South Carolina Code of Regulations › Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › Article 5 - MEDICALLY INDIGENT ASSISTANCE PROGRAM (MIAP) › Subarticle 1 - ELIGIBILITY FOR THE MEDICALLY INDIGENT ASSISTANCE PROGRAM (MIAP) › Section 126-500 - Definitions

Current through Register Vol. 48, No. 6, June 28, 2024
A. "Department"
				means the South Carolina Department of Health and Human Services.
B. "County resident" means an individual who
				is a state resident and who lives in a particular county. For the purpose of
				determining eligibility for the MIAP, an individual who does not have an
				established residence in a particular county is considered a resident of the
				county in which the admitting hospital is located. For the purpose of computing
				the county assessment pursuant to 44-6-146(B), Code of Laws of South Carolina
				(1976), as amended, an individual with no established residence shall be
				excluded from the computation.
C.
				"Designee" means the entity with which the county government has arranged to
				determine eligibility for the MIAP.
D. "Family" means the applicant and legally
				responsible relatives who live in the same household. If the applicant is
				legally or financially dependent upon another person, the applicant, the
				responsible person, and all persons related to the applicant by birth,
				marriage, or adoption who are also legally or financially dependent upon the
				responsible person and who reside in the same household as the responsible
				person are considered members of the same family. If the applicant is not
				legally or financially dependent upon another person, the applicant and all
				persons related to the applicant by birth, marriage, or adoption who are also
				legally or financially dependent upon the applicant and who reside in the same
				household as the applicant are considered members of the same family.
E. "General hospital" means any hospital
				licensed as a general hospital by the South Carolina Department of Health and
				Environmental Control.
F. "Gross
				annual income" means the total yearly income, before deductions, of the
				applicant and his family.
G.
				"Hospital bill" means the allowable payment under the Medicaid program for
				inpatient hospital services.
H.
				"Inpatient hospital services" are those items and services ordinarily furnished
				by a hospital for the care and treatment of in patients. Such services must be
				medically justified, documented by the physician's records, and comply with the
				requirements of the Professional Review Organization. Services covered,
				non-covered and restricted are defined in the MIAP Manual.
I. "Poverty guidelines" are the federal
				poverty income guidelines which are issued by the United States Department of
				Health and Human Services.
J.
				"State resident" means a person who is domiciled in South Carolina. A domicile
				once established is lost or changes only when an individual moves to a new
				locality with the intent to abandon his old domicile and the intent to live
				permanently or indefinitely in the new location. For the purposes of the MIAP,
				a migrant or seasonal farm worker is a resident of the State provided he has
				not established a domicile in another State.
K. "Third party payor" means any individual,
				entity, or program that is or may be liable to pay all or part of the medical
				cost of injury, disease, or disability of the individual. It includes Medicare,
				insurance, employee benefit plans, Medicaid, any other State or Federal
				program, or other persons or agencies required by law or a court order to
				provide medical care for an individual.
L. "Liquid assets" are those assets which are
				in cash or payable in cash on demand. Liquid assets also include financial
				instruments convertible into cash within twenty workdays.
M. "Financially dependent" means an
				individual who meets the federal criteria of "dependent" for income tax
				purposes.