Federal
Definitions specific to Medicaid.
42 CFR § 400.203
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42 CFR § 400.203
42 CFR § 400.203
Definitions specific to Medicaid. As used in connection with the Medicaid program, unless the context indicates otherwise—
Applicant
Applicant means an individual whose written application for Medicaid has been submitted to the agency determining Medicaid eligibility, but has not received final action. This includes an individual (who need not be alive at the time of application) whose application is submitted through a representative or a person acting responsibly for the individual.
Federal financial participation
Federal financial participation (FFP) means the Federal Government's share of a State's expenditures under the Medicaid program.
FMAP
FMAP stands for the Federal medical assistance percentage, which is used to calculate the amount of Federal share of State expenditures for services.
Intellectual disability
Intellectual disability means the condition that was previously referred to as mental retardation.
Medicaid agency
Medicaid agency or agency means the single State agency administering or supervising the administration of a State Medicaid plan.
Nursing facility (NF)
Nursing facility (NF) effective October 1, 1990, means an SNF or an ICF participating in the Medicaid program.
PCCM
PCCM stands for primary care case manager.
PCP
PCP stands for primary care physician.
Provider
Provider means either of the following:
(1)
For the fee-for-service program, any individual or entity furnishing Medicaid services under an agreement with the Medicaid agency.
(2)
For the managed care program, any individual or entity that is engaged in the delivery of health care services and is legally authorized to do so by the State in which it delivers the services.
Services
Services means the types of medical assistance specified in section 1905(a) of the Act and defined in subpart A of part 440 of this chapter.
State
State means the several States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, American Samoa and the Northern Mariana Islands.
State plan
State plan or the plan means a comprehensive written commitment by a Medicaid agency, submitted under section 1902(a) of the Act, to administer or supervise the administration of a Medicaid program in accordance with Federal requirements.
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