Iowa Administrative Code › Agency 441 - Human Services Department › Title VIII - Medical Assistance › Chapter 75 - Conditions of Eligibility › Rule 441-75.50 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
The following definitions apply to this division in addition
				  to the definitions in rule
				  441-75.25
				  (249A).
"Applicant"
shall mean a person who is
				  requesting assistance on the person's own behalf or on behalf of another
				  person, including recertification under the medically needy program. This also
				  includes parents living in the home with the children and the nonparental
				  relative who is requesting assistance for the children.
"Application period"
means the months
				  beginning with the month in which the application is considered to be filed,
				  through and including the month in which an eligibility determination is
				  made.
"Assistance unit"
includes any person whose
				  income is considered when determining eligibility.
"Bona fide offer"
means an actual or genuine
				  offer which includes a specific wage or a training opportunity at a specified
				  place when used to determine whether the parent has refused an offer of
				  training or employment.
"Central office "
shall mean the state
				  administrative office of the department of human services.
"Change in income "
means a permanent change
				  in hours worked or rate of pay, any change in the amount of unearned income, or
				  the beginning or ending of any income.
"Change in work expenses "
means a permanent
				  change in the cost of dependent care or the beginning or ending of dependent
				  care.
"Department"
shall mean the Iowa department
				  of human services.
"Dependent"
means an individual who can be
				  claimed by another individual as a dependent for federal income tax
				  purposes.
"Dependent child"
or
"dependent
				  children "
means a child or children who meet the nonfinancial
				  eligibility requirements of the applicable FMAP-related coverage group.
"Income in-kind"
is any gain or benefit
				  which is not in the form of money payable directly to the eligible group
				  including nonmonetary benefits, such as meals, clothing, and vendor payments.
				  Vendor payments are money payments which are paid to a third party and not to
				  the eligible group.
"Initial two months "
means the first two
				  consecutive months for which eligibility is granted.
"Medical institution,"
when used in this
				  division, shall mean a facility which is organized to provide medical care,
				  including nursing and convalescent care, in accordance with accepted standards
				  as authorized by state law and as evidenced by the facility's license. A
				  medical institution may be public or private. Medical institutions include the
				  following:
1. Hospitals.
2. Extended care facilities (skilled
				nursing).
3. Intermediate care
				facilities.
4. Mental health
				institutions.
5. Hospital schools.
"Needy specified relative"
means a
				  nonparental specified relative, listed in 75.55(1), who meets all the
				  eligibility requirements of the FMAP coverage group, listed in 75.1(14).
"Nonrecurring lump sum unearned income "
means a payment in the nature of a windfall, for example, an inheritance, an
				  insurance settlement for pain and suffering, an insurance death benefit, a
				  gift, lottery winnings, or a retroactive payment of benefits such as social
				  security, job insurance or workers' compensation.
"Parent"
means a legally recognized parent,
				  including an adoptive parent, or a biological father if there is no legally
				  recognized father
"Prospective budgeting "
means the
				  determination of eligibility and the amount of assistance for a calendar month
				  based on the best estimate of income and circumstances which will exist in that
				  calendar month.
"Recipient"
means a person for whom Medicaid
				  is received as well as parents living in the home with the eligible children
				  and other specified relatives as defined in subrule 75.55(1) who are receiving
				  Medicaid for the children. Unless otherwise specified, a person is not a
				  recipient for any month in which the assistance issued for that person is
				  subject to recoupment because the person was ineligible.
"Schedule of needs "
means the total needs
				  of a group as determined by the schedule of living costs, described at subrule
				  75.58(2).
"Stepparent"
means a person who is not the
				  parent of the dependent child, but is the legal spouse of the dependent child's
				  parent by ceremonial or common-law marriage.
"Unborn child"
shall include an unborn child
				  during the entire term of the pregnancy.
"Uniformed service "
means the Army, Navy,
				  Air Force, Marine Corps, Coast Guard, National Oceanographic and Atmospheric
				  Administration, or Public Health Service of the United States.