Page 464

Medical Services – Glossary

MS Manual 01/01/24

Substantial Supervision – The promoting, reminding or guidance of another person to perform the task. Third Party – An individual, institution, corporation or agency that is responsible for all or part of the medical costs for the Medicaid recipient. Toileting – The act of voiding of the individual’s bowels or bladder, and includes the use of a toilet, commode, bedpan or urinal, transfers on and off a toilet, commode, bedpan or urinal, the cleansing of the individual after the act, changes of incontinence devices such as pads or diapers, management of ostomy or catheters and adjustment to clothing. Total Dependence – The individual needs another person to completely and totally perform the task for the individual. Transferring – The act of an individual in moving from one surface to another, and includes transfers to and from bed, chairs, wheelchairs, walkers and other locomotive aids. Uncompensated Value – The difference between the equity (fair market value less any amount owed) and the amount received for an item. Undue Hardship – Lack of assistance would deprive the individual of food, shelter and care determined to be medically necessary. For estate recovery: compelling circumstances that would result in placing an unreasonable burden on an heir. Utilization Review (UR) – The section of the Division of Medical Services (DMS) which performs the monitoring and controlling of the quantity and quality of health care services delivered under the Medicaid Program.

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Page 464

Official source

Medical Services – Glossary

MS Manual 01/01/24

Substantial Supervision – The promoting, reminding or guidance of another person to perform the task. Third Party – An individual, institution, corporation or agency that is responsible for all or part of the medical costs for the Medicaid recipient. Toileting – The act of voiding of the individual’s bowels or bladder, and includes the use of a toilet, commode, bedpan or urinal, transfers on and off a toilet, commode, bedpan or urinal, the cleansing of the individual after the act, changes of incontinence devices such as pads or diapers, management of ostomy or catheters and adjustment to clothing. Total Dependence – The individual needs another person to completely and totally perform the task for the individual. Transferring – The act of an individual in moving from one surface to another, and includes transfers to and from bed, chairs, wheelchairs, walkers and other locomotive aids. Uncompensated Value – The difference between the equity (fair market value less any amount owed) and the amount received for an item. Undue Hardship – Lack of assistance would deprive the individual of food, shelter and care determined to be medically necessary. For estate recovery: compelling circumstances that would result in placing an unreasonable burden on an heir. Utilization Review (UR) – The section of the Division of Medical Services (DMS) which performs the monitoring and controlling of the quantity and quality of health care services delivered under the Medicaid Program.

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