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UNOFFICIAL 1700.1-59 will be based on drug status (including non-rebatable, rebatable, therapeutic equivalency rating, etc.), marketplace availability in Hawaii and cost. The drug status will be taken into account to ensure that the SMAC pricing is not influenced by the process listed for drugs. “SMI” means supplementary medical insurance, also known as part B, which provides Medicare coverage of outpatient medical services. “SMI buy-in” means the enrollment and group coverage of beneficiaries for supplementary medical insurance (part B of Medicare) and payment of monthly premiums on the beneficiaries' behalf as provided in an agreement between the State and the Centers for Medicare and Medicaid Services. “SNF” or “skilled nursing facility” means a health care institution or distinct part of an institution that is primarily engaged in providing skilled nursing care or rehabilitative services to injured, disabled, or sick individuals. “Special care percentage” means the result of dividing the Medicaid special care days for a given cost reporting period by the total Medicaid days for the same period. The days reported in the nursery cost center on the cost report shall be excluded from the calculation. “Spenddown” means the amount of an individual’s income in excess of the medically needy income standard identified by the department as available to meet a portion of the individual’s health care cost. “Sponsor” means an individual, church, civic organization, State or local government, or other group or organization which has agreed to help in the reception and initial placement of refugees in the United States and other public and private non-profit agencies, wherever. “Spouse” means an individual who is lawfully married under Hawaii law. “SSA” means the Social Security Administration. “SSI” means supplemental security income under title XVI of the Social Security Act 42 U.S.C. §§1381- 1385).