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256L.01 DEFINITIONS.

Subdivision 1.Scope.

For purposes of this chapter, the following terms shall have the meanings given them.

Subd. 1a.Child.

"Child" means an individual under 21 years of age, including the unborn child of a pregnant woman, an emancipated minor, and an emancipated minor's spouse.

Subd. 1b.Affordable Care Act.

"Affordable Care Act" means the federal Patient Protection and Affordable Care Act, Public Law 111-148, as amended, including the federal Health Care and Education Reconciliation Act of 2010, Public Law 111-152, and any amendments to, and any federal guidance or regulations issued under, these acts.

Subd. 2.Commissioner.

"Commissioner" means the commissioner of human services.

Subd. 3.Eligible providers.

"Eligible providers" means those health care providers who provide covered health services to medical assistance recipients under rules established by the commissioner for that program.

Subd. 3a.Family with children.

(a) "Family with children" means:

(1) parents and their children residing in the same household; or

(2) grandparents, foster parents, relative caretakers as defined in the medical assistance program, or legal guardians; and their wards who are children residing in the same household.

(b) The term includes children who are temporarily absent from the household in settings such as schools, camps, or parenting time with noncustodial parents.

[See Note.]

Subd. 4.

[Repealed, 2009 c 173 art 3 s 26]

Subd. 4a.

[Repealed, 2013 c 108 art 1 s 68]

Subd. 5.Income.

(a) "Income" has the meaning given for earned and unearned income for families and children in the medical assistance program, according to the state's aid to families with dependent children plan in effect as of July 16, 1996. The definition does not include medical assistance income methodologies and deeming requirements. The earned income of full-time and part-time students under age 19 is not counted as income. Public assistance payments and supplemental security income are not excluded income.

(b) For purposes of this subdivision, and unless otherwise specified in this section, the commissioner shall use reasonable methods to calculate gross earned and unearned income including, but not limited to, projecting income based on income received within the past 30 days, the last 90 days, or the last 12 months.

[See Note.]

Subd. 6.MNsure.

"MNsure" means the state health benefit exchange as defined in section 62V.02.

Subd. 7.Participating entity.

"Participating entity" means a health carrier as defined in section 62A.01, subdivision 2; a county-based purchasing plan established under section 256B.692; an accountable care organization or other entity operating a health care delivery systems demonstration project authorized under section 256B.0755; an entity operating a county integrated health care delivery network pilot project authorized under section 256B.0756; or a network of health care providers established to offer services under MinnesotaCare.

[See Note.]

NOTE: The amendment to subdivision 3a by Laws 2013, chapter 108, article 1, section 29, is effective January 1, 2014, or upon federal approval, whichever is later. Laws 2013, chapter 108, article 1, section 29, the effective date. When effective, the subdivision will read:

"Subd. 3a.Family.

(a) "Family" has the meaning given for family and family size as defined in Code of Federal Regulations, title 26, section 1.36B-1.

(b) The term includes children who are temporarily absent from the household in settings such as schools, camps, or parenting time with noncustodial parents."

NOTE: The amendment to subdivision 5 by Laws 2013, chapter 108, article 1, section 30, is effective January 1, 2014, or upon federal approval, whichever is later. Laws 2013, chapter 108, article 1, section 30, the effective date. When effective, the subdivision will read:

"Subd. 5.Income.

"Income" has the meaning given for modified adjusted gross income, as defined in Code of Federal Regulations, title 26, section 1.36B-1."

NOTE: Subdivision 7, as added by Laws 2013, chapter 108, article 1, section 32, is effective January 1, 2015. Laws 2013, chapter 108, article 1, section 32, the effective date.