114 CMR 10.02 - Definitions

Commissioner. The Commissioner of the Division of Health Care Finance and Policy.

Committee. The grant review Committee established under 114. 5 CMR 10.07(1).

Division. The Division of Health Care Finance and Policy established under M.G.L. c. 118G.

Low-Income. Low-income is defined by one or more of the following five measures:

(a) Income of less than 300% of the 2001 Department of Health and Human Services Poverty Guidelines (also referred to as the "Federal Poverty Level");
(b) Eligibility for the MassHealth program;
(c) Eligibility for Supplemental Security Income (SSI);
(d) Involvement in an Aging Services Access Point (ASAP); or
(e) Other widely recognized measure(s) of relative income.

Medical Equipment. Equipment directly related to the improvement of patient care and designed to improve the ability of staff to provide appropriate and economical care.

Non-Profit. An organization exempt from Federal income tax; and/or an organization incorporated under M.G.L. c. 180, ยง 3.

Other Charitable Organization for the Elderly. A non-profit organization located in Massachusetts that provides direct services to Massachusetts residents, with at least 50% of its client population over the age of 60. Provider advocacy groups and other organizations that do not regularly provide direct client services are not considered other charitable organizations for the elderly for the purposes of 114. 5 CMR 10.02: Other Charitable Organization for the Elderly.

Underserved Populations. Underserved populations are defined by one or more of the following seven criteria:

(a) Elders with one or more limitations in activities of daily living (ADL's), who are not being assisted, either formally or informally. ADL's include the following: eating; getting out of bed; getting around inside; dressing; bathing; and using the toilet.
(b) Elders that have been, or are at risk of being, victims of elder abuse, which includes the following: physical abuse; sexual abuse; psychological abuse; financial or material exploitation; and neglect.
(c) Elders that lack access to health care, as evidenced by residence in primary care or mental health Medically Under served Areas (MUA's) or Health Professional Shortage Areas (HPSA's), as designated by the Department of Health and Human Services.
(d) Minority elder populations, defined as the following: Black (Non-Hispanic); Hispanic; Asian and Pacific Islander; or American Indian and Alaskan Native.
(e) Elders living an isolated, sedentary lifestyle, thus not engaging in any social activity.
(f) Elders that have a very poor diet, as defined by measures of dietary quality such as the Healthy Eating Index (HEI).
(g) Other indicator(s) of populations with significant unmet needs, as demonstrated by residence in areas with unavailable services or services available only on a limited basis, that are deemed acceptable to the Division.


114 CMR 10.02

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