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UNOFFICIAL 1700.1-25 combination of the preceding relationships prefixed with grand, great-grand, great, great-great, half, and step. “Family therapy” means treatment involving three or more members of the same family and shall be considered a form of group therapy. “Federal medical assistance” means medical assistance in accordance with the State plan under Title XIX or Title XXI, or in accordance with a demonstration under Title XI of the Social Security Act. “Federal Register or Fed. Reg.” means the daily publication for making available to the public federal agency regulations and other legal documents of the executive branch including proposed changes. The regulations and rules as finally approved appear thereafter in the C.F.R. “Fee-for-service” means the component within the medical assistance program that reimburses providers for each eligible service provided. “Feeding assistant” means an individual who has successfully completed a state-approved feeding assistant training program and who is paid by a nursing facility or is used under an arrangement with another agency or organization to feed nursing facility residents who have no complicated feeding problems. Complicated feeding problems include, but are not limited to, difficulty swallowing, recurrent lung aspirations, and tube or parenteral or intravenous feeding. “Financial assistance” means public assistance, except for payments for medical care, social service payments, transportation assistance, and emergency assistance under HRS section 346-65, including funds received from the federal government. “Financial institution” means any bank, savings and loan association, credit union, or other similar organization. “Fiscal agent” means an entity that processes or pays vendor claims for the Medicaid agency. “FPL” or “federal poverty level” means the Federal poverty level updated periodically in the