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:
"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
, 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.
Care Advisory Officer" means the person designated by the governing authority
of a county to make determinations of indigency for residents of the
(d) "Hospital" means a
hospital which is permitted to operate by the Department of Human Resources
pursuant to O.C.G.A. §
"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. §
(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
(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
(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.
Ga. Comp. R. & Regs.
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