Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 14 - CANCER CONTROL › Chapter 10.14.06 - Cigarette Restitution Fund Program › Section 10.14.06.02 - 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 to receive cancer treatment services or tobacco treatment products
				  under this chapter.
(2) "Cancer
				  Prevention, Education, Screening, and Treatment Program" means the program
				  created by Health-General Article, §§13-1101 -13-1119, Annotated Code
				  of Maryland, to provide cancer prevention, education, screening, and treatment
				  services in Maryland.
(3) "Cancer
				  treatment service" means a medical service , medical supply, or medical equipment provided
				  to:
(a) Treat cancer, including:
(i) Surgery;
(ii) Chemotherapy;
(iii) Radiation therapy;
(iv) Hormonal therapy;
(v) Home health services; and
(vi) Medical supplies and medical
				  equipment;
(b) Treat
				  medical complications resulting from cancer screening or treatment;
(c) Treat other comorbid conditions in order
				  to treat cancer; and
(d) Serve the
				  needs of cancer patients for palliative or end-of-life care.
(4) "Department" means the
				  Maryland Department of Health and Mental Hygiene.
(5) "Federal poverty level" means the amount
				  of household income by family size that a family needs for basic necessities as
				  determined by the federal poverty guidelines, as amended, which are updated
				  annually in the Federal Register by the U.S. Department of Health and Human
				  Services.
(6) "Gross annual
				  household income" means the total income of the applicant and any member of the
				  applicant's household received each year from all sources before taxes are
				  withheld or deductions are taken.
(7) "Local health department" means a
				  governmental entity in a county in Maryland that provides public health
				  services.
(8) "Maryland Children's
				  Health Insurance Program " means the program administered by Medical Assistance
				  to provide health insurance coverage to eligible children younger than 19 years
				  old in Maryland.
(9) "Medical
				  Assistance" means the program that:
(a)
				  Provides comprehensive medical and other health-related care for eligible
				  individuals; and
(b) Is
				  administered by the State under Title XIX of the Social Security Act,
				  42 U.S.C. §§
													1396-
				  1396v.
(10) "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.
(11)
				  "Statewide academic health center" means:
(a)
				  The University of Maryland Medical Group;
(b) The Johns Hopkins Institutions;
(c) The organization designated by the
				  Department as stipulated by Health-General Article, §13-1115, Annotated
				  Code of Maryland; or
(d) One or
				  more of the organizations in §B(ll)(a)-(c) of this regulation.
(12) "Tobacco product" means
				  cigarettes, cigars, pipe tobacco, smokeless tobacco, and any other product
				  containing tobacco in any form.
(13) "Tobacco
				  treatment product" means all Food and Drug Administration-approved tobacco
				  cessation medications, including both prescription and over-the-counter
				  medications, that assist individuals to stop using tobacco products.
(14) "Tobacco Use Prevention and Cessation
				  Program" means the program created by Health-General Article,
				  §§13-1001 -13-1014, Annotated Code of Maryland, to provide tobacco
				  use prevention and cessation services in Maryland.
(15) "Underinsured " individual means an
				  applicant:
(a) Who has private medical
				  insurance, Medical Assistance, Medicare, or Maryland Children's Health
				  Insurance Program coverage;
(b) For
				  whom the appropriate treatment is not adequately covered due to out-of-pocket
				  costs including:
(i) Copayments;
(ii) Coinsurance; or
(iii)  Deductibles; and
(c) Who the Department determines does not
				  have the financial means to pay for appropriate treatment.
(16) "Uninsured" individual means an
				  applicant who:
(a) Either:
(i) Does not have private medical insurance,
				  Medical Assistance, Medicare, or Maryland Children's Health Insurance Program
				  coverage; or
(ii) Has private
				  medical insurance, Medical Assistance, Medicare, or Maryland Children's Health
				  Insurance Program coverage that does not provide insurance coverage for
				  medically necessary services for a cancer treatment service or tobacco
				  treatment product; and
(b) Does not have the financial means to pay
				  for a cancer treatment service or tobacco treatment product as defined by the
				  criteria established in this chapter.
(17) "University of Maryland Medical Group
				  (UMMG)" means the University of Maryland Medical Systems Corporation, the
				  University of Maryland Medical School, and the University of Maryland,
				  Baltimore.