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<br />"Medicaid Administrative Claiming" or "MAC" means the source of funding for reimbursements
<br />provided in this Agreement shared between the Contractor and the Federal Financial Participation
<br />(FFP).
<br />"Medicaid Covered Services" means the array of federally required and Washington State
<br />legislatively appropriated medical and social services available to Medicaid Clients through the State
<br />Medicaid Plan (Apple Health).
<br />"Medicaid Eligibility Rate" or "MER" means the proportional share of Medicaid individuals to the
<br />total number of individuals in the target population (Contractor's jurisdiction) as defined in the CAP,
<br />Manual and this Agreement.
<br />"Minimum Necessary" means the least amount of PHI necessary to accomplish the purpose for
<br />which the PHI is needed.
<br />"Monitoring" means review of a Contractor's MAC program to ensure program integrity.
<br />"Office of Management and Budget" or "OMB" means a division under the Executive Office of the
<br />President of the United States.
<br />"Operating Expense" means those costs incurred by the Contractor to perform business
<br />activities and includes both Direct Costs and Indirect Costs. Only operating expenses
<br />necessary to operate the Contractor's MAC program are allowable for FFP reimbursement.
<br />"Outreach" means activities undertaken by the Contractor to inform individuals, families and
<br />community members within its jurisdiction about Services available and encourage access to these
<br />Services.
<br />"Permissible Use" means only those uses authorized in this Contract and as specifically defined
<br />herein.
<br />"Personal Information" means information identifiable to any person, including, but not limited to,
<br />information that relates to a person's name, health, finances, education, business, use or receipt of
<br />governmental services or other activities, addresses (including or excluding zip code), telephone
<br />numbers, social security numbers, driver's license numbers, credit card numbers, any other
<br />identifying numbers, and any financial identifiers.
<br />"Position Description" means a document summary of specific dutes and responsibilites assigned
<br />to a staff position.
<br />"Proprietary Information" refers to any information which has commercial value and is either: (1)
<br />technical information, including patent, copyright, trade secret, and other Proprietary Information,
<br />techniques, sketches, drawings, models, inventions, know-how, processes, apparatus, equipment,
<br />algorithms, software programs, software source documents, and formulae related to the current,
<br />future, and proposed products and services; or (2) non -technical information relating to products,
<br />including without limitation pricing, margins, merchandising plans and strategies, finances, financial
<br />and accounting Data and information, suppliers, customers, customer lists, purchasing Data, sales
<br />Washington State Page 7 of 35 HCA IAA K8630
<br />Health Care Authority Revised 07/2023
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