For purposes of this chapter, the following terms shall have the meanings ascribed:

Beneficiary – An individual who is eligible for medical assistance (Medicaid and CHIP) under Titles XIX (42 U.S.C. 1396a) or XXI (42 U.S.C. § 1397aa) of the Social Security Act.

Health-Care Acquired Conditions – The full range of Medicare hospital-acquired conditions (HACs), with the exception of deep vein thrombosis/pulmonary embolism following total knee or hip replacement in pediatric and obstetric patients.

Other Provider-Preventable Conditions – Conditions that apply in any health care service setting when a practitioner performs the wrong procedure, the correct procedure on the wrong patient, or the correct procedure on the wrong body part.

Present on admission – A condition that is present at the time an inpatient admission occurs. Conditions that develop during an outpatient encounter, including emergency department, during observation, or outpatient surgery, are considered to be present on admission.

Provider-preventable conditions – (1) Health Care Acquired Conditions or (2) Other Provider-Preventable Conditions.

Managed Care – The program authorized under section 1915(b) of the Social Security Act (42 U.S.C. § 1396n) in which Medicaid beneficiaries are enrolled into managed care plans to receive services.