10-144 C.M.R. ch. 104, 5.02

Current through 2024-19, May 11, 2024
Subsection 144-104-5.02 - DEFINITIONS

Unless otherwise indicated, the following terms shall have the following meanings:

5.02-1Office of MaineCare Services (OMS) and the Office of Integrated Access and Support (OIAS) within the Department of Health and Human Services are responsible for establishing rules regarding the Health Insurance Purchase Option.
5.02-2COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1986 that provides for continuation of group health coverage for certain individuals whose coverage would otherwise be terminated.
5.02-3Covered Services are services set forth in Chapter II of the MaineCare Benefits Manual.
5.02-4Cub Care provides medical assistance to eligible individuals as established by Title XXI of the Social Security Act; Public Law 1997, Chapter 777; and was amended at P.L 1999, Chapter 401, Part QQ.
5.02-5Department is the Maine Department of Health and Human Services.
5.02-6Health Insurance Purchase Option (HIPO) allows MaineCare and Cub Care enrollees who lose eligibility due to changes in income to purchase coverage.
5.02-7MaineCare Benefits Manual is the MaineCare Services manual that establishes policies regarding covered services and service delivery systems.
5.02-8Medicaid (MaineCare) provides medical assistance to eligible individuals as established by Title XIX of the Social Security Act.
5.02-9Premium is a fee which is required to be paid in order to be eligible for the Health Insurance Purchase Option.

10-144 C.M.R. ch. 104, 5.02