Connecticut General Statutes 17b-290 – Definitions
As used in this section and sections 17b-292, 17b-295, 17b-297a, 17b-297b and 17b-300:
Terms Used In Connecticut General Statutes 17b-290
- Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
- Dependent: A person dependent for support upon another.
- Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
- Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
(1) “Applicant” means an individual over the age of eighteen years who is a natural or adoptive parent, a legal guardian, a caretaker relative, foster parent or stepparent with whom the child resides and shall include a child who is eighteen years of age or emancipated in accordance with the provisions of sections 46b-150 to 46b-150e, inclusive, and who is applying on his own behalf or on behalf of a minor dependent for coverage under such plan;
(2) “Child” means an individual under nineteen years of age;
(3) “Coinsurance” means the sharing of health care expenses by the insured and an insurer in a specified ratio;
(4) “Commissioner” means the Commissioner of Social Services;
(5) “Copayment” means a payment made on behalf of a member for a specified service under HUSKY B;
(6) “Cost sharing” means arrangements made on behalf of a member whereby an applicant pays a portion of the cost of health services, sharing costs with the state and includes copayments, premiums, deductibles and coinsurance;
(7) “Deductible” means the amount of out-of-pocket expenses that would be paid for health services on behalf of a member before becoming payable by the insurer;
(8) “Department” means the Department of Social Services;
(9) “Durable medical equipment” means equipment that meets all of the following requirements:
(A) Can withstand repeated use;
(B) Is primarily and customarily used to serve a medical purpose;
(C) Generally is not useful to a person in the absence of an illness or injury; and
(D) Is nondisposable;
(10) “Eligible beneficiary” means a child who meets the requirements in section 17b-292, and the requirements specified in Section 2110(b)(2)(B) of the Social Security Act as amended by Section 10203(b)(2)(D) of the Affordable Care Act;
(11) “Household” has the same meaning as provided in 42 C.F.R. § 435.603;
(12) “Household income” has the same meaning as provided in 42 C.F.R. § 435.603;
(13) “HUSKY A” means Medicaid provided to children, caretaker relatives and pregnant and postpartum women pursuant to section 17b-261 or 17b-277;
(14) “HUSKY B” means the health coverage for children established pursuant to the provisions of sections 17b-290, 17b-292, 17b-295, 17b-297a, 17b-297b and 17b-300;
(15) “HUSKY C” means Medicaid provided to individuals who are sixty-five years of age or older or who are blind or have a disability;
(16) “HUSKY D” or “Medicaid Coverage for the Lowest Income Populations program” means Medicaid provided to nonpregnant low-income adults who are age eighteen to sixty-four, as authorized pursuant to section 17b-8a;
(17) “HUSKY Health” means the combined HUSKY A, HUSKY B, HUSKY C and HUSKY D programs, that provide medical coverage to eligible children, parents, relative caregivers, persons age sixty-five or older, individuals with disabilities, low-income adults, and pregnant women;
(18) “Member” means an eligible beneficiary who receives services under HUSKY A, B, C or D;
(19) “Parent” means a natural parent, stepparent, adoptive parent, guardian or custodian of a child;
(20) “Premium” means any required payment made by an individual to offset the cost under HUSKY B;
(21) “Qualified entity” means any entity: (A) Eligible for payments under a state plan approved under Medicaid and which provides medical services under HUSKY A, or (B) that is a qualified entity, as defined in 42 USC 1396r-1a, as amended by Section 708 of Public Law 106-554, and that is determined by the commissioner to be capable of making the determination of eligibility. The commissioner shall provide qualified entities with such forms or information on filing an application electronically as is necessary for an application to be made on behalf of a child under HUSKY A and information on how to assist parents, guardians and other persons in completing and filing such forms or electronic application;
(22) “WIC” means the federal Special Supplemental Food Program for Women, Infants and Children administered by the Department of Public Health pursuant to section 19a-59c.