Administrative Code

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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
Chapter 150. Uninsured Medical Catastrophe Fund

12VAC30-150-10. Definitions.

As used in this chapter, the following terms shall have the following meanings unless the context clearly indicates otherwise:

"Applicant" means the individual who applies for assistance under these regulations and § 32.1-324.3 of the Code of Virginia. An application may be filed for or on behalf of a minor or person under a legal disability by a parent, legal guardian, an attorney in fact, or an attorney at law.

"DMAS" means the Department of Medical Assistance Services.

"Life-threatening illness or injury" means a medical condition (i) requiring specialized medical treatment, hospitalization, or both and (ii) that would more likely than not result directly in death within 12 months if left untreated.

"Recipient" means the individual for whom assistance is committed under these regulations and § 32.1-324.3 of the Code of Virginia.

"Resident" means an individual who is residing in the Commonwealth of Virginia at the time of application for Uninsured Medical Catastrophe Funds with the intent of remaining indefinitely in the Commonwealth and who did not establish residency for the purpose of obtaining Uninsured Medical Catastrophe Fund benefits. Aliens illegally living in the United States and migrant workers shall not be considered residents of the Commonwealth for purposes of the UMCF. A resident may temporarily reside outside of the Commonwealth to receive treatment.

"Treatment plan" means the written plan of services submitted by the contracting provider, certified by the patient's physician, and approved by DMAS to treat the life-threatening illness or injury.

"UMCF" means the Uninsured Medical Catastrophe Fund.

Statutory Authority

§§ 32.1-324.3 and 32.1-325 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 18, Issue 17, eff. June 6, 2002.

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