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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-15. CHILDLESS ADULTS AGED 50-64 DEMONSTRATION |
Section 29-1599. DEFINITIONS
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1599.1When used in this chapter, the following terms shall have the meanings ascribed:
Administrator - the Senior Deputy Director of the Medical Assistance Administration within the District of Columbia Department of Health.
Centers for Medicaid and Medicare Services or CMS - the branch of the Social Security Administration responsible for overseeing the Medicaid and Medicare programs, which was formerly known as the Health Care Finance Administration or HCFA.
Demonstration program - a program authorized under § 1115 of the Social Security Act whereby state plan requirements are waived for one or more demonstration projects. For the purpose of this chapter this term means eligibility under Medicaid for childless adults aged fifty (50) to sixty-four (64) with annual gross income that is fifty percent (50%) or less of the federal poverty line.
Gross income - the total pre-tax income for a household; this amount includes all income that the Income Maintenance Administration and other agencies may disregard in their eligibility determinations for other programs including Medicaid.
Enrollment ceiling - the limit on the number of enrollees in the demonstration; the limits are based on the amount of funds available from the Disproportionate Share Hospital allocation.
Medical Assistance Administration or MAA - the administration within the Department of Health that administers Medicaid for the District.
Provider - the vendors of State Plan services, which are rendered to Medicaid and Demonstration program enrollees.
Resources - the countable assets as defined by the Income Maintenance Administration.
State Plan - the document specifying scope of Medicaid services, Medicaid eligibility, Medicaid reimbursement,etc.The state plan is available online at http://cms.hhs.gov/medicaid/stateplans/toc.asp?state=DC.