The following words and terms, when used in this subchapter,
have the following meanings, unless the context clearly indicates
otherwise.
(1) Centers for Medicare & Medicaid Services (CMS)--The
federal agency within the United States Department of Health and Human
Services responsible for overseeing and directing Medicare and Medicaid.
(2) Certified Public Expenditure (CPE)--An expenditure
certified by a governmental entity to represent its contribution of
public funds in providing services that are eligible for federal matching
Medicaid funds.
(3) Federal Fiscal Year--A 12-month period beginning
October 1 and ending September 30.
(4) Governmental Entity--A state agency or a political
subdivision of the state, or a hospital authority, hospital district,
health district, city, county, school district, or other unit of local
government as established by Texas statute.
(5) Health care provider--The individual or entity
that receives a Medicaid payment or payments for health care items
or services provided or an entity related to such a health care provider.
(6) HHSC--The Texas Health and Human Services Commission.
(7) Interested party--A governmental entity that has
non-federal share funds under review, as contemplated by this chapter.
(8) Intergovernmental Transfer (IGT)--A transfer of
public funds from a governmental entity to HHSC.
(9) Non-federal share--The portion of Medicaid program
expenditures that is not federal funds. The non-federal share is equal
to 100 percent minus the federal medical assistance percentage (FMAP)
for Texas for the state fiscal year corresponding to the program year
and for the population served.
(10) Post-determination review--The informal re-examination
of an action or determination by HHSC under this chapter requested
by an interested party.
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