Section 6210.3. Definitions

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

CAO—County Assistance Office.

Department—The Department of Human Services of the Commonwealth.

HIM-15—The Medicare Provider Reimbursement Manual, Health Insurance Manual-15.

ICF/MR—Intermediate care facility for the mentally retarded (facility)—A State operated or nonState operated facility, licensed by the Department in accordance with Chapter 6600 (relating to intermediate care facilities for the mentally retarded), to provide a level of care specially designed to meet the needs of persons who are mentally retarded, or persons with related conditions, who require specialized health and rehabilitative services; that is, active treatment.

ICF/ORC—Intermediate care facility for persons with other related conditions (facility)—A nonState operated facility, licensed by the Department in accordance with Chapter 6600, to provide a level of care specially designed to meet the needs of persons with other related conditions who require specialized health and rehabilitative services; that is, active treatment. Persons with other related conditions are persons with severe physical disabilities, such as cerebral palsy, spina bifida, epilepsy or other similar conditions which are diagnosed prior to age 22 and result in at least three substantial limitations to activities of daily living.

Interim per diem rate—The rate established by the Department for the purpose of making interim payments to the facility pending a year-end cost settlement.

MA—Medical Assistance.

Reserve bed day—A day counted in the facility census, subject to limits, during which a recipient is temporarily absent from the facility for more than a continuous 24-hour period either for hospitalization or therapeutic leave.