Section 641.75.1. Definitions.

“Applicant” means a person for whom assistance under this program is being requested.

“Delivery” means that the delivery occurs after 20 weeks gestation.

“Director” means the administrator of a maternal health center or other designated agency.

“Family” means a group of two or more persons related by birth, marriage, or adoption who reside together or a unit of one who is an unrelated individual not living with any relatives. The unborn fetus will be counted as a family member.

“Nonquota case” means a patient who is provided obstetrical or newborn care services at the University of Iowa Hospitals and Clinics under the indigent nonquota obstetrical care program established pursuant to Iowa Code chapter 255 and referenced in Iowa Code section 255A.2.

“Obstetrical and newborn care services” means those types of services as recognized by the latest editions of The American College of Obstetricians and Gynecologists, “Standards for Obstetric-Gynecologic Services” and The American Academy of Pediatrics, “Standards and Recommendations for Hospital Care of Newborn Infants.”

“Poverty level” means poverty income guidelines established by the United States Department of Health and Human Services.

“Program” means the obstetrical and newborn indigent patient care program for quota cases.

“Provider” means a licensed hospital or a licensed physician who agrees to service eligible patients.

“Quota case” means a patient who is provided obstetrical or newborn care by a licensed hospital or physician under the obstetrical indigent patient quota program established pursuant to Iowa Code section 255A.4.

“Resident” means the individual is a legal resident of the state and resides in one of the designated 90 counties.

“Spenddown” means the process by which an applicant obligates income for allowable medical expenses to reduce income to a qualifying level. The medical expenses used for spenddown cannot be paid for with funds from this program.

“Spenddown interval” means one month for delivery services and six months for antepartum and delivery services.