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COMAR 10.09.24.02
206 State of Maryland Medical Assistance Manual Revised July 2012
(43) "One-time-only" means a time-limited certification. (44) "Optional State Supplement" means a cash payment made by a state to an aged, blind, or disabled person, under §1616 of the Social Security Act. (45) "Period under consideration" means the specified months which are assessed for determination of eligibility. (46) "Public Assistance" means cash assistance payments, including state supplementary payments, made to persons who are eligible for programs administered under Title IV-A or Title XVI of the Social Security Act. (47) "Public Assistance to the Needy Blind" means a former category of public assistance mandated under Title X of the Social Security Act and replaced by Title XVI of the Social Security Act, 42 U.S.C. §1381 et seq. (48) Public Institution. (a) "Public institution" means an institution that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control. (b) "Institution" means an establishment that furnishes, in single or multiple facilities, food, shelter, and some treatment or services to four or more persons unrelated to the proprietor. (c) "Public institution" does not mean a medical institution, a skilled nursing facility, or a publicly operated community residence that serves no more than 16 residents. (49) Publicly Operated Community Residence that Serves No More Than 16 Residents. (a) "Publicly operated community residence that serves no more than 16 residents" means a facility that is publicly operated, serves no more than 16 residents, and offers services beyond food and shelter. (b) "Publicly operated community residence that serves no more than 16 residents" does not mean: (i) Residential facilities located on or adjacent to any large institution or multipurpose center; (ii) Educational or vocational institutions that primarily provide an approved or accredited program to some or all of their residents; (iii) Medical treatment facilities which provide medical care or remedial service on an inpatient basis; or (iv) Correctional or holding facilities which provide for persons who are prisoners, have been arrested or detained, or are held under court order as material witnesses or juveniles.