Section 128.110  Definitions

For the purpose of this Part, the terms shall be defined as follows:

"Act" means the Veterans' Health Insurance Program Act of 2008 [330 ILCS 126].

"Department" means the Department of Healthcare and Family Services and any successor agencies.

"DVA" means the Illinois Department of Veterans Affairs.

"Family" means the veteran applying for the program and the following individuals living with the veteran who are counted in determining eligibility:

The spouse of the veteran;

Children under 19 years of age of the veteran or the veteran's spouse;  

If the veteran or the spouse is pregnant, the unborn children.

"Federal Poverty Level" means the federal poverty income guidelines as established by the federal Department of Health and Human Services and published in the Federal Register.

"Health Insurance" means health insurance coverage as defined in 215 ILCS 105/2.

"Practitioner" means a physician (including a hospital billing a physician office visit), osteopath, podiatrist, optometrist, chiropractor, advanced practice nurse, Federally Qualified Health Center, Rural Health Clinic or Encounter Rate Clinic.

"Program" means the program created under the Veterans' Health Insurance Program Act and this Part, commonly called Veterans Care.

"Resident" means an individual who has an Illinois residence, as provided in Section 5-3 of the Illinois Public Aid Code.

"Spouse" means the person who, under the laws of the State of Illinois, is married to an eligible veteran at the time of application and subsequent redetermination for the program and includes enrolled spouses surviving the death of the eligible veteran.

"Uninsured" means the person is not covered by group or individual health insurance that provides coverage for hospitalization and physician visits.

"Veteran" means an individual who served for at least 180 days after initial training in any branch of the U.S. military including the Reserves and National Guard.  The veteran must not be currently on active duty in the U.S. military.

"Veterans Administration Geographic Means Test" means the U.S. Department of Veterans Affairs Healthcare Program Enhancement Act of 2009 (38 USC 1705(a)(7)) income guidelines established annually by county and published in the Federal Register for determining eligibility for Veterans Administration healthcare.  The income guidelines can also be found at:http://www.va.gov/healtheligibility/Library/pubs/ GMTIncomeThresholds.

"Veterans Administration Healthcare" means any of the health programs or services provided or administered by the U.S. Department of Veterans Affairs.

"Veterans Care" means the common name for this program under the Act.

(Source:  Amended at 36 Ill. Reg. 17062, effective November 26, 2012)