SECTION 96.3. Definitions

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.

(1) Certification--A determination by the department that a facility meets the requirements for participation of the Title XVIII Medicare Program or the Title XIX Medical Assistance Program.

(2) Department--The Texas Department of Human Services.

(3) Facility--A long-term care institution which has applied for participation or participates in the Title XVIII Medicare Program or the Title XIX Medical Assistance Program.

(4) HCFA--Health Care Financing Administration of the United States Department of Health and Human Services.

(5) Intermediate care facility for the mentally retarded--A facility that participates in the Title XIX Medicaid Program under the definition in 42 United States Code (USC) §1396(d).

(6) Nursing facility--A facility that participates in the Title XIX Medicaid Program under the definition in 42 USC §1396(c).

(7) Skilled nursing facility--A facility that participates in the Title XVIII Medicare Program under the definition in 42 USC §1395i-3(a).

(8) Standards--The rules, requirements, and guidelines established by HCFA or the state Medicaid agency with which a facility must comply to participate in the Title XVIII Medicare Program or the Title XIX Medical Assistance Program.

(9) State Medicaid agency--The state agency designated to administer the funds for the Title XIX Medical Assistance Program.

(10) Title XVIII Medicare Program--The health insurance program for the aged and disabled authorized under Title XVIII of the Social Security Act.

(11) Title XIX Medical Assistance Program--The medical assistance program in Texas authorized under Title XIX of the Social Security Act.

Source Note: The provisions of this §96.3 adopted to be effective August 31, 1993, 18 TexReg 2725; transferred effective September 1, 1993, as published in the Texas Register September 3, 1993, 18 TexReg 5885.