Definitions: I–N

(a) “Immigrant” means an individual lawfully admitted for permanent residence in the U.S. who entered the country with the express purpose of maintaining permanent residence.

(b) “In-and-out medical assistance” means medical assistance in any category to which is granted for a period of one to 6 months to eligible AGs.

(c) “Income” means a monetary source that is either earned or unearned.

(d) "Income-in-kind" means goods, commodities, or services which are provided as compensation or contribution in lieu of cash and is considered either earned or unearned.

(e) “Independent living arrangement” means the form of housing for OAA, ANB, and APTD individuals who do not reside in a residential care facility, a community residence, or a licensed and certified nursing facility.

(f) “Inmate” means an individual living in a public institution as described in RSA 167:78, XI, with the exception of those who are described in He-W 824.01.

(h) “Institutionalized individual” means, for purposes of asset transfers, an individual who is an inpatient in a medical institution, as described in 42 CFR 435.1009, and with respect to whom payment is based on a level of care provided in a nursing facility, or who is a home and community-based services applicant or recipient.

( i ) “Insured” means an individual or organization whose life, health, or property is covered by an insurance policy.

(j) “Investigation” means an inquiry made by the department regarding the circumstances upon which a good cause claim is based when documentary evidence is not sufficient.

(k) “Interim disabled parent (IDP)” means the medically needy category of medical assistance for single or 2-parent families in which one or both of the parents are temporarily incapacitated.

(l) “Irrevocable trust” means a trust that cannot in any way be revoked by the grantor.

(m) “Level of eligibility” means the following types of assistance for which an individual might be eligible:

(1) “Categorically needy” medical assistance as defined in 42 CFR 435.4 ;

(2) “Medically needy” medical assistance as defined in 42 CFR 435.4 ; and

(3) “Medicare Savings Program” as defined in He-W 801.05 below.

(n) “Liable relative” means an individual who by law or regulation might be required to contribute to the support of an applicant or recipient of medical assistance.

(o) “Licensed” means approved by the department as meeting federal or state standards.

(p) “Medicaid for employed adults with disabilities (MEAD)” means the medicaid eligibility category defined in 42 USC 1396a(a)(10)(A)(ii)(XV) and established by RSA 167:3-i.

(q) “Medicaid” means the Title XIX and Title XXI programs administered by the department that makes medical assistance available to eligible individuals.

(r) “Medicaid expansion group” means individuals defined in 42 USC 1396a(a)(10)(A)( i )(VIII).

(s) “Medicaid for employed older adults with disabilities (MOAD)” means a category of eligibility that allows certain individuals age 65 or older, who are working to either retain or obtain medicaid eligibility.

(t) “Medicare Savings Program (MSP)” means the 4 medical assistance eligibility groups that serve certain low-income medicare beneficiaries. These groups include the Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), Qualifying Individual (QI), and Qualified Disabled, and Working Individual (QDWI), each separately codified in 42 CFR 435.123 through 42 CFR 435.126.

(u) “Modified adjusted gross income (MAGI)” means MAGI based income defined in 42 CFR 435.603(e).

(v) “Net earned income” means an individual's monthly gross earned income minus all allowable employment-related disregards.

(w) “Net income” means gross income minus all allowable disregards and deductions.

(x) “Non-applicant” means an individual who is not seeking an eligibility determination for the individual’s own self and is instead included in an applicant’s or beneficiary’s household to determine eligibility for such applicant or beneficiary.

(y) “Non-applicant spouse” means the spouse of an OAA, ANB, MEAD, MOAD, or APTD individual who lives with the individual in an independent living arrangement and who is:

(1) Not applying for and not receiving OAA, ANB, MEAD, MOAD, or APTD medical assistance; or

(2) Applying for or currently receiving medical assistance offered by the department other than OAA, ANB, MEAD, MOAD, or APTD.

(z) “Non-citizen” means any individual who is not a citizen of the United States (U.S.).

(aa) “Notice of decision (NOD)” means a computer-generated or manually-prepared form which advises applicants and recipients of the results of eligibility determinations, increase or decrease in the amount of assistance, level of eligibility, or other change.

(ab) “Nursing facility" means a licensed or certified medical facility which provides health-related care and services on a daily inpatient basis in accordance with He-E 802.

Source. #13836, eff 12-28-23