Section DHS 153.02 - Definitions In this chapter:
(1) "Approved source" means a provider who has an agreement with a comprehensive hemophilia treatment center for distribution of blood products and supplies to program participants.(1m) "BadgerCare" means the medical assistance-related program established under s. 49.665, Stats., and chs. DHS 101 to 108.(2) "Case management services" means services essential for effective use of blood products and supplies, namely, home care initial training, nurse monitoring for participant compliance and annual comprehensive evaluation of a participant.(3) "Comprehensive hemophilia treatment center" means a center, including its satellite facilities, certified by the department under this chapter to provide services, including development of maintenance programs, to persons with hemophilia and other related congenital bleeding disorders.(4) "Current year" means the 12-month period beginning with the month of a patient's first application to the hemophilia home care program, or beginning with the month of a participant's subsequent annual recertification for the program.(5) "Department" means the Wisconsin department of health services.(6) "Family" means a patient and that patient's spouse, if any, and any other person who is claimed as a dependent of that patient or that patient's spouse or who claims that patient as a dependent under the U.S. internal revenue code for the purpose of filing a federal income tax return.(7) "Federal poverty guidelines" means the annually updated poverty income thresholds by family size published each year by the U.S. department of health and human services in the federal register. Note: The federal poverty guidelines for 1999 were published in the Federal Register, March 18, 1999, 13428.
(8) "Hemophilia" means a bleeding disorder resulting from a genetically determined clotting factor, protein or platelet function abnormality or deficiency.(9) "Home care" means a patient's self-infusion of blood products on an outpatient basis, or the infusion of blood products to a patient on an outpatient basis by a person trained in that procedure.(10) "Income" means a family's total earnings, including wages and salary and net income from self-employment, as well as unearned income including social security and supplemental security income, dividends and interest income, income from estates or trusts, net rental income, public assistance, pensions or annuities, unemployment compensation, maintenance or alimony, child support or family support, nontaxable deferred compensation, and nontaxable interest such as interest on federal, state or municipal bonds, but not capital gains income.(11) "Maintenance program" means a patient's therapeutic and treatment regimen, including medical, dental, social and vocational rehabilitation services and home health care.(11g) "Medical assistance" has the meaning specified in s. 49.43 (8), Stats., and chs. DHS 101 to 108.(11r) "Medicare" means the health insurance program operated by the U.S. department of health and human services under 42 USC 1395 to 1395zz and 42 CFR Pts. 405 to 421.(12) "Participant" means a patient who has been found eligible by the department under s. 49.685, Stats., and this chapter for reimbursement for the costs of blood products and supplies used in the home care of hemophilia.(13) "Patient" means a person diagnosed as having hemophilia.(14) "Physician director" means the medical director of the comprehensive hemophilia treatment center which is directly responsible for a patient's maintenance program.(15) "Program" means the hemophilia home care program under s. 49.685, Stats., and this chapter.(16) "Provider" means a comprehensive hemophilia treatment center, an approved source of blood products and supplies or a provider of case management services for program participants.(17) "Resident" means any person who is living in Wisconsin with the intention of remaining permanently in the state. Note: DWD 11.15 was repealed eff. 4-1-02.
(18) "SeniorCare" means the program of prescription drug assistance for eligible elderly persons under s. 49.688, Stats., and ch. DHS 109.Wis. Admin. Code Department of Health Services DHS 153.02
Cr. Register, December, 1994, No. 468, eff. 1-1-95; CR 04-051: cr. (1m), (11g), (11r) and (18) Register November 2004 No. 587, eff. 12-1-04; corrections in (1m), (5), (11g) and (18) made under s. 13.92(4) (b) 6 and 7., Stats., Register January 2009 No. 637.Amended by, CR 23-046: am. (17) Register April 29 No. 820, eff. 5/1/2024