The words and terms used in this Subchapter have the following meanings, unless the context clearly indicates otherwise:
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(1) "American Indian/Alaska Native (AI/AN)" means an individual of Native American descent who has or is eligible for a Certificate of Degree of Indian Blood (CDIB) card;
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(2) "Capitation" means the per member per month (pmpm) amount that the Oklahoma Health Care Authority pays to the PACE provider.
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(3)
"Interdisciplinary Team (IDT)" means the team of persons who interact and collaborate to assess PACE clients and plan for their care as set forth in
42 CFR 460:102. The IDT may also include the PACE client's personal representative or advocate.
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(4) "Participant" means an individual enrolled in a PACE program.
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(5) "Program agreement" means the three-party agreement between the PACE provider, CMS, and OHCA.
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(6) "Provider" means the non-profit entity established by the Cherokee Nation that delivers required PACE services under an agreement with OHCA and CMS.
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(7) "Service area" means the geographic area served by the provider agency, according to the program agreement.
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(8) "State Administering Agency (SAA)" means the Oklahoma Health Care Authority.