New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 2500 - CATASTROPHIC ILLNESS PROGRAM
Part He-P 2502 - DEFINITIONS
Section He-P 2502.01 - Definitions

Universal Citation: NH Admin Rules He-P 2502.01

Current through Register No. 40, October 3, 2024

(a) "Annual gross income" means the sum of all before-tax income received by the family as stated on the most recent IRS tax return, excluding the sale of property, house, or car, tax refunds, scholarships, or training stipends.

(c) "Applicant" means the person who makes application to the catastrophic illness program (CIP) and who becomes a recipient if determined eligible.

(d) "Catastrophic illness" means "catastrophic illness" as defined in accordance with RSA 137-G:2, II, namely "cancer, hemophilia, end-stage renal disease, spinal cord injury, cystic fibrosis, or multiple sclerosis, the treatment of which requires extensive medical care such as hospitalization, medication, diagnostic evaluation, surgery, dialysis, therapy, or other associated medical expenses such as transportation to and from medical facilities."

(e) "Commissioner" means the commissioner of the department of health and human services.

(f) "Date of application" means the date on which the program receives the signed application.

(g) "Dependent" means a person who may legally be claimed on the federal income tax return of another person.

(h) "Department" means the New Hampshire department of health and human services (DHHS) .

(i) "Family" means two or more persons related by birth, marriage, or adoption who live together, and all such related persons are considered to be members of one family.

(j) "Financial assistance" means a payment in whole or in part for services received for the treatment of the catastrophic illness.

(k) "Medicaid" means the Title XIX program administered by the department, which makes medical assistance available to eligible individuals who are age 19 or over.

(l) "Medical debt" means the combined out-of-pocket dollar amount paid or owed during the 12-month period for the entire family prior to the date of acceptance into the program for services provided by a licensed physician, nurse, therapist, hospital, clinic, or outpatient treatment center to include medical equipment, medications, dental care, ambulance services, home oxygen, and insurance premiums.

(m) "Recipient" means a person over 21 years of age who meets the standards for eligibility as set forth in these rules.

(n) "Third party" means any private insurer, health maintenance organization, hospital service organization, medical service or health services corporation, governmental agency, or any individual, organization, entity, or agency which is authorized or under legal obligation to pay for medical services for an eligible recipient.

(o) "Title XIX" means the joint federal-state program described in Title XIX of the Social Security Act and administered in New Hampshire under the program entitled medicaid.

#2484, eff 9-26-83; ss by #4167, eff 11-6-86; ss by #4638, eff 6-26-89, EXPIRED: 6-26-95

New. #8864, eff 4-13-07

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