Medicaid Management Information System (MMIS) | Computer system for Medicaid claims processing. |
Medicare Part A | Medicare benefit covering hospital costs. |
Medicare Part B | Medicare supplementary benefit that covers outpatient care and services. |
Medicare Part C | Optional Part A and Part B Medicare coverage provided through a Medicare Advantage Plan. |
Medicare Part D | Medicare prescription drug coverage provided through private plans. |
Personally Identifying Information (PII) | Information that can be used on its own or with other information to identify, contact, or locate a single person, or to identify an individual. |
Protected Health Information (PHI) | Any information about health status, provision of health care, or payment for health care that can be linked to a specific individual (protected by HIPAA). |
Real Property | Land and generally whatever is erected, growing upon, or otherwise permanently affixed to the land. |
Recipient | Those who have been or are currently receiving public assistance. Also referred to as the customer. |
Recorder of Deeds | The county office responsible for recording documents that establish ownership of property, mortgages, and other instruments that relate to real property. |
Release | The relinquishment of a claim due to satisfaction of a debt or amount owed by another party. |
Recipient Identification Number (RIN) | Unique number used by state agencies to identify each individual receiving public assistance. |
Social Security Administration (SSA) | A federal agency that administers Social Security, a social insurance program consisting of retirement, disability, and survivors' benefits. To qualify for these benefits, most American workers pay Social Security taxes on their earnings; future benefits are based on the employees' contributions. |
Supportive Living Facility | Designed for individuals who do not need full-time nursing care but who may find it difficult to live safely in their own homes. |
Supplemental Security Income (SSI) | A federal program administered by the Social Security Administration that provides stipends to low-income people who are either aged (65 or older), blind, or disabled |
Third Party Liability (TPL) | Refers to third parties who have a legal obligation to pay for part or all of the cost of medical services provided to a Medicaid beneficiary. Examples are other programs such as Medicare or health insurance the individual may have that covers at least some of the cost of the medical service. If a third party has such an obligation, Medicaid will only pay for the net portion of cost remaining after the other party pays. |
Trust | A right of property, real and/or personal, held by one party for the benefit of another. In general, a trust allows a person, or trustee, to oversee financial assets for the benefit of someone else. In the case of special needs individuals, this is especially important and useful if they cannot make decisions for themselves. An OBRA trust helps make sure disabled individuals maintain Medicaid eligibility, regardless of owning an amount of financial assets that would normally disqualify them. For many individuals, this means personal funds can continue to be used for daily living expenses, rather than using all of their financial resources to pay for a nursing home when they get older. The individual holding legal title to the property and who executes the trust is called the Trustee. The individual for whose use and enjoyment the trust was created is called the Beneficiary.
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