Current through December 30, 2024
Section DHS 154.02 - DefinitionsIn this chapter:
(1) "Adult" means a person 18 years of age or older. (1m) "BadgerCare" means the medical assistance-related program established under s. 49.665, Stats., and chs. DHS 101 to 108.(2) "Current year" means the later of the 12-month period beginning with the month of a patient's first application to the adult cystic fibrosis program or the 12-month period beginning with the month of a participant's most recent subsequent annual recertification for the adult cystic fibrosis program.(3) "Cystic fibrosis" means an inherited disorder of the exocrine or outward secreting glands of the body, causing those glands to produce abnormally thick secretions of mucus.(4) "Cystic fibrosis treatment center" means a hospital unit which furnishes the full spectrum of diagnostic, therapeutic and rehabilitation services required for the care of cystic fibrosis patients and which is certified by the national cystic fibrosis foundation.(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) "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.(9) "Maintenance program" means a patient's therapeutic and treatment regimen, including medical, dental, social and vocational rehabilitation services and home health care.(10) "Medical assistance" has the meaning specified in s. 49.43(8), Stats.(11) "Medical director" means a physician licensed under ch. 448, Stats., to practice medicine or osteopathy who is certified by the American board of internal medicine or is eligible for certification by that board, and who is directly responsible for a patient's maintenance program.(12) "Medicare" means the health insurance program operated by the U.S. department of health and human services under 42 USC 1395 to 1395 zz and 42 CFR Pts. 405 to 421.(13) "Participant" means a patient who has been found eligible by the department under s. 49.683, Stats., and this chapter for reimbursement for the costs of treatment of cystic fibrosis.(14) "Patient" means an adult who has been diagnosed as having cystic fibrosis.(15) "Provider" means a cystic fibrosis treatment center or another source of treatment approved by the department under s. DHS 154.05.(16) "Resident" means any adult who is living in Wisconsin with the intention of remaining permanently in the state.(17) "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 154.02
Cr. Register, December, 1994, No. 468, eff. 1-1-95; CR 04-051: cr. (1m) and (17) Register November 2004 No. 587, eff. 12-1-04; corrections in (1m), (5), (12) and (17) made under s. 13.92(4) (b) 6 and 7., Stats., Register January 2009 No. 637.