Eligibility Factors 510-05
Definitions 510-05-05
(Revised 8/1/10 ML #3227)
(N.D.A.C. Section 75-02-02.1-01)
For the purpose of this chapter:
Has the same meaning as the term has when used by the social security administration in determining blindness for Titles II and XVI.
Real property, which is not separated by other real property owned by others. Roads and other public rights-of-way, which run through the property, even if owned by others, do not affect the property's contiguity.
The county social service board.
The North Dakota Department of Human Services.
Has the same meaning as the term has when used by the Social Security Administration in determining disability for Titles II and XVI.
A disabled or blind person over the age of twenty-one who became blind or disabled before age twenty-two.
The period, which begins at midnight on the last day of the previous month and ends at midnight on the last day of the month under consideration.
An honest effort to sell in a manner which is reasonably calculated to induce a willing buyer to believe that the property offered for sale is actually for sale at a fair price. A good faith effort to sell includes, at a minimum, making the offer at a price based on an appraisal, a market analysis by a realtor, or another method which produces an accurate reflection of fair market value, in the following manner:
-
To any co-owner, joint owner, possessor, or occupier of the property, and, if no buyer is thereby secured;
-
To the regular market for such property, if any regular market exists, or, if no regular market exists;
-
By public advertisement for sale in a newspaper of general circulation, the circulation area of which includes the location of any property resource offered for sale, which advertisement was published successively for two weeks if the newspaper is a weekly publication and for one week if the newspaper is a daily publication, and which includes the selling price, a plain and accurate description of the property and the name, address, and telephone number of a person who will answer inquiries and receive offers.
An insurance program, for children up to age 19, administered under North Dakota Century Code Chapter 50-29 and Title XXI (SCHIP).
Home and community based services
Services, provided under a waiver secured from the United States Department of Health and Human Services, that are:
-
Not otherwise available under Medicaid; and
-
Furnished only to individuals who, but for the provision of such services, would require the level of care provided in a hospital, nursing facility, or intermediate care facility for the mentally retarded (ICF-MR).
An individual who is an inpatient in a nursing facility, an ICF/MR, the State Hospital, the Prairie at St. John's center, the Stadter Psychiatric Center, an out-of-state institution for mental disease (IMD), the Anne Carlsen facility, a Psychiatric Residential Treatment Facility (PRTF), or who receives swing bed care in a hospital.
In reference to a single individual under the age of twenty-one, or if blind or disabled under age eighteen, a status which arises in any of the following circumstances:
-
The individual has served a tour of active duty with the armed services of the United States and lives separately and apart from the parent.
-
The individual has married, even though that marriage may have ended through divorce or separation. A marriage ended by legal annulment is treated as if the marriage never occurred.
-
The individual has lived separately and apart from both parents for at least three consecutive full calendar months after the date the individual left the parental home, continues to live separately and apart from both parents, and has received no support or assistance from either parent while living separately and apart. Periods in which a child is included in the parent's Medicaid unit are deemed to be periods in which the parents are providing support. Providing health insurance coverage or paying court ordered child support payments for a child is not considered to be providing support or assistance. For purposes of this paragraph, periods when the individual is attending an educational or training facility, receiving care in a specialized facility, or is an institutionalized person are deemed to be periods when the individual was living with a parent, unless the individual had already established that the individual was living independently.
-
The individual has left foster care and established a living arrangement separate and apart from either parent and received no support or assistance from either parent. Providing health insurance coverage or paying court ordered child support payments for a child is not considered to be providing support or assistance.
-
The individual lives separately and apart from both parents due to incest, continues to live separately and apart from both parents, and receives no support or assistance from either parent while living separately and apart. Providing health insurance coverage for a child is not considered to be providing support or assistance.
Refers to services received in a nursing facility, the State Hospital, the Anne Carlson facility, the Prairie at St. John's center, the Stadter Psychiatric Center, a Psychiatric Residential Treatment Facility (PRTF), an intermediate care facility for the mentally retarded (ICF-MR), or a swing bed when the individual in the facility is screened or certified as requiring the services provided in the facility.
A program implemented pursuant to North Dakota Century Code chapter 50-24.1 and title XIX of the Act.
Refers to the following costs:
-
Medicare part A premiums (hospital); and Medicare part B premiums (doctor);
-
Medicare coinsurance (Including coinsurance amounts for certain services and the remaining 20% after Medicare pays 80% on the approved amount of the bill.); and
-
Medicare deductibles.
Care provided in a medical institution, a nursing facility, a swing bed, the state hospital, the Anne Carlson facility, the Prairie at St. John's center, the Stadter Psychiatric Center, a Psychiatric Residential Treatment Facility (PRTF), an intermediate care facility for the mentally retarded (ICF-MR), or a home and community based services setting.
An institution that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control.
Those services, provided in specialized facilities, which produce the maximum reduction of physical or mental disability and restoration of the residents to the best possible level of functioning. Remedial services do not include room and board expenses.
Refers to individuals who are physically present, individuals who are temporarily absent, or individuals attending educational facilities.
Supplemental Nutrition Assistance Program (SNAP)
Previously known as the Food Stamp Program, SNAP is a uniform nationwide program intended to promote the general welfare and safeguard the health and well being of the nation's population by raising the levels of nutrition among low-income households.
A residential facility, including a basic care facility, a licensed family foster care home for children or adults, a licensed group foster care home for children or adults, a transitional living facility, a facility established to provide quarters to clients of a sheltered workshop, and any other facility determined by the Department to be a provider of remedial services, but does not mean an acute care facility or a nursing facility. Examples of a specialized facility include the School for the Blind, School for the Deaf, and Svee Home.
The North Dakota Department of Human Services.
Temporary Assistance For Needy Families (TANF)
A program administered under North Dakota Century Code Chapter 50-09 and Title IV-A of the Social Security Act. References to TANF include TANF Kinship Care Assistance, Diversion Assistance, and Transition Assistance.
Title II of the Social Security Act (Social Security benefits).
Title IV-D of the Social Security Act (Child Support).
Title IV-E of the Social Security Act (Foster Care and Adoption Assistance).
Title XVI of the Social Security Act (Supplemental Security Income (SSI)).
Title XIX of the Social Security Act (Medicaid).
Title XXI of the Social Security Act (Healthy Steps).