Kan. Admin. Regs. § 28-4-410

Current through Register Vol. 43, No. 24, June 13, 2024

Section 28-4-410 - Definitions

(a) "Blood bank" means a licensed facility that supplies blood or clotting factor.

(b) "Clotting factor" means a substance derived from human blood or prepared by recombinant deoxyribonucleic acid technology.

(c) "Cash assets" means money, savings accounts, savings certificates, checking accounts, and stocks and bonds.

(d) "Comprehensive centers" means those facilities that provide services to individuals with hemophilia, and meet the standards established by the national hemophilia foundation medical and scientific advisory council in "standards and criteria: for the care of persons with congenital bleeding disorders," approved on July 10, 1994.

(e) "Emergency" means an unanticipated, urgent event requiring immediate medical treatment.

(f) Family.

(1) "Family," for an eligible person who resides with the person's parents, stepparents or legal guardian or who is considered to be a dependent of that person's parents, stepparents or legal guardian for income tax purposes, means the eligible person who has hemophilia, that person's parents, stepparents or legal guardian and all other persons who reside in the same home as that of the person who has hemophilia. Family shall not include persons who lease or rent a portion of the residence.

(2) "Family," for an eligible person who has established a separate residence and is no longer considered a dependent of that person's parents, stepparents or legal guardian for income tax purposes, means the eligible person who has hemophilia, that person's spouse and children, and all other relatives and persons who reside in the same home as that of the person who has hemophilia. Family shall not include persons who lease or rent a portion of the residence.

(g) "Family income" means the total income received by all adult members of the family based upon one or more of the following, with the addition of non-taxable benefits from whatever source:

(1) the total amount of adjusted gross income reported for federal income tax purposes on the most recent federal income tax return filed by each adult member of the family; or

(2) three months of pay stubs or a letter of anticipated earning from the employer of each adult member of the family when the most recent federal income tax does not reflect current income.

(h) "Family living allowance" means the amount established by the secretary as specified in K.A.R. 28-4-413.

(i) "Hemophilia" means a bleeding tendency that results from a genetically determined deficiency factor in the blood.

(j) "Hemophilia program" means services that are provided for the care and treatment of persons with hemophilia and that are administered by the secretary.

(k) "Home therapy" or "self therapy" means the administration of transfusions of blood concentrates or blood derivatives in a home setting.

(l) "Health care plan" means documents prepared by the secretary that state a plan of treatment, describe the authorized services, and identify the approved providers of service, the time frame for provision of services and the party responsible for payment for services.

(m) "Infusion" means therapeutic introduction of a fluid into a vein.

(n) "Infusion supplies" means syringes, needles and hemophilia infusion sets.

(o) "Prior authorization" means the approval of a request to obtain blood products and other efficacious agents or educational services pertaining to hemophilia before the provision of the service, or in an emergency, within two working days after the emergency occurs.

(p) "Secretary" means the secretary of the department of health and environment or the secretary's designee.

Kan. Admin. Regs. § 28-4-410

Authorized by K.S.A. 65-1,134; implementing K.S.A. 65-1,132, 65-1,133; effective, T-85-41, Dec. 19, 1984; effective May 1, 1985; amended Dec. 26, 1989; amended Sept. 12, 1997.