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Impairment-Related Work Expenses IV-D Agency A state, county, or private agency that is responsible for establishing paternity and collecting child support and medical support according to Title IV-D of the Social Security Act. LCA Local Coordinating Agencies for the Wisconsin Well Woman Medicaid Program. lien A legal claim against property for the satisfaction of a debt. The lien is paid off at the time the property is sold. LIFBC Life Insurance-Funded Burial Contract LIS Low Income Subsidy of Medicare Part D. This is also called "Extra Help" by the SSA. It helps people with limited resources pay for a portion of Part D costs. LLC limited liability company LOC level of care. Used in the Family Care, PACE, Family Care Partnership, IRIS, and Home and Community- Based Waiver programs. LTC long-term care MADA Medicaid — Disability Application MAGI Modified Adjusted Gross Income managed care A health care delivery system under which enrollees receive most medical services through a health plan or network of providers which coordinates the services provided. DHS pays a fixed rate in advance for each enrollee. MAPP