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DEFINITIONS AND ACRONYMS A-200 DEFINITIONS AND USE OF TERMS Absent Parent - a child's parent who is not residing in the home with the child, also known as a non custodial parent. Actual Income Budgeting - actual income amounts are used for calculating benefits when a full month has passed and an eligibility determination is made for prior medical months. Adequate Notice - a written notice which includes a statement of what action(s) will be taken, the reason for the intended action(s), and the specific manual reference(s) that supports the change, the right to a fair hearing and any change in federal or state law that requires the action(s). Advance Notice - adequate written notice which must be mailed at least 13 days before taking an action that would adversely affect eligibility of an ongoing or open case. Advance Premium - Tax Credit (APTC) - payment of the tax credits which are provided on an advance basis to an eligible individual enrolled in a Qualified Health Plan (QHP) through an exchange in accordance with the Affordable Care Act. Adverse Action - any action resulting in reduction or termination of benefits. Denied cases do not require adverse action. Affordable Care Act (ACA) - the Patient Protection and Affordable Care Act of 2010 - reforms that improve access to affordable health coverage for everyone and protect consumers from abusive insurance company practices. The law allows all Americans to make health insurance choices that work for them while guaranteeing access to care for our most vulnerable and provides new ways to bring down costs and improve quality of care. Affordable Insurance Exchanges - this term refers to any state, regional, subsidiary, or federal exchange or marketplace. See Exchange for additional information. Annual Open Enrollment Period - the period each year during which a qualified individual may enroll or change coverage in a Qualified Health Plan (QHP) through the exchange. Annualize - the process of averaging income over a 12-month period. Annuity - a fixed sum of money payable yearly or at other regular intervals. Appeal - an applicant/customer request for a fair hearing concerning an action to reduce, deny or terminate eligibility. Applicant - an individual who is seeking a medical eligibility determination for himself or herself through an application submission or a transfer from another agency or insurance affordability program. Division of Welfare and Supportive Services DEFINITIONS AND ACRONYMS Medical Assistance Manual DEFINITIONS AND USE OF TERMS MTL 10/24 Nov 24 A-200