Section 692.5  Definitions

"AIDS Drug Assistance Program" or "ADAP" means a program that provides drugs to prolong the lives of low income persons with Acquired Immumodeficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV) infection who are not eligible under Article V of the Illinois Public Aid Code for Medical Assistance.  (Section 2310-315(13) of the Civil Administrative Code of Illinois)

"CD4 count" means the measurement of the number of CD4 cells in a sample of blood, which tells how strong the immune system is and indicates the stage of HIV disease.

"Creditable coverage" means coverage of an individual as defined in 45 CFR 146.113(a)(1) (Public Welfare:  Rules relating to creditable coverage).

"Department" means the Illinois Department of Public Health.

"Extra Help Program" means a federal program that assists very low income (less than $1,000/month) Medicare Part D eligible individuals with their prescription drug coverage. The program pays Medicare Part D premiums and all copayments except $2 and $3 on generic and brand, respectively. The program was established by the  Patient Protection and Affordable Care Act (P.L. 111-148).

"Medicaid" means the State-managed program under the federal Social Security Act (42 USC 1396) that pays medical care expenses for low-income individuals, including those with HIV/AIDS.

"Medicare" means the federal program under the Social Security Act (42 USC 1395) that pays for certain health care expenses for people age 65 or older. Enrolled individuals must pay deductibles and co-payments. 

"Prescription insurance" means insurance paid for or provided by an employer, family member or the applicant that covers prescription medications.

"Viral load" means a measurement of human immunodeficiency virus (HIV) in a sample of blood or other body fluids. 

(Source:  Amended at 37 Ill. Reg. 11371, effective July 2, 2013)