1 Tex. Admin. Code § 358.412 - Definitions
In this division, the following words and terms have the following meanings, unless the context clearly indicates otherwise.
(1) Community spouse--The spouse of an
institutionalized spouse who is not living in a setting that provides medical
care and services.
(2) Dependent
family member--A minor or dependent child, dependent parent, or dependent
sibling of an institutionalized spouse or a community spouse who resides with
the community spouse.
(3)
Institutional setting--In this division only, a living arrangement in which a
person applying for or receiving Medicaid:
(A) lives in a Medicaid-certified long-term
care facility;
(B) receives
services under a §1915(c) waiver program; or
(C) receives services under the Program of
All-Inclusive Care for the Elderly (PACE).
(4) Institutionalized spouse--A person who:
(A) receives care in an institutional
setting;
(B) has met or is likely
to meet the criterion in subparagraph (A) of this paragraph for at least 30
consecutive days; and
(C) is
married to a spouse who does not meet the criterion in subparagraph (A) of this
paragraph.
(5) Spousal
protected resource amount (SPRA)--That portion of a couple's combined countable
resources reserved for the community spouse and deducted from the couple's
combined countable resources in determining eligibility.
Notes
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