WAC 182-500-0020 Medical assistance definitions -- C.

 "Carrier" means an organization that contracts with the federal government to process claims under medicare Part B.

     "Categorically needy (CN) or categorically needy program (CNP)" is the state and federally funded healthcare program established under Title XIX of the Social Security Act for persons within medicaid-eligible categories, whose income and/or resources are at or below set standards.

     "Categorically needy (CN) scope of care" is the range of healthcare services included within the scope of service categories described in WAC 388-501-0060 available to individuals eligible to receive benefits under a CN program. Some state-funded healthcare programs provide CN scope of care.

     "Centers for Medicare and Medicaid Services (CMS)" means the agency within the federal department of health and human services (DHHS) with oversight responsibility for the medicare and medicaid programs.

     "Children's health program or children's healthcare programs" See "Apple health for kids."

     "Community spouse" See "spouse" in WAC 388-500-0100.

     "Couple" See "spouse" in WAC 388-500-0100.

     "Covered service" is a healthcare service contained within a "service category" that is included in a medical assistance benefits package described in WAC 388-501-0060. For conditions of payment, see WAC 388-501-0050(5). A noncovered service is a specific healthcare service (for example, cosmetic surgery), contained within a service category that is included in a medical assistance benefits package, for which the agency or the agency's designee requires an approved exception to rule (ETR) (see WAC 388-501-0160). A noncovered service is not an excluded service (see WAC 388-501-0060).