Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.60 - Senior Prescription Drug Assistance Program
Section 10.09.60.01 - Definitions
Universal Citation: MD Code Reg 10.09.60.01
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Administrator" means the third party
that contracts with the Department to administer the Program.
(2) "Annual household income" has the meaning
stated in Regulation .02B of this chapter.
(3) "Department" means the Maryland
Department of Health and Mental Hygiene.
(4) "Eligible individual" means an individual
who meets the criteria set forth in Regulation .02A of this chapter:
(5) "Enrollee" means an individual enrolled
in the Senior Prescription Drug Assistance Program.
(6) "Household member"
means:
(a) An eligible individual;
(b) The spouse of an eligible individual if
the spouse resides in the same residence as the eligible individual;
and
(c) An individual who:
(i) Is related to an eligible individual by
blood, marriage, or adoption;
(ii)
Resides in the same residence as the eligible individual; and
(iii) Is dependent on the eligible individual
or the spouse of the eligible individual for at least one-half of the
individual's support.
(7)
"Prescription drug plan sponsor" means a nongovernmental entity that is
certified by the Centers for Medicare and Medicaid Services as meeting the
requirements of the Medicare Prescription Drug, Improvement, and Modernization
Act of 2003 for offering in the State:
(a) A
Medicare Part D prescription drug plan; or
(b) A Medicare Advantage Plan that provides
prescription drug benefits.
(8) "Program" means
the Senior Prescription Drug Assistance Program established under
Health-General Article, Title 15, Subtitle 10, Annotated Code of
Maryland.
(9) "Program Fund" means the Fund established under
Insurance Article, §15-1004, Annotated Code of
Maryland.
(10) "Reasonable administrative expenses" means
administrative expenses including, but not limited to, marketing, advertising,
mailing, printing, and fully allocated costs for administration of the
Program.
(11) Support and Maintenance Furnished in-Kind.
(a) "Support and maintenance furnished
in-kind" means any food or shelter that is:
(i) Given to an eligible individual or the
spouse of an eligible individual without cost; or
(ii) Received by an eligible individual or
the spouse of an eligible individual because another person has paid the
cost.
(b) "Support and
maintenance in-kind" includes the provision of room, rent, garbage collection
services, mortgage payments, real property tax payments, and heating fuel, gas,
electricity, water, and sewage payments.
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