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UPDATED: JANUARY 2012

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GLOSSARY

(MRG) LIMITED LICENSED HOME CARE AGENCY - Provides hourly nursing care and homemaker, housekeeper, personal-care attendant and other health and social services.

LONG-TERM CARE INSURANCE – Insurance available through private companies as a means for individuals to pay for needed care and protect themselves against the high cost of long-term care.

LOOK-BACK PERIOD – For transfers made on or after February 8, 2006, the “look- back period” means the sixty-month period immediately preceding the date that an institutionalized individual is both institutionalized and has applied for Medicaid.

LOW INCOME FAMILIES (LIF) - A category consisting of families with children, children under 21 who are not living with a caretaker relative, applying caretaker relatives (includes adult cases only) and pregnant women. Most Family Assistance recipients will meet the LIF requirements.

LUMP SUM PAYMENTS - Deferred or delayed payments such as benefit awards, bonuses, year end profit sharing, retroactive pay increases and severance pay.

MANAGED LONG TERM CARE PROGRAM (MLTC) - provides health and long- term care services to adults with chronic illness or disabilities to better address their needs and to prevent or delay nursing home placement.

MANAGED LONG TERM CARE IN AN NURSING HOME – Case managed health and long term care to adults with chronic illness or disabilities to better address their needs while in a nursing home.

MEDICAID - A program to assist low-income persons in attaining and paying for medical care. Local Departments of Social Services administer the program, under the oversight of the Department of Health, Office of Health Insurance Programs (OHIP).

MEDICAID BUY-IN FOR WORKING PEOPLE WITH DISABILITIES - Sections 62- 69 of Chapter 1 of the Laws of 2002 established a new Medicaid Buy-In Program to extend Medicaid coverage to working disabled applicants/recipients (A/Rs) who have net incomes at or below 250% of the Federal Poverty Level (FPL) and non-exempt resources. (See REFERENCE INCOME/RESOURCE LEVEL)

MEDICAID CANCER TREATMENT PROGRAM (MCTP) - The Medicaid Cancer Treatment Program for Breast and/or Cervical Cancer provides full Medicaid coverage to individuals who meet the established criteria to qualify for the Centers for Disease Control and Prevention (CDC) screening under the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). The Medicaid Cancer Treatment Program for Colorectal and/or Prostate Cancer provides full Medicaid coverage for individuals who are screened and/or diagnosed by the Cancer Services Program Partnerships (CSPP) or a CSPP provider and meet established criteria.