "Household size" means:

(a) The applicant;

(b) The spouse who resides with the applicant; and

(c) Any children younger than 19 years old who resides with the applicant.

(11) "Household" means a MAGI household unit as set forth in COMAR 10.09.24.06-1.

(12) "Income" has the meaning stated in COMAR 10.09.24.02B.

(13) "Inmate in a public institution" has the meaning stated in COMAR 10.09.24.05-5.

(14) "MAGI" means modified adjusted gross income, as calculated for purposes of determining eligibility under the Affordable Care Act.

(15) "MAGI coverage groups" has the meaning stated in COMAR 10.09.24.03A.

(16) "Medicare" means the medical insurance program administered by the federal government under Title XVIII of the Social Security Act, 42, §U.S.C. 1395 et seq.

(17) "Participant" means an individual who is determined eligible for the Family Planning Program.

(18) Public Institution.

(a) "Public institution" means an institution that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control.

(b) "Public institution" does not mean a medical institution, a skilled nursing facility, or a publicly operated community residence that serves no more than 16 residents.

(19) "Redetermination" means a determination regarding the eligibility of a participant.

Md. Code Regs. 10.09.37.02

Regulations .02 adopted as an emergency provision effective January 1, 2012 (39:2 Md. R. 139); adopted permanently effective June 11, 2012 (39:11 Md. R. 686); amended effective 45:26 Md. R. 1243, eff. 12/31/2018; amended effective 47:1 Md. R. 12, eff. 1/13/2020