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4. A program that makes coverage in a qualified health plan through the exchange with advance payments of the premium tax credit (APTC). 5. A program that makes available coverage in a qualified health plan through the exchange with cost-sharing reductions established under the Affordable Care Act. Intake - the eligibility determination process for an application for medical assistance. Intentional Program Violation (IPV) - Disqualification due to a purposeful or willful misstatement of information by a customer in order to receive more benefits to which they are not entitled. Investigations and Recovery (I&R) - Unit responsible for investigations, recovery of overpayments and prosecution. JTPA - (Changed to Workforce Investment Act of 1998) Job Training Partnership Act is a federal program offering job training. Katie Beckett - a Medicaid eligible category for at-home medical care of disabled children who are ineligible for SSI due to income and/or resources of the parents. Legal Parents - mother, by having given birth to the child, or by proof of adoption; father, by proof of adoption, legal document, court adjudication, or his declaration of paternity. Lump Sum Payment - a financial settlement which often involves funds accumulated over an extended period of time. Managed Care Health Plans - primary managed health care given through specified medical providers. Recipients must enroll in the health plans or receive regular Medicaid coverage. Managed Health Care Plans - expanded health care services/choices for Medicaid recipients. Managing Conservator - a person designated by a court to have daily legal responsibility for a child. Medicaid – Federal and State-paid insurance for low-income eligible individuals, families, pregnant women and children. Medicaid Card - an account card provided to approved Medicaid beneficiaries to use for allowable and necessary medical services. Medicaid Enrolled Health Plan (Primary Care Network/PCN) - the Medicaid Enrolled Health Plan is an alternative to the regular Medicaid program. When a recipient enrolls, they may only use doctors at the health plan facility. The health plan does not limit necessary doctor visits and prescriptions. Medical Review Team (MRT) - Medicaid staff involved in making a disability determination. Division of Welfare and Supportive Services DEFINITIONS AND ACRONYMS Medical Assistance Manual DEFINITIONS AND USE OF TERMS MTL 10/24 Nov 24 A-200