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COMAR 10.09.24.01-.16 1618 State of Maryland Medical Assistance Manual Revised July 2012
(f) A state health risk pool.
(7) "Enrollee" means a woman who is determined eligible and is receiving Medical Assistance benefits under Regulations .03-1 and .03-2 of this chapter.
(8) "Health professional" means a licensed physician or certified registered nurse practitioner. (9) "Institutionalized person" has the meaning specified at Regulation .08B of this chapter. (10) "Mandatory Medical Assistance categorically needy coverage group" means a Medical Assistance categorically needy coverage group which the federal government requires a state to cover under the State Plan, in accordance with the Code of Federal Regulations.
(11) "Maryland Breast and Cervical Cancer Screening Program" means the National Breast and Cervical Cancer Early Detection Program in Maryland which: (a) Is funded by the State or federal government; (b) Is administered by the Department's Center for Cancer Surveillance and Control through the local jurisdictions; and
(c) Has income and other eligibility requirements.
(12) "National Breast and Cervical Cancer Early Detection Program (NBCCEDP)" means the program of the Centers for Disease Control (CDC), established under Title XV of the Public Health Service Act.
(13) "Needs treatment" means that, according to a written certification by a health professional, the individual needs cancer treatment services, such as chemotherapy, radiation, or surgery.
(14) "Precancerous condition" means for:
(a) Cervical cancer, a condition diagnosed as cervical intra-epithelial neoplasia I, II, or III; or
(b) Breast cancer, a condition diagnosed as atypical ductal hyperplasia or lobular carcinoma in- situ.
(15) "Screening services" means services provided by the Maryland Breast and Cervical Cancer Screening Program to screen for breast or cervical cancer, including clinical breast examinations, mammograms, pelvic examinations, Papanicolaou (Pap) tests, and diagnostic services such as breast ultrasound or colposcopically directed biopsy, to ensure that all women with abnormal screening results receive timely and adequate diagnostic and treatment services.
(16) "Uninsured" means: