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15. “Medically needy” means a classification of persons eligible to receive Medicaid based upon similar characteristics who are subject to the MAGI standard for determining income eligibility. 16. “Navigator” means a person working for a State-contracted organization with certified assisters who have expertise in Medicaid eligibility and enrollment. 17. “Non-MAGI coverage group” means a Medicaid coverage group that is not subject to the modified adjusted gross income eligibility determination. Includes Medicaid for persons who are aged, blind or living with disabilities and persons in need of long-term services and supports as well as individuals who qualify for Medicaid based on their eligibility for another publicly-funded program, including children in foster care, anyone receiving Supplemental Security Income (SSI) or eligible for or enrolled in the Medicare Premium Assistance Program. 18. “Peer navigator” means paraprofessionals with specialized training who are community resource specialists employed and supervised by peer advocacy organizations. 19. “Prospective Medicaid enrollee” means a Medicaid beneficiary who has not enrolled in an MCO. 20. “Prudent layperson standard” means the standard used to determine the need for an emergency room visit. An “emergency” is defined as a condition that a prudent layperson “who possesses an average knowledge of health and medicine” expects may result in: a. Placing a patient in serious jeopardy; b. Serious impairment of bodily function; or c. Serious dysfunction of any bodily organs. 21. “Rhody health partners” means the Medicaid managed care program that delivers affordable health coverage to eligible adults without dependent children, ages nineteen (19) to sixty-four (64), under § 2.18 of this Part and adults with disabilities eligible under Part 40-10-1 of this Title. 22. “RIte care” means the Medicaid managed care delivery system for eligible parents/caretakers, pregnant women, children up to age nineteen (19), young adults older than age nineteen (19), and foster children (DCYF custody) (see § 2.1 of this Part). 23. “RIte share” means the Medicaid premium assistance program for eligible individuals and families who have access to cost-effective commercial coverage.