| (a) To qualify as a Medicaid individual for purposes
of MLIU QPI, the individual must be enrolled in Medicaid at the time
of at least one DSRIP project encounter during the applicable demonstration
year (DY).
(b) To qualify as a low-income or uninsured individual
for purposes of MLIU QPI, the individual must either be below 200
percent of the federal poverty level or must not have health insurance
at the time of at least one DSRIP project encounter during the applicable
DY.
(c) If an individual was enrolled in Medicaid at the
time of one DSRIP project encounter during the applicable DY, and
was low-income or uninsured at the time of a separate DSRIP project
encounter during the applicable DY, that individual is classified
as a Medicaid individual for purposes of MLIU QPI.
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