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Long Term Care Facilities Licensed skilled nursing facilities (SNF), skilled nursing units (SNU), intermediate care facilities (ICF), intermediate care facilities for the mentally retarded (ICF-MR) and psychiatric institutions. Lump Sum Payment or Settlement A monetary payment received at one time which will not be repeated on a regular basis. M Mandatory Work Registrant A Food Stamp applicant/recipient who is required to register for employment as a condition of program eligibility. Marriage A legally recognized union of a man and a woman by ceremony or common law. Mass Change A change brought about by a shift in federal or state policy that affects many or all assistance units. Medicaid Program The federally-funded program authorized under Title XIX of the Social Security Act to provide medical assistance to low-income individuals under the age 21, families with dependent children, individuals and couples who are age 65 or older, and blind or disabled individuals. Medical Assistance Program The program authorized by the District of Columbia to provide medical coverage to residents of the District. The Medical Assistance program incorporates the federal Medicaid program, the COBRA Coverage program, and the local DC Medical Charities program. Medical Review Team (MRT) Staff of the Income Maintenance Administration that are designated or contracted to determine incapacity or disability for applicants/recipients of MA, TANF or FS. Medical Support Order An absent parent's voluntary or court-ordered agreement to be responsible for all or a portion of his/her child's medical expenses. Medicare The federally-funded and federally-administered health insurance program authorized by Title XVIII of the Social Security Act. This program provides health insurance to individuals ages 65 and older and individuals who are disabled and receiving Title II Social Security Benefits. Medicare Buy-In Some low-income Medicare beneficiaries, including persons receiving or eligible to receive Medicare based on their receipt of Title II benefits (Social Security), can receive assistance paying for some or all of their Medicare premiums, co-payments, and deductibles. Medicare beneficiaries eligible for this type of assistance are often referred to as participating in the 'Buy In' Program.