Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter I - Specific Policies By Service
Sec2 144-101-I-2 - State Medicaid Health Information Technology (HIT) Program
Subsection 144-101-I-2.02 - DEFINITIONS

2.02-1 Acute Care Hospital is defined in 42 C.F.R. §495.302.

2.02-2 Adopt, Implement or Upgrade is defined in 42 C.F.R. §495.302.

2.02-3 Cancer Hospital is defined in 42 C.F.R. §495.302.

2.02-4 Certified Electronic Health Record is defined in 42 C.F.R. §170.102.

2.02-5 Children's Hospital is defined in 42 C.F.R. §495.302.

2.02-6 Critical Access Hospitalis defined in 42 C.F.R. §495.4.

2.02-7 Eligible Hospital means a Critical Access Hospital, Acute Care Hospital, Children's Hospital or Cancer Hospital that meets the requirements of this rule.

2.02-8 Eligible Professional means a health care professional as defined in 42 C.F.R. §495.304(b) who has a current Medicaid provider agreement; who performs at least 10% of his or her services not in a hospital emergency room or as hospital inpatient services, or who practices predominantly in an FQHC or RHC; and who meets the requirements of this rule

2.02-9 Encounter Method is the method used to calculate patient encounters described in 42 C.F.R. §495.306(c).

2.02-10 Federal Financial Participation (FFP) is the federal government's share of the State's expenditures under the Medicaid program.

2.02-11 Federally Qualified Health Center (FQHC) means a facility or program as defined in the MaineCare Benefits Manual, Chapter II, Section 31.01-3.

2.02-12 Meaningful Use means the requirements that an Eligible Professional (EP) or Eligible Hospital (EH) must meet to receive an incentive payment as required by CMS under applicable Stage 1 and Stage 2 rules, and Stage 3 rules to be issued and implemented by CMS, and as supplemented by this Rule and the State's approved SMHP and IAPD-U.

2.02-13 Needy Individual is defined in 42 C.F.R. §495.302.

2.02-14 Payment Year is defined in 42 C.F.R. §495.200.

2.02-15 Pediatrician is defined as a medical doctor who diagnoses, treats, examines, and prevents diseases and injuries in children and possesses a valid, unrestricted medical license and board certification in Pediatrics through the American Board of Pediatrics (ABP) or the American Osteopathic Board of Pediatrics (AOBP).

2.02-16 Practices Predominantly is defined in 42 C.F.R. §495.302.

2.02-17 Professional is an individual who is a health care provider and who has a current Medicaid provider agreement.

2.02-18 Provider is defined in MaineCare Benefits Manual, Chapter 1 § 1.02-4(F).

2.02-19 Rural Health Clinic (RHC) means a primary health care clinic as defined in the MaineCare Benefits Manual, Chapter II, § 103.01-5.