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North Carolina Department of Health and Human Services AGED, BLIND, AND DISABLED MEDICAID MANUAL

MA-200

DEFINITIONS

18 REISSUED 03/01/11 – CHANGE NO. 03-11 (III) Focused Risk Management Program (FORM) – (formerly Medication Therapy Management) Medicaid recipients participating in FORM may have their prescription overridden at the discretion of the pharmacist. The pharmacists coordinates, integrates and communicates medication regimen discussions with the patients primary care provider and upon consensus, translates the information to the recipient.

Greater Weight of the Evidence – Refers to the quality and convincing force of the evidence rather than to the quantity of the evidence

Guardian --- A person appointed by a court to be legally in charge of the affairs of a minor, or of someone incapable of taking care of his own needs.

Hearing --- A review requested by an a/r to establish whether an adverse action taken by the county department of social services was correct. (See appeal.)

Heir Property --- Ownership of property passed by will or intestate succession.

Homeless --- An individual who lacks a permanent or fixed residence.

Homesite --- Principal place of residence owned by an a/r or a budget unit member.

Identification Card --- A card issued yearly which identifies a person who was authorized for Medicaid when the card was issued. The card does not serve as verification of current eligibility status.

Illegal Alien --- Aliens who entered the U.S. without knowledge of BCIS or were admitted for a limited period of time and did not leave the U.S. when the period of time expired. These aliens may be known or unknown in BCIS but are not in a satisfactory status with BCIS.

Income --- Cash or in-kind resources received for labor, services, government or private benefits, or any money available to members of the budget unit for their maintenance.

Income, Earned --- Money received as a result of employment.

Income, Gross --- Total income before allowable deductions.

Income, Net --- Income after all allowable deductions.

Income, Unearned --- Money received from any source other than employment.

Income Level --- See Maintenance Allowance.

Income Maintenance Caseworker --- Person employed by the county department of social services to determine eligibility for income maintenance programs.