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UNOFFICIAL 1700.1-12 the categorical requirements or income or resource requirements that are the same as or less restrictive than those of the cash assistance programs and who are not receiving cash payments. These optional groups are specified in sections 1902(a)(10)(A)(ii), 1902(e), and 1902(f) of the Social Security Act. “CCFFH” or “community care foster family home” means a home that is certified by the department to provide an individual with twenty-four hour living accommodations and home and community based services. “C.F.R.” or “Code of Federal Regulations” means the annual codification of executive agency regulations. The C.F.R. contains the general body of regulatory laws governing practice and procedures before federal administrative agencies. “Change in circumstance” means any event, reported or unreported to the department, which alters or changes the conditions on which eligibility for benefits was last determined. A change in circumstance shall include, but shall not be limited to a change in household composition, employment, training, the source or amount of countable income, the receipt or amount of a countable resource, the beneficiary's needs, residence, or severity of disability or blindness. “Charity care” means, without limitation, care for which the provider never expected or sought payment. Charity care includes care provided pursuant to the Hill-Burton program, but excludes cash subsidies for patient services as defined above. “Citizenship” means status as a citizen of the United States, and includes status as a national of the United States as defined in 8 U.S.C. §1101(a)(22). “Claim” means that document which is submitted by the provider for payment of health-related services rendered to a beneficiary. “Claim charge data” means charges and other information obtained from billing claim forms processed by the Medicaid fiscal agent. “Clean claim” means one that can be processed without obtaining additional information from the provider of the service from a third party.