D.C. Mun. Regs. tit. 29, r. 29-9399
For the purposes of this chapter, the following terms shall have the meanings ascribed:
Audit - A systematic process where an entity reviews Medicaid claims, obtains evidence, evaluates findings, and determines compliance with applicable laws, regulations, and policies.
Beneficiary - An individual who is eligible for Medical Assistance (Medicaid) under Titles XIX or XXI of the Social Security Act.
Demonstration - A project approved by CMS and authorized under Section 1115 of the Social Security Act.
Managed Care - The program authorized under Section 1915(b) of the Social Security Act in which Medicaid beneficiaries are enrolled into managed care organizations to receive services.
Waiver - A program operated by a state or by the District of Columbia pursuant to a CMS-approved application to waive standard Medicaid provisions to deliver long term care in community-based settings.
D.C. Mun. Regs. tit. 29, r. 29-9399