Ga. Comp. R. & Regs. R. 290-2-26-.01 - Definitions

Current through Rules and Regulations filed through April 4, 2022

Unless a different meaning is required by the context, the following terms as used in these rules and regulations shall have the meaning hereafter respectively ascribed to them:

(a) "Cost of Care" means the cost of services rendered by a hospital for care required to be provided under the provisions of the law and rules and regulations, and for services rendered by a physician in connection there with, at the lesser of the actual charges or the reimbursement rate currently in effect for the hospital and physician under the medical assistance program for the needy [Title XIX of the Social Security Act ( 42 U.S.C.A. Section 1396, et seq.), as amended], but shall not include any portion of such cost which is paid by the indigent patient, by the spouse or a relative of the indigent patient, by the father of the child, by insurance, or by any governmental or other public agency pursuant to any federal, state, or local program paying cost of health care for indigent patients, other than the program established by the Act.

(b) "Department" means the Georgia Department of Human Resources.

(c) "Health Care Advisory Officer" means the person designated by the governing authority of a county to make determinations of indigency for residents of the county.

(d) "Hospital" means a hospital which is permitted to operate by the Department of Human Resources pursuant to O.C.G.A. § 31-7-1, et seq.

(e) "Indigency" means the inability of a patient or other person to pay the entire cost of care determined in accordance with O.C.G.A. § 31-8-43(a).

(f) "Statewide Standards for Determining Indigency" means those standards adopted by the Commissioner of the Department of Human Resources to determine levels of indigency for the purposes of the law.

(g) "Patient" means a pregnant woman who receives services under the law.

(h) "Family" means the adult patient (or married minor patient), the patient's spouse, and any dependent children who reside together, or the (unmarried) minor patient, the patient's parent(s) and any dependent children of the patient or parent(s) who reside together.

(i) "Active labor" means regular, progressive uterine contractions producing cervical thinning and dilation, as determined by a licensed physician.

(j) "Resident of the County" means a person who is domiciled in the county, as defined in O.C.G.A. Chapter 19-2, subject to verification as specified in the Indigency Worksheet Instructions.

Notes

Ga. Comp. R. & Regs. R. 290-2-26-.01

O.C.G.A. § 31-8-40, et seq.

Original Rule entitled "Definitions" was adopted as Emergency Rule 290-2-26-0.5-.01. Filed on June 19, 1985; effective June 19, 1985, the date of adoption, to remain in effect for a period of 120 days or until the effective date of a permanent Rule covering the same subject matter superseding this Emergency Rule, as specified by the Agency. (This Emergency Rule expired October 16, 1985.) Amended: Permanent Rule of the same title adopted. Filed on October 18, 1985; effective November 7, 1985.