As used in this section, the following terms shall have the meanings indicated:

1. (a) “Expedited disability determination” means any of the following determination processes implemented by the Social Security Administration:

   1. (1) Quick disability determination pursuant to 20 CFR 404.1602;
   2. (2) Terminal illness determination pursuant to the Social Security Administration (SSA) Programs Operations Manual System (POMS) section DI 23020.045; or
   3. (3) Presumptive disability determination pursuant to 20 CFR 416.931 through 416.934.
2. (b) “Presumptive eligibility (PE)” means a period of medical coverage, excluding home or environmental modification coverage, extended to qualifying individuals pending the final processing of a Title XIX medicaid application.

3. (c) “Presumptive eligibility period” means, with respect to applicants for HCBC-ECI services, the period that:

   1. (1) Begins on the date the department determines that the applicant likely meets the eligibility criteria; and
   2. (2) Ends on the date a final determination of eligibility is made or the applicant is determined to be ineligible.
4. (d) “Qualified provider” means an individual or enrolled provider identified at He-W 619.03 and trained to refer an individual for presumptive eligibility based on a standardized assessment process as specified in He-W 619.04.

Source. (See Revision Note #1 at Chapter Heading He-W 600) #5171, eff 6-26-91; EXPIRED: 6-26-99 New. #9155, eff 5-10-08, EXPIRED: 5-10-16 New. #11104, INTERIM, eff 5-25-16, EXPIRES: 11-21-16