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UNOFFICIAL 1700.1-51 “Promissory note” means a written agreement signed by a person who promises to pay a specific sum of money at a specified time, or on demand, to the holder of the note. “Proprietary provider” means a for-profit provider. “Provider” means any licensed or certified person or public or private institution, agency or business concern authorized by the department to provide health care, service or supplies to individuals receiving medical assistance. “Prudent layperson” means one who possesses an average knowledge of health and medicine. “Prudent layperson standard” refers to the determination of an emergency medical condition based on the judgment of a prudent layperson. “Psychiatric care” means an established mode of practice offering the most effective and humane treatment for the acutely ill. “Psychiatric providers” means those individuals and facilities authorized to provide psychiatric services under the Medicaid program. “Psychiatric service” means psychiatric care. “Public assistance programs” means financial or medical assistance, child support, or social service programs. “Public institution” means an institution that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control. Examples include, but shall not be limited to, jails, prisons, correctional facilities and mental hospitals. “QDWI” or “Qualified Disabled Working Individual” means an individual who: (1) Is eligible to enroll for Medicare Part A under section 1818A of the Act; (2) Has income, as determined in accordance with SSI methodologies that does not exceed two hundred per cent of the Federal poverty guidelines (as defined and revised annually by the Office of Management and Budget) for