Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.79 - Presumptive Eligibility for Correctional Facilities › Section 10.09.79.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
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.