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Medical Services – Glossary

MS Manual 09/01/26

Intellectual Disability – A disability characterized by significant limitations in both intellectual functioning and in adaptive behavior, which covers many everyday social and practical skills.

Intent to Return Home – An individual’s statement that he or she will return to their home when he or she is medically able. Interlocutory Decree –

A court judgment which is temporary and not intended to be final until either: • other matters come before the judge, or • there is a specified passage of time to determine if the interlocutory decree (judgment) is working (becomes accepted by both parties) and should become final.

Licensing and Classification of Facilities –

To receive vendor payment under the Medicaid Program, a facility must be licensed and certified by the Office of Long Term Care (OLTC), andmust execute a provider agreement with the Division of Medical Services.

Licensed Medical Professional –

A licensed dentist, nurse, physician, physical therapist, or occupational therapist. Likely to Remain – With medical documentation (physician’s statement, hospital records, etc.) that the patient is “likely to remain” in the institution and/or facility for a period of 30 days, the eligibility rules may be applied and the individual may be certified, if the individual is otherwise eligible, before a period of 30 days has passed. If the case was opened and the patient does not remain institutionalized 30 days, no penalty will be imposed on the patient (nor on the county by Quality Assurance) if there is “likely to remain” documentation in the case record. “Likely to remain” applies ONLY to individuals in facilities with community spouses. Single individuals must meet the 30-day institutionalization requirement. Limited Assistance – The individual would not be able to perform or complete the activity of daily living (ADL) three or more times per week without another person to aid in performing the complete task by guiding or maneuvering the limbs of the individual or by other non-weight bearing assistance.

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