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Day Training and Habilitation (DT&H)

Services for adults with developmental disabilities that:  1) include supervision, training, assistance, and supported employment, work-related activities, or other community-integrated activities designed and implemented in accordance with the individual service and individual habilitation plans required under Minnesota Rules, parts 9525.0015 to 9525.0165, to help an adult reach and maintain the highest possible level of independence, productivity, and integration into the community; and 2) are provided under contract with the county where the services are delivered by a vendor licensed under sections 245A.01 to 245A.16 and 252.28, subdivision 2, to provide day training and habilitation services.

DD Waiver

Developmental Disabilities Waiver.  A federally approved home and community-based services program for children and adults with mental retardation or a related condition who need the level of care provided in an Intermediate Care Facility for Persons with Mental Retardation or Related Conditions (ICF/MR).

Declaration of Parentage (DOP)

A form that serves as an acknowledgement of paternity.  This form may be signed before or after the child's birth. To be valid it must have been executed before August 1, 1995. Notarized signatures of both parents must be on the form.

Deductible

The amount of health care expenses an insured person is required to incur before benefits are payable under a health insurance policy.  For example, if an insured person has a $1000 deductible, he or she must incur $1000 in medical costs before the policy begins paying benefits.

Deduction

An amount allowed to reduce a person's total net income because its use or intended use is for certain specific expenses.

Deed

Legal document which conveys ownership of property between parties.

Deem

To count the income or assets of one person when determining the eligibility of another.

Deemed IRA

A qualified employer plan that maintains a separate account or annuity to receive voluntary employee contributions to facilitate employee retirement savings.

Deemed SSI Recipient

An individual who for MA purposes is considered to be receiving SSI.  This includes people eligible under 1619(a) and (b); children eligible under the TEFRA waiver; people eligible for the Pickle disregard; Disabled Adult Children; Disabled Widows and Widowers; and people not receiving SSI payment because of recoupment or one-month suspension due to excess income.

Deferred Annuity

An annuity contract under which periodic payments will begin sometime in the future. A deferred annuity contract provides the purchaser with the opportunity to accumulate savings over an extended period before the contract enters its payout phase. A deferred annuity has two phases:  1) the accumulation phase; and 2) the annuitization phase (also called the payout phase).

Denial

The act of disapproving an application, a request to add a person to coverage, or a request for specific medical services.

Dependent Care Deduction

An income deduction based on the cost of caring for a child or adult.

Dependent Child

A child who lives with a parent, legal guardian, relative caretaker or foster parent and is under age 18 or 18 years old, a full-time student, expected to graduate by age 19.

Dependent Health Insurance

Health insurance coverage offered or provided to the insured's specified dependents.

Depreciation

A federal income tax deduction for the cost of a business asset that gradually loses value through the wear and tear of use.

Designated Provider

A method for clients to pay their waiver obligation or medical spenddown to a chosen provider.  Clients who receive certain types of services may choose the designated provider option. Clients with long-term care spenddowns must use this option.

Developmental Disabilities (DD) Waiver

A federally approved home and community-based services program for children and adults with mental retardation or a related condition who need the level of care provided in an Intermediate Care Facility for Persons with Mental Retardation or Related Conditions (ICF/MR).

Developmentally Disabled

People diagnosed with mental retardation or a related condition who have substantial functional limitations or deficits in adaptive behavior and who manifest these conditions before their 21st birthday.

DHS

The Minnesota Department of Human Services.

DHS-SIR

The DHS Systems Information Resource (SIR) provides system availability information, announcements, and targeted links and content.  A login ID and password are required for access.

Disability

A basis of eligibility based on the Social Security Administration (SSA) disability standards.  Disability may be determined by the SSA or the State Medical Review Team (SMRT).

Disability Insurance

A policy which pays a fixed amount of income to a person who becomes disabled under the terms of the policy.  Disability insurance is intended as an income replacement and is not health insurance.

Disbursement

Any payment from a trust, including, but not limited to, cash and other liquid items, personal property, real property or the right to use and occupy real property.

Discretionary Trust

A trust authorizing the trustee to use full discretion to determine how much is paid out from the trust.

Disregard

An amount not counted when determining a person's total net income.

Dividend

The amount of the profit distribution a shareholder receives or the amount of the surplus distribution a policyholder of a participating insurance policy receives.

Dividend Accumulation

Dividends that the policy holder has left in the custody of the insurer to accumulate interest.

Dividend Addition

Amounts of additional life insurance purchased with dividends.

DOP

Declaration of Parentage.  A form that serves as an acknowledgement of paternity. This form may be signed before or after the child's birth. To be valid it must have been executed before August 1, 1995. Notarized signatures of both parents must be on the form.

DT&H

Day Training and Habilitation.  Services for adults with developmental disabilities that:  1) include supervision, training, assistance, and supported employment, work-related activities, or other community-integrated activities designed and implemented in accordance with the individual service and individual habilitation plans required under Minnesota Rules, parts 9525.0015 to 9525.0165, to help an adult reach and maintain the highest possible level of independence, productivity, and integration into the community; and 2) are provided under contract with the county where the services are delivered by a vendor licensed under sections 245A.01 to 245A.16 and 252.28, subdivision 2, to provide day training and habilitation services.

Dual Eligibles

People enrolled in Medicare Part A or B simultaneously with MA or any of the Medicare savings programs.



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