Section 29-1499. DEFINITIONS

 

1499.1 As used in this chapter, the following terms and phrases shall have the meanings ascribed:

 

Beneficiary - any individual who has received health-care assistance from the District and, if applicable, that individual’s guardian, conservator, personal representative, estate, dependents, and survivors.

 

Chore services - household tasks, essential shopping and other light work to enable recipients to remain in their own homes, provided that other identified needs of the recipient and of other household members are being met, and that the recipient is able to care for his or her personal needs and make his or her own decisions.

 

Corporation Counsel - the Corporation Counsel of the District of Columbia.

 

Department - the D.C. Department of Human Services.

 

Health-care assistance - the health or health-related care and treatment that the District has undertaken to provide free-of-charge or a discounted rate, or to pay for through Medicaid or the Medical Charities Program, or any other program and includes future care and treatment that the Department reasonably anticipates will be provided or paid for by the District. The term “Health-care assistance” includes, but shall not limited to, medical, surgical, nursing, dental, hospital, nursing home, hospice and home care, prostheses and medical appliances, physical and occupational therapy, counseling and psychotherapy, social work, related transportation costs, and funeral and burial expenses.

 

Homemaker services - any or all of the following services, depending on need: basic housekeeping and home management tasks, child care and supervision, as required by the disability of the primary caretaker or his or her temporary absence from the home because of hospitalization, incarceration, or any other temporary absence from the home; assistance with management of personal affairs; personal care services that do not require nursing.

 

Third party - a third-party tortfeasor, beneficiary’s insurer, or any other individual, organization, or entity, that is or may be liable to a beneficiary, in tort or contract, for all or part of the care and treatment the District has undertaken to provide or pay for as health-care assistance.

 

Unreimbursed value of health care assistance - the value or cost of the health and health-related care and services provided directly or through contract to the beneficiary by the District of Columbia.

 

 

source

Final Rulemaking published at 33 DCR 1320 (March 7, 1986); as amended by Final Rulemaking published at 37 DCR 4705 (July 20, 1990).