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UNOFFICIAL 1700.1-40 (1) Medicaid under Title XIX of the Social Security Act; (2) The State children's health insurance program (CHIP) under Title XXI of the Social Security Act; and (3) The section 1115 demonstration project under Title XI of the Social Security Act (42 U.S.C. subchapters XIX, XXI, and XI). “Medicaid agency” means the single State agency designated or established by the State in accordance with 42 C.F.R. §431.10(b) to administer or supervise the administration of the state plan. “Medicaid qualifying trust” means a trust or similar legal device, established on or before August 10, 1993 by an individual or an individual's spouse under which the individual is the beneficiary of all or part of the payments from the trust and the distribution of the trust is determined by the trustee(s) permitted to exercise any discretion in the distribution to the individual. “Medicaid utilization rate” means a fraction (expressed as a percentage), the numerator of which is the hospital's number of inpatient days attributable to individuals who (for such days) were eligible for medical assistance approved under Title XIX of the Social Security Act in a period, and the denominator of which is the total number of the hospital's inpatient days in that period. “Medical assistance” means medical care and long- term care services provided to or paid for on behalf of eligible individuals through Medicaid, and state medical assistance. “Medical condition” means a disease, an illness, or an injury. A biological or psychological condition that lies within the range of normal human variation is not considered a disease, illness, or injury. “Medical education” means direct costs associated with an approved intern and resident teaching program as defined in the Medicare provider reimbursement manual, publication HIM-15.