Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) › Chapter I - Specific Policies By Service › Sec2 144-101-I-2 - State Medicaid Health Information Technology (HIT) Program › Subsection 144-101-I-2.02 - DEFINITIONS

Current through 2024-29, July 17, 2024
2.02-1
Acute Care Hospital
is
					 defined in
					 42
					 C.F.R. §495.302.
2.02-2
Adopt, Implement or
					 Upgrade
is defined in
					 42
					 C.F.R. §495.302.
2.02-3
Cancer Hospital
is
					 defined in
					 42
					 C.F.R. §495.302.
2.02-4
Certified Electronic Health
					 Record
is defined in 42 C.F.R. §170.102.
2.02-5
Children's Hospital
is
					 defined in
					 42
					 C.F.R. §495.302.
2.02-6
Critical Access
					 Hospital
is defined in
					 42
					 C.F.R. §495.4.
2.02-7
Eligible Hospital
means a
					 Critical Access Hospital, Acute Care Hospital, Children's Hospital or Cancer
					 Hospital that meets the requirements of this rule.
2.02-8
Eligible Professional
means a health care professional as defined in
					 42 C.F.R.
					 §495.304(b) who has a
					 current Medicaid provider agreement; who performs at least 10% of his or her
					 services not in a hospital emergency room or as hospital inpatient services, or
					 who practices predominantly in an FQHC or RHC; and who meets the requirements
					 of this rule
2.02-9
Encounter
					 Method
is the method used to calculate patient encounters described in
					 42 C.F.R.
					 §495.306(c).
2.02-10
Federal Financial Participation
					 (FFP)
is the federal government's share of the State's expenditures
					 under the Medicaid program.
2.02-11
Federally Qualified Health Center (FQHC)
means a facility or
					 program as defined in the
MaineCare Benefits Manual
, Chapter
					 II, Section 31.01-3.
2.02-12
Meaningful Use
means the requirements that an Eligible
					 Professional (EP) or Eligible Hospital (EH) must meet to receive an incentive
					 payment as required by CMS under applicable Stage 1 and Stage 2 rules, and
					 Stage 3 rules to be issued and implemented by CMS, and as supplemented by this
					 Rule and the State's approved SMHP and IAPD-U.
2.02-13
Needy Individual
is
					 defined in
					 42
					 C.F.R. §495.302.
2.02-14
Payment Year
is defined
					 in 42 C.F.R.
					 §495.200.
2.02-15
Pediatrician
is defined
					 as a medical doctor who diagnoses, treats, examines, and prevents diseases and
					 injuries in children and possesses a valid, unrestricted medical license and
					 board certification in Pediatrics through the American Board of Pediatrics
					 (ABP) or the American Osteopathic Board of Pediatrics (AOBP).
2.02-16
Practices Predominantly
is defined in
					 42
					 C.F.R. §495.302.
2.02-17
Professional
is an
					 individual who is a health care provider and who has a current Medicaid
					 provider agreement.
2.02-18
Provider
is defined in
MaineCare Benefits Manual
,
					 Chapter 1 § 1.02-4(F).
2.02-19
Rural Health Clinic (RHC)
means a primary health care clinic as
					 defined in the
MaineCare Benefits Manual
, Chapter II, §
					 103.01-5.