Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4310 - CLIENT LIABILITY-STATE MH/ID FACILITIES › GENERAL PROVISIONS › Section 4310.4 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings, unless the context clearly indicates
						otherwise:
Abatement-
The reduction by the
						Department of an assessed liability amount to zero for a specified
						period.
Assets-
Any resource available to the
						client to meet the cost of services, except real estate constituting the home
						residence of the client, his spouse or dependent children.
Benefit-
A payment or other assistance
						given by an insurance company, mutual retirement fund, or public or private
						agency.
Benefit recipient-
A client receiving
						income in the form of a benefit for which no services have been
						rendered.
Client-
A patient/resident of a State
						mental hospital or State intellectual disability center.
Department-
The Department of Human
						Services of this Commonwealth.
Head of household-
The adult member of
						the household who is recognized by other family members as the primary
						household representative.
Home maintenance exemption-
Documented
						and verified expenses currently being paid and necessary to maintain a home or
						rental residence, which includes mortgage or rental payments, utility bills and
						taxes on the home residence during the period of hospitalization.
Household-
A group of persons living
						together, consisting of the head of household and all other household members
						for whom the head of household has a legal responsibility to provide
						support.
Household member-
A person, including
						the head of household, for whom the head of household is liable.
IRS tax form-
The forms filed by the
						household for Federal income tax purposes-most commonly Forms 1040 and
						1040A.
Institutional collections officer-
The
						Department's employee responsible for applying for all resources available to
						meet the costs of services and establishing client and legally liable relative
						liability.
Intellectual disability professional-
A
						case manager or an individual who is responsible for the clinical treatment
						program of the resident.
LLR-Legally liable relative-
A parent or
						spouse responsible for the costs of service for a client in a State mental
						hospital or State intellectual disability center, or a client who is legally
						responsible for the support of his spouse or dependent children.
Liability-
The portion of the cost of
						service for which the client or legally liable relative is required to
						pay.
Liable person-
A person who has
						responsibility to pay the assessed liability. Liable persons are the client and
						the legally liable relative. In the event that assets, income, or benefits, or
						both, of the client or legally liable relative are controlled by a
						representative payee, a guardian of the estate, or trustee, these persons are
						responsible for assessments made against assets, income, or benefits, or both,
						belonging to the client or legally liable relative.
MAMIS-
The Medical Assistance Management
						Information System responsible for reimbursement to facilities providing care
						to Medical Assistance eligible clients.
Maximum liability-
The most which a
						liable person is required to pay toward the costs of service.
Mental health professional-
An
						individual practicing in a generally recognized clinical discipline including,
						but not limited to, psychiatry, social work, psychology, nursing,
						rehabilitation or activity therapies, who has a graduate degree and clinical
						experience.
Modification-
A reduction of an assessed
						liability, by the Department, to an amount greater than zero, but less than the
						original amount for a specified period.
Nonresident property-
Real property is
						considered "nonresident" if the property:
(i) Is not used as a home by the
					 client.
(ii) Has been the home of
					 the client or his spouse but has not been used for 6 consecutive months and
					 there appears to be little likelihood that either will return to it.
Resident property-
A client's real
						property, used as the client's primary residence, during the first 6 months of
						institutionalization.
The provisions of this §
													4310.4 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).