Current through 2024-51, December 18, 2024
Subsection 144-101-I-2.02 - DEFINITIONS2.02-1Acute Care Hospital is defined in 42 C.F.R. §495.302.2.02-2Adopt, Implement or Upgrade is defined in 42 C.F.R. §495.302.2.02-3Cancer Hospital is defined in 42 C.F.R. §495.302.2.02-4Certified Electronic Health Record is defined in 42 C.F.R. §170.102.2.02-5Children's Hospital is defined in 42 C.F.R. §495.302.2.02-6Critical Access Hospitalis defined in 42 C.F.R. §495.4.2.02-7Eligible Hospital means a Critical Access Hospital, Acute Care Hospital, Children's Hospital or Cancer Hospital that meets the requirements of this rule.2.02-8Eligible Professional means a health care professional as defined in 42 C.F.R. §495.304(b) who has a current Medicaid provider agreement; who performs at least 10% of his or her services not in a hospital emergency room or as hospital inpatient services, or who practices predominantly in an FQHC or RHC; and who meets the requirements of this rule2.02-9Encounter Method is the method used to calculate patient encounters described in 42 C.F.R. §495.306(c).2.02-10Federal Financial Participation (FFP) is the federal government's share of the State's expenditures under the Medicaid program.2.02-11Federally Qualified Health Center (FQHC) means a facility or program as defined in the MaineCare Benefits Manual, Chapter II, Section 31.01-3.2.02-12Meaningful Use means the requirements that an Eligible Professional (EP) or Eligible Hospital (EH) must meet to receive an incentive payment as required by CMS under applicable Stage 1 and Stage 2 rules, and Stage 3 rules to be issued and implemented by CMS, and as supplemented by this Rule and the State's approved SMHP and IAPD-U.2.02-13Needy Individual is defined in 42 C.F.R. §495.302.2.02-14Payment Year is defined in 42 C.F.R. §495.200.2.02-15Pediatrician is defined as a medical doctor who diagnoses, treats, examines, and prevents diseases and injuries in children and possesses a valid, unrestricted medical license and board certification in Pediatrics through the American Board of Pediatrics (ABP) or the American Osteopathic Board of Pediatrics (AOBP).2.02-16Practices Predominantly is defined in 42 C.F.R. §495.302.2.02-17Professional is an individual who is a health care provider and who has a current Medicaid provider agreement.2.02-18Provider is defined in MaineCare Benefits Manual, Chapter 1 § 1.02-4(F).2.02-19Rural Health Clinic (RHC) means a primary health care clinic as defined in the MaineCare Benefits Manual, Chapter II, § 103.01-5. C.M.R. 10, 144, ch. 101, ch. I, § 144-101-I-2, subsec. 144-101-I-2.02