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Halfway House

A place that provides a temporary residence for people waiting for an institutional placement or for people who have left an institution and are preparing to re-enter the community.

HCAPP

Health Care Application. A form which people can use to apply for Minnesota Health Care Programs.

HDHP

High Deductible Health Plan.  Sometimes referred to as a “catastrophic” health insurance plan, an HDHP is an inexpensive health insurance plan that generally does not pay for the first several thousand dollars of health care expenses. It has a higher annual deductible than typical health plans and a maximum limit on the sum of the annual deductible and out-of-pocket medical expenses that an individual must pay for covered expenses. In 2010, the HDHP minimum annual deductible is $1,200 for individual coverage and $2,400 for family coverage. In 2010, the HDHP maximum annual deductible and other out-of-pocket expenses is $5,950 for individual coverage and is $11,900 for family coverage. A HDHP is required to have a Health Savings Account. See IRS Publication 969 for more information.

Health Care Application (HCAPP)

A form which people can use to apply for Minnesota Health Care Programs.

Health Care Programs

A group of health coverage programs available through the State of Minnesota to people who qualify including: MinnesotaCare, Medical Assistance (MA) which includes QMB, QWD, SLMB, QI, MA-EPD, and federally funded waiver programs.

Health Insurance Information Form (HIIF)

A DHS form (DHS-1922 or -1922B) used to gather other health care coverage information.

Health Insurance Portability and Accountability Act (HIPAA)

A federal law passed in 1996 that protects health insurance coverage for workers and their families when they change or lose their jobs. Title II Administration Simplification provides national uniformity of transaction coding and national identifiers for providers. Data privacy is included in Title II.

Health Maintenance Organization (HMO)

An organization licensed by the Department of Health to provide all defined health care benefits to people in return for a capitated payment.

Health Plan

An organization contracting with the State to provide health services to enrollees covered by a Minnesota Health Care Program in exchange for a monthly capitation payment.  A health plan may be a HMO or other defined group of medical providers.  Also referred to as a managed care organization (MCO).

Health Reimbursement Arrangement (HRA)

An employer-established benefit plan where employees are reimbursed tax free for qualified medical expenses. These may be offered in conjunction with other employer-provided health benefits. Employees may not make contributions and the contribution cannot be paid through a voluntary salary reduction agreement. Only employers may make contributions to the HRA. See IRS Publication 969 for more information.

Health Savings Account (HSA)

A tax-exempt trust or custodial account (an account managed for eligible employees by a custodian) that an individual sets up with a qualified HSA trustee to pay or reimburse certain medical expenses. To qualify for an HSA an individual must have a high deductible health plan. See IRS Publication 969 for more information.

HealthQuest

The automated system for submitting health care program policy and procedural questions to DHS.

High Deductible Health Plan (HDHP)

Sometimes referred to as a “catastrophic” health insurance plan, an HDHP is an inexpensive health insurance plan that generally does not pay for the first several thousand dollars of health care expenses. It has a higher annual deductible than typical health plans and a maximum limit on the sum of the annual deductible and out-of-pocket medical expenses that an individual must pay for covered expenses. In 2012, the HDHP minimum annual deductible is $1,200 for individual coverage and $2,400 for family coverage. In 2012, the HDHP maximum annual deductible and other out-of-pocket expenses is $6,050 for individual coverage and is $12,100 for family coverage. A HDHP is required to have a Health Savings Account. See IRS Publication 969 for more information.

HIIF

Health Insurance Information Form. A DHS form (DHS-1922 or -1922B) used to gather other health care coverage information.

Hill-Burton Act

A federal act that gives hospitals and other health facilities money to build and remodel in return for providing a limited volume of services to people living in their area who cannot pay for health care.

HIPAA

Health Insurance Portability and Accountability Act. A federal law passed in 1996 that protects health insurance coverage for workers and their families when they change or lose their jobs. Title II Administration Simplification provides national uniformity of transaction coding and national identifiers for providers. Data privacy is included in Title II.

Home

Property an applicant or enrollee owns in whole or in part or has an ownership interest in, and in which he or she occupies, or occupied immediately prior to receiving LTC services, as the primary dwelling. A home includes the primary dwelling, all surrounding land and any building on that land, provided the land is not separated from the dwelling by property owned by another person. Land separated from the dwelling by a public right-of-way is included in the definition of the home.

Home and Community-Based Services

Services not normally covered by MA which are covered under a waiver program, including case management, homemaker services, home health aide, personal care, adult day health treatment, habilitation, respite care, and day treatment for individuals with chronic mental illness. Also known as waivered services.

Homestead

The home which is owned by and is the usual residence of the client.

Hospice

A benefit that offers comfort, care, and support to clients who are terminally ill with a life expectancy of less than six months. It also provides support to the client's family.

Hospital Leave Day

Each day an LTCF is eligible for MA payment even though the client has transferred to an inpatient hospital for medically necessary health care.

Household Goods

Items of personal property found in or near a home that are used on a regular basis; items needed by the household for maintenance, use and occupancy of the premises as a home.

Household Report Form (HRF)

A form (DHS-2120) used by enrollees to report changes in income, assets and circumstances.

Household Size

The number of people included in a health care household. This number is used to determine income and asset eligibility and premium amount, if applicable.

Housing with Services Establishment

A community living arrangement commonly referred to as assisted living, that provides supportive services.

HRA

Health Reimbursement Arrangement.  An employer-established benefit plan where employees are reimbursed tax free for qualified medical expenses. These may be offered in conjunction with other employer-provided health benefits.  Employees may not make contributions and the contribution cannot be paid through a voluntary salary reduction agreement. Only employers may make contributions to the HRA. See IRS Publication 969 for more information.

HRF

Household Report Form. A form (DHS-2120) used by enrollees to report changes in income, assets and circumstances.

HSA

Health Savings Account.  A tax-exempt trust or custodial account (an account managed for eligible employees by a custodian) that an individual sets up with a qualified HSA trustee to pay or reimburse certain medical expenses. To qualify for an HSA an individual must have a high deductible health plan. See IRS Publication 969 for more information.

Human Services Judge

A person who presides over an appeal hearing and issues a recommendation on the appealed matter to the Commissioner of DHS.  Also known as a Referee. An appeal is also known as a fair hearing.



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