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UNOFFICIAL 1700.1-31 siblings, their parents, and the spouses of these family members. “Implementation date” means the date determined by the department, but no later than July 1, 2010, when participating health plans began delivering Basic Health Hawaii benefits to enrollees. “INA” means the Immigration and Nationality Act. “Income” means any monies received by an individual or household during a given month. “Indigent” means an individual who is considered eligible for Supplemental Security Income (SSI) or Medicaid, or both. “Individual” psychotherapy means a face-to-face interaction between a therapist and an individual. The term encompasses a wide variety of therapies that differ in intensity and duration. “Individualized service plan” means a written plan based upon an assessment of the individual's needs. “Inflation adjustment” means the estimate of inflation in the costs of providing nursing facility services for a particular period as estimated in the CMS Nursing Home Without Capital Market Basket as reported in the Health Care Cost Review published quarterly by Global Insight, Inc., or its successor. “Informal review” means a preliminary review conducted by department's med-QUEST eligibility office, administrative office, recovery staff, or investigations office staff at the written or oral request of an individual. An informal review is not the same as the administrative hearing. “Informed consent” means a voluntary, knowing assent given in writing. “Inpatient” means an individual who has been admitted to a medical institution as an inpatient on recommendation of a physician or dentist and who: (1) Receives room, board and professional services in the institution for a 24 hour period or longer, or (2) Is expected by the institution to receive room, board and professional services in the institution for a 24 hour period or longer