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§ 10227.102. Definitions

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 35 P.S. Health and SafetyEffective: August 19, 2013

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 35 P.S. Health and Safety (Refs & Annos)
Chapter 60. Community-Based Health Care Act
Chapter 1. Health Care Assistance
Subchapter A. Preliminary Provisions
Effective: August 19, 2013
35 P.S. § 10227.102
§ 10227.102. Definitions
Currentness
The following words and phrases when used in this chapter shall have the meanings given to them in this section unless the context clearly indicates otherwise:
“Chronic care and disease management.” A model of care that includes the following:
(1) The provision of effective health management through support and information that also promotes patient self-care for patients with chronic conditions.
(2) The use of evidence-based medicine to ensure appropriate treatment decisions by health care providers.
(3) The coordination of care and use of reasonably accessible and updated patient information that encourages follow-up care as a standard procedure.
(4) The tracking of clinical information for individual and general patient populations to guide treatment and effectively anticipate community health care problems.
“Community-based health care clinic.” A nonprofit health care center located in this Commonwealth that provides comprehensive health care services without regard for a patient's ability to pay and that:
(1) meets either of the following criteria:
(i) serves a federally designated medically underserved area, a medically underserved population or a health professional shortage area; or
(ii) serves a patient population with a majority of that population having an income less than 200% of the Federal poverty income guidelines; and
(2) includes any of the following:
(i) A federally qualified health center as defined in section 1905(l)(2)(B) of the Social Security Act (49 Stat. 620, 42 U.S.C. § 1396d(l)(2)(B)) or a federally qualified health center look-alike and is a participating provider with:
(A) the Department of Public Welfare1 under the act of June 13, 1967 (P.L. 31, No. 21),2 known as the Public Welfare Code; or
(B) the Children's Health Insurance Program under:
(I) Title XXI of the Social Security Act (49 Stat. 620, 42 U.S.C. § 1397aa et seq.); and
(II) Article XXIII of the act of May 17, 1921 (P.L. 682, No. 284),3 known as The Insurance Company Law of 1921, and the regulations promulgated thereunder.
(ii) A rural health clinic as defined in section 1861(aa)(2) of the Social Security Act (49 Stat. 620, 42 U.S.C. § 1395x(aa)(2)), certified by Medicare and is a participating provider with:
(A) the Department of Public Welfare under the Public Welfare Code; or
(B) the Children's Health Insurance Program under:
(I) Title XXI of the Social Security Act; and
(II) Article XXIII of The Insurance Company Law of 1921 and the regulations promulgated thereunder.
(iii) A hospital health clinic and is a participating provider with:
(A) the Department of Public Welfare under the Public Welfare Code; or
(B) the Children's Health Insurance Program under:
(I) Title XXI of the Social Security Act; and
(II) Article XXIII of The Insurance Company Law of 1921 and the regulations promulgated thereunder.
(iv) A free or partial-pay health clinic that provides services by volunteer and nonvolunteer health care providers.
(v) A nurse-managed health care clinic that is managed by a certified clinical nurse specialist, a certified registered nurse anesthetist, a certified registered nurse practitioner or a certified nurse midwife, is associated with a nursing education program, a federally qualified health center or an independent nonprofit health or social services agency and is a participating provider with:
(A) the Department of Public Welfare under the Public Welfare Code; or
(B) the Children's Health Insurance Program under:
(I) Title XXI of the Social Security Act; and
(II) Article XXIII of The Insurance Company Law of 1921 and the regulations promulgated thereunder.
“Department.” The Department of Health of the Commonwealth.
“Health care provider.” A health care provider licensed to practice a component of the healing arts by a licensing board within the Department of State who provides health care services at a community-based health care clinic.
“Hospital.” An entity located in this Commonwealth that is licensed as a hospital under the act of July 19, 1979 (P.L. 130, No. 48),4 known as the Health Care Facilities Act.
“Low-income patient.” A patient whose household income is below 200% of the Federal poverty income guidelines.
“Medical assistance.” A State program of medical assistance established under Article IV(f) of the act of June 13, 1967 (P.L. 31, No. 21),5 known as the Public Welfare Code.
“Patient.” A natural person receiving health care from a health care provider at a community-based health care clinic.
“Program.” The Community-Based Health Care Program.

Credits

2013, May 21, P.L. 32, No. 10, § 102, effective in 90 days [Aug. 19, 2013].

Footnotes

1
Now Department of Human Services; see 62 P.S. § 103.
2
62 P.S. § 101 et seq. (repealed); see 40 P.S. § 991.2301 et seq.
3
40 P.S. § 991.2301 et seq.
4
35 P.S. § 448.101 et seq.
5
62 P.S. § 401 et seq.
35 P.S. § 10227.102, PA ST 35 P.S. § 10227.102
Current through Act 10 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
End of Document