Section 125.110  Definitions

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

            "Act" means the Children's Health Insurance Program Act [215 ILCS 106].

            "Caretaker Relative" means a relative as specified in this definition, with whom the child lives, who is providing care, supervision and a home for the child.   Caretaker relatives include:

            Blood or adoptive relatives within the fifth degree of kinship:

            father and mother

            brother and sister

            grandmother and grandfather (including up to great-great-great)

            uncle and aunt (including up to great-great)

            nephew and niece (including up to great-great)

            first cousin

            first cousin once removed (child of first cousin)

            second cousin (child of great-aunt/uncle)

            Step relatives:

            step-father and step-mother

            step-brother and step-sister

            A person who is or has been married to one of the above relatives.

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

"Eligible Adult" means an individual 19 years of age or older who is a parent or other caretaker relative and that individual's spouse if they reside together.

            "Family" means the child applying for the Program and the following individuals who live with the child:

The child's parents

            The spouse of the child's parent

            Children under 19 years of age of the parents or the parent's spouse

            The spouse of the child

            The children of the child

            If any of the above is pregnant, the unborn children.

"FamilyCare" means expansion of coverage to include eligible adults as permitted by the KidCare Parent Coverage Waiver.

            "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.

            "KidCare/FamilyCare Health Plan" means the health benefits coverage containing cost sharing features that is available to eligible families under the Children's Health Insurance Program or the KidCare Parent Coverage Waiver, and includes  KidCare/FamilyCare Share (no premium required) and KidCare/FamilyCare Premium (premium required).

            "KidCare/FamilyCare Rebate" means the program under which the Department, on behalf of an eligible individual, makes rebate payments to offset a family's cost of insuring an individual under privately sponsored or employer-based health insurance.

            "Medical Assistance" means health care benefits provided under Article V of the Illinois Public Aid Code.

            "Program" means the program created under the Children's Health Insurance Program Act and this Part.

            "Rebate" means the payment made by the Department under KidCare Rebate.

            "REV" means the Recipient Eligibility Verification system through which medical providers can obtain eligibility and claim status information electronically.

            "Significant Health Insurance" means coverage that includes physician services and inpatient hospital services that would qualify for coverage under KidCare Rebate.

(Source:  Amended at 30 Ill. Reg. 10328, effective May 26, 2006)