Md. Code Regs. 10.09.79.02

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

Section 10.09.79.02 - Definitions

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

B. Terms Defined.

(1) "Applicant" means an individual who has applied for presumptive eligibility at a participating qualified correctional facility.

(2) 'Application" means the presumptive eligibility application.

(3) "Correctional facility" has the meaning stated in Correctional Services Article, § 1-101, Annotated Code of Maryland, and includes:

(a) Correctional facilities under the direction of the Department of Public Safety and Correctional Services; and

(b) Local correctional facilities within the State's 24 local jurisdictions.

(4) "Department" means the Department of Health and Mental Hygiene, which is the single State agency designated to administer the Maryland Medical Assistance Program pursuant to Title XLX of the Social Security Act, 42 U.S.C. § 1396 et seq.

(5) "Determination" means a decision regarding an applicant's presumptive eligibility.

(6) "Federal poverty level" means the poverty guidelines updated periodically in the Federal Register by the U.S. Department of Health and Human Services under the authority of 42 U.S.C. § 9902(2).

(7) "Former foster care " means an individual who:

(a) Is younger than 26 years old;

(b) Is not eligible and enrolled for coverage under a mandatory Medical Assistance group other than childless adult; and

(c) Was formerly in a Maryland out-of-home placement, including categorical Medical Assistance:

(i) On attaining age 18 and leaving out-of-home placement; or

(ii) On attaining age 19-21 during extended out-of-home placement under COMAR 07.02.11.04B.

(8) "Incarcerated inmate " means an individual who resides in a public institution involuntarily as a result of being accused or found guilty of a criminal offense, including the duration of time in which the individual is involuntarily residing in the public institution in a preadjudication or pretrial status.

(9) "Income" means property or a service received by an individual in cash or in-kind that can be applied directly, or by sale or conversion, to meet basic needs for food, shelter, and medical expenses.

(10) "Medical Assistance " means the program administered by the State under Title XIX of the Social Security Act, which provides comprehensive medical and other health-related care for eligible individuals.

(11) "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.

(12) "Memorandum of understanding" means the agreement by which the correctional facility has contracted with the Department and been deemed a qualified entity eligible to make presumptive eligibility decisions.

(13) "Presumptive eligibility" means temporary eligibility for Medical Assistance as determined by an eligibility worker at a participating qualified correctional facility in accordance with this chapter.

Md. Code Regs. 10.09.79.02

Regulation .01 adopted effective 44:25 Md. R. 1180, eff. 12/18/2017; amended effective 46:26 Md. R. 1164, eff. 12/30/2019