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COMAR 10.09.24.02
202 State of Maryland Medical Assistance Manual Revised July 2012
(a) Health insurer; (b) Non-profit health service plan; (c) Health maintenance organization; (d) Dental plan organization; and (e) Any other person included as a third party in Section 1902(a)(25)(A) of the Social Security Act, as amended by the Federal Deficit Reduction Act of 2005. (11) "Categorically needy" means aged, blind, or disabled persons, or families and children, who are otherwise eligible for Medical Assistance and who meet the financial eligibility requirements for FIP, SSI, or Optional State Supplement. (12) "Child" means an unmarried person younger than 21 years old. (13) "Chronic hospital" means an institution which falls within the jurisdiction of Health-General Article, §19-307(a)(1), Annotated Code of Maryland, and is licensed pursuant to COMAR 10.07.01. (14) "Comprehensive care facility" means a nursing facility licensed as a comprehensive care facility pursuant to COMAR 10.07.02. (14-1) "Continuing care retirement community (CCRC)" means an entity that obtains certificate of registration issued by the Maryland Department of Aging in accordance with COMAR 32.02.01 and pursuant to its authority under Article 70B, Annotated Code of Maryland. (15) "Corrective Managed Care Program" means the program administered by the Division of Utilization and Eligibility Review of the Medical Care Compliance Administration which limits recipients who have abused or misused Medical Assistance benefits to access most covered services through a single primary medical provider and a single pharmacy. (16) "Department" means the Department of Health and Mental Hygiene, the single State agency designated to administer the Medical Assistance Program. (17) "Department of Human Resources" means the department of State government which administers the FIP program. (18) "Determination" means a decision regarding an applicant's eligibility for Medical Assistance. (19) "Disabled" means the inability to perform any substantial gainful activity by reason of a medically determinable physical or mental impairment which can be expected to result in death, or which has lasted or can be expected to last for a continuous period of not less than 12 months.