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ADULT CHILD—An individual whose legal or biological relationship to another is child, but who has reached the legal age of majority (18). For purposes of determining exemption of a home, a “dependent adult child” is one who is dependent upon his/her parent(s) and is claimed on the parents’ income taxes (or if the parents did not file an income tax return but could claim the child if they did file one) as a dependent. ADVANCED PREMIUM TAX CREDIT (APTC)—The Affordable Care Act provides a new tax credit to help consumers afford health coverage purchased through the Marketplace. The consumer must purchase the health insurance through the Federally Facilitated Marketplace in order to receive the tax credit. ADVERSE ACTION—A decision to deny, decrease, suspend or terminate the benefits. AGED—Sixty-five (65) years of age or older. AGED/BLIND/DISABLED (ABD) MEDICAID—Term used to reference Medicaid programs serving aged, blind and disabled individuals. ABD Medicaid uses the financial and some non-financial criteria of the SSI cash assistance program administered by the Social Security Administration. ABD programs have also been known as SS-related Medicaid. ALERT—A system reminder to the worker to reevaluate case circumstances. ALIEN—A person residing in the United States of America who is not a citizen. ALIEN SPONSOR—A person or any public or private agency or organization that executed an affidavit of support (Form I-134) or similar agreement so that an alien could enter the United States. ALIMONY—Court ordered payment made by one spouse or former spouse to another after a legal separation or divorce. Spousal Support is income to the recipient and, if court-ordered, an income disregard to the payer. AMERICAN INDIAN OR ALASKA NATIVE (AI/AN)— a person who (A) is an Indian or an Urban Indian (as defined in paragraphs (13) and (28) of section 4 of the Indian Health Care Improvement Act), (B) is a California Indian (as described in section 809(a) of such Act), or (C) has otherwise been determined eligible as an Indian for the Indian Health Service under HHS regulations. ANCILLARY CHARGES—Fees for medical services (such as hospital, doctor, ambulance, prescriptions or therapy) that are not included in the cost of medical institutional care. ANNUITY—An agreement between two parties in which one party (annuitant) transfers an asset to another party (obligor) in return for unsecured payments for the remainder of the annuitant's life. Annuities may be purchased by an individual, an employer, or as part of a court ordered settlement. The annuity contract may be a resource, and the payments are countable income. • Commercial Annuity: A Commercial Annuity is an annuity, endowment, or life insurance contract issued by an insurance company licensed to do business under the laws of any State. • Private Annuity: For the agreement to be classified as a private annuity, neither party can be in the business of selling annuities - that is, neither party can be an insurance company. ANNUITY CONVERSION: Certain actions to change an annuity, such as annuitizing a previously un-annuitized annuity or change an annuity form one time to