Section 7 AAC 165.900 - DefinitionsIn this chapter,
(1) "CMS" means the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services;(2) "hospital provider" means a hospital enrolled under 7 AAC 140.300 that is (A) an acute care hospital as defined in 42 C.F.R. 495.302, revised as of September 4, 2012, and adopted by reference;(B) a children's hospital as defined in 42 C.F.R. 495.302, revised as of September 4, 2012, and adopted by reference;(3) "Medicaid patient" (A) means an individual who has been determined eligible for Medicaid in this state under 42 U.S.C. 1396 - 1396w-5 (Title XIX of the Social Security Act) and who is receiving or has received services from a provider enrolled in the Medicaid program in this state;(B) does not include an individual who has been determined eligible under 42 U.S.C. 1397 aa;(4) "needy individual patient" means (A) an individual who is (i) a Medicaid patient or who has been determined eligible for Medicaid services in this state under 42 U.S.C. 1397 aa; and(ii) receiving or has received services from a provider enrolled in the Medicaid program in this state;(B) an individual who received uncompensated medical care by the provider; or(C) an individual who received medical care by the provider at no cost to the individual or at reduced cost to the individual based on a sliding scale determined by the individual's ability to pay;(5) "payment year" has the meaning given in 42 C.F.R. 495.4, revised as of October 1, 2010, and adopted by reference;(6) "provider" means a type of provider identified in 7 AAC 165.010(a) (1).Eff. 6/1/2011, Register 198; am 1/20/2013, Register 205Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040