Utah Admin. Code R414-304-2 - Definitions
(1) The definitions in Rule R414-1, Rule
R414-301, and Rule R414-303 apply to this rule. In addition:
(a) "Aid to Families with Dependent Children"
(AFDC) means a State Plan for aid that was in effect on June 16,
1996.
(b) "Allocation for a spouse"
means an amount of income that is the difference between the Social Security
Income (SSI) federal benefit rate for a couple minus the federal benefit rate
for an individual.
(c) "Basic
maintenance standard" or "BMS" means the income level for eligibility for
Medicaid coverage of the medically needy based on the number of family members
who are counted in the household size.
(d) "Benefit month" means a month or any
portion of a month for which an individual is eligible for medical
assistance.
(e) "Best estimate"
means that income is calculated for the upcoming certification period based on
current information about income being received, expected income deductions,
and household size.
(f) "Deeming"
or "deemed" means a process of counting income from a spouse or a parent, or
the sponsor of a qualified alien, to decide what amount of income after certain
allowable deductions, if any, must be considered income to the applicant or
recipient.
(g) "Eligible spouse"
means the member of a married couple who is either aged, blind or
disabled.
(h) "Factoring" means the
eligibility agency calculates the monthly income or income deductions by
prorating income to account for months when an individual receives a fifth
payment when paid weekly, or a third paycheck with paid every other week.
Weekly income is factored by multiplying the weekly income amount by 4.3 to
obtain a monthly amount. Income paid every other week is factored by
multiplying the bi-weekly income by 2.15 to obtain a monthly amount.
(i) "Family Medicaid" means medical
assistance for families caring for dependent children and is a general term
used to refer to Medicaid coverage for medically needy parents, caretaker
relatives, pregnant women, and children.
(j) "Family member" means a son, daughter,
parent, or sibling of the client or the client's spouse, the spouse of the
client, and the parents of a dependent child.
(k) "Full-time employment" means an average
of 100 or more hours of work a month or an average of 23 hours a
week.
(l) "Full-time student" means
a person enrolled for the number of hours defined by the particular institution
as fulfilling full-time requirements.
(m) "Income annualizing" means using total
income earned during one or more past years, or a shorter applicable time
period, and anticipating any future changes, to estimate the average annual
income. That estimated annual income is then divided by 12 to determine the
household's average monthly income.
(n) "Income averaging" means using a history
of past income and expected changes, and averaging it over a determined period
of time that is representative of future monthly income.
(o) "Income anticipating" means using current
facts regarding rate of pay and number of working hours, and reasonably
expected future income changes, to anticipate future monthly income.
(p) "In-kind support donor" means an
individual who provides food or shelter without receiving full market value
compensation in return.
(q)
"Prospective budgeting" is the process of calculating income and determining
eligibility and spenddown for future months based on the best estimate of
income, deductions, and household size.
(r) "School attendance" means enrollment in a
public or private elementary or secondary school, a university or college,
vocational or technical school or the Job Corps, for the express purpose of
gaining skills that lead to gainful employment.
(s) "Presumed maximum value" means the
allowed maximum amount an individual is charged for the receipt of food and
shelter. This amount will not exceed one-third of the SSI federal benefit rate
plus $20.
(t) "Temporarily absent"
means a member of a household is living away from the home for a period of time
but intends to return to the home when the reason for the temporary absence is
accomplished. Reasons for a temporary absence may include an absence for the
purpose of education, medical care, visits, military service, temporary
religious service or other volunteer service such as the Peace Corps.
Notes
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