CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER b: ASSISTANCE PROGRAMS
PART 123 COVERING ALL KIDS HEALTH INSURANCE PROGRAM
SECTION 123.110 DEFINITIONS
Section 123.110 Definitions
For the purpose of this Part, the following terms shall be defined as follows:
"Act" means the Covering ALL KIDS Health Insurance Program Act [215 ILCS 170].
"Department" means the Department of Healthcare and Family Services and any successor agencies.
"Department's Rate" means the reimbursement rate described in Section 123.350(c).
"Family" means the child applying for the program and the following individuals who live with the child:
The child's parents
The spouse of the child's parent
Children under 19 years of age of the parents or the parent's spouse
The spouse of the child
The children of the child
If any of the above is pregnant, the unborn children.
"Federal Poverty Level" or "FPL" means the poverty guidelines updated periodically in the Federal Register by the U.S. Department of Health and Human Services. These guidelines set poverty levels by family size.
"Health Insurance" means any health insurance coverage as defined in the Comprehensive Health Insurance Plan Act [215 ILCS 105/2].
"MAGI Methodology" means the method of determining income eligibility using Modified Adjusted Gross Income established at section 2102(b)(1)(v) of the
Social Security Act (42 USC 1397bb(b)(1)(v)) and federal regulations at 42 CFR 457.315.
"Medical Assistance" means the services and programs reimbursed under the Public Aid Code.
"Practitioner" means a physician (including a hospital billing a physician office visit), osteopath, podiatrist, optometrist, chiropractor, advanced practice nurse, Federally Qualified Health Center, Rural Health Clinic or Encounter Rate Clinic.
"Program" means the program created under the Covering ALL KIDS Health Insurance Program Act and this Part.
"Resident" means an individual:
who is in the State for other than a temporary or transitory purpose during the taxable year; or
who is domiciled in this State but is absent from the State for a temporary or transitory purpose during the taxable year. [215 ILCS 170/10]
(Source: Amended at 38 Ill. Reg. 5989, effective February 26, 2014)