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UNOFFICIAL 1700.1-17 accounted for by any nonorganic mental disorder. “Dental allowance add-on” means a per diem amount added to the facility’s basic PPS rate for dental services rendered to the facility’s inpatients. The per diem amount will be the same for all facilities as determined by the department using historical paid dental claims data. “Department” means the department of human services of the state of Hawaii, which includes the single state agency responsible for administering the medical assistance program. “Dependent child” means a child who is under the age of nineteen years. “Dependent family member” means the child, parent, or sibling of an institutionalized individual who is residing with the community spouse, or in the home of the institutionalized individual if there is no community spouse, who may be claimed as a tax dependent under the Internal Revenue Code by the institutionalized individual or the spouse of the institutionalized individual. “DHHS” means the United States Department of Health and Human Services. “DHS” means the department of human services. “Direct supervision” means a healthcare provider able to independently provide services shall be present and available in an inpatient facility or outpatient clinic to provide assistance and direction to a healthcare provider unable to independently provide services but able to provide services under supervision. “Director” means the administrative head of the department of human services unless otherwise specifically noted. “Disabled” means an individual who has been determined disabled by the Social Security Administration or by the department's aid to the disabled review committee (ADRC). “Discharge” means the release of an individual from an acute care facility. The following events are considered discharges: