Kan. Admin. Regs. § 28-4-400 - Definitions
(a) "Cash assets"
means money, savings accounts, saving certificates, checking accounts, and
stocks and bonds.
(b) "Diagnostic
service" means an evaluation to identify a handicapping disease or disease
process.
(c) "Emergency" means an
unanticipated, urgent event requiring immediate medical treatment.
(d) Family.
(1) "Family," for an eligible person who
resides with the person's parents, stepparents or legal guardian or who is
considered to be a dependent of that person's parents, stepparents or legal
guardian for income tax purposes, means the eligible person, person's parents,
stepparents or legal guardian and all other persons who reside in the same home
as that of the person. Family shall not include persons who lease or rent a
portion of the residence.
(2)
"Family," for an eligible person who has established a separate residence and
is no longer considered a dependent of the person's parents, stepparents or
legal guardian for income tax purposes, means the eligible person, the person's
spouse and children, and all other relatives and persons who reside in the same
home as that person. Family shall not include persons who lease or rent a
portion of the residence.
(e) "Family income" means the total income
received by all adult members of the family, based upon one or more of the
following, with the addition of non-taxable benefits from whatever source:
(1) the total amount of adjusted gross income
reported for federal income tax purposes on the most recent federal income tax
return;
(2) three months of pay
stubs; or
(3) a letter of
anticipated earnings from the employer when the most recent federal income tax
return does not reflect current income.
(f) "Family living allowance" means the
amount established by the secretary as specified in K.A.R. 28-4-403(b).
(g) "Health care plan" means
documents prepared by the secretary that state a plan of treatment, describe
the authorized services, and identify the approved providers of service, the
time frame for provision of services, and the party responsible for payment for
services.
(h) "Prior
authorization" means the approval of a request to provide a specific service
before the provision of the service, or in an emergency, within two working
days after the emergency occurs.
(i) "Managed care" means coordination,
direction, and provision of health services to an identified group of
individuals by providers, agencies or organizations.
(j) "Medicaid" means the title xix of the
social security act.
(k) "Medical
treatment" means any medical or surgical service and any medical equipment,
device or supply provided to a person who is eligible for assistance under the
services for children with special health care needs program.
(l) "Resident" means a person who is living
in the state with the intention of making a permanent home in the state.
(m) "Secretary" means the
secretary of the department of health and environment or the secretary's
designee.
Notes
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