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the Georgia Code
2006 Georgia Code - 49-4-141
49-4-141. As used in this article, the term:
(1) 'Applicant for medical
assistance' means a person who has made application for
certification as being eligible, generally, to have medical
assistance paid in his or her behalf pursuant to the state plan and
whose application has not been acted upon favorably.
(2) 'Board' means the Board of
Community Health established under Chapter 5A of Title 31.
(3) 'Commissioner' means the
commissioner of the department. (4) 'Department' means the Department of
Community Health established under Chapter 5A of Title 31.
(5) 'Medical assistance' means
payment to a provider of a part or all of the cost of certain items
of medical or remedial care or service rendered by the provider to
a recipient of medical assistance, provided such items are rendered
and received in accordance with such provisions of Title XIX of the
federal Social Security Act of 1935, as amended, regulations
promulgated pursuant thereto by the secretary of health and human
services, all applicable laws of this state, the state plan, and
regulations of the department which are in effect on the date on
which the items are rendered. (6) 'Provider of medical assistance' means a
person or institution, public or private, which possesses all
licenses, permits, certificates, approvals, registrations,
charters, and other forms of permission issued by entities other
than the department, which forms of permission are required by law
either to render care or to receive medical assistance in which
federal financial participation is available and which meets the
further requirements for participation prescribed by the department
and which is enrolled, in the manner and according to the terms
prescribed by the department, to participate in the state
plan. (7) 'Recipient of
medical assistance' means a person who has been certified eligible,
pursuant to the state plan, to have medical assistance paid in his
or her behalf. (8) 'State
plan' means all documentation submitted by the commissioner in
behalf of the department to and for approval by the secretary of
health and human services, pursuant to Title XIX of the federal
Social Security Act, as amended (Act of July 30, 1965, P.L. 89-97,
Stat. 343, as amended). (9)
'Third party' means an individual, institution, corporation, or
public or private agency, other than the department, that is
legally liable to pay all or any part of the medical costs incurred
by a recipient of medical assistance on account of any sickness,
injury, disease, or disability to such a recipient.
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