Maine Revised Statutes > Title 32 > Chapter 127-A – Athletic Trainers
Current as of: 2022 |
Check for updates
|
Other versions
Terms Used In Maine Revised Statutes > Title 32 > Chapter 127-A - Athletic Trainers
- Adverse health care treatment decision: includes a rescission determination and an initial coverage eligibility determination, consistent with the requirements of the federal Affordable Care Act. See Maine Revised Statutes Title 24-A Sec. 4301-A
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Athlete: means a physically active individual training for or participating in an amateur, educational or professional athletic organization or any other association that sponsors athletic programs or events in the State. See Maine Revised Statutes Title 32 Sec. 14352
- Athletic injury: means a disruption of tissue continuity that is sustained by an athlete or recreational athlete when that injury:
A. See Maine Revised Statutes Title 32 Sec. 14352Athletic trainer: means a person licensed by the department to use that title after meeting the requirements of this chapter. See Maine Revised Statutes Title 32 Sec. 14352 Athletic training: means :
A. See Maine Revised Statutes Title 32 Sec. 14352Carrier: means :
A. See Maine Revised Statutes Title 24-A Sec. 4301-AClinical peer: means a physician or other licensed health care practitioner who holds a nonrestricted license in a state of the United States, is board certified in the same or similar specialty as typically manages the medical condition, procedure or treatment under review and whose compensation does not depend, directly or indirectly, upon the quantity, type or cost of the medical condition, procedure or treatment that the physician or other licensed health care practitioner approves or denies on behalf of a carrier. See Maine Revised Statutes Title 24-A Sec. 4301-A Commissioner: means the Commissioner of Professional and Financial Regulation. See Maine Revised Statutes Title 32 Sec. 14352 Contract: A legal written agreement that becomes binding when signed. Department: means the Department of Professional and Financial Regulation. See Maine Revised Statutes Title 32 Sec. 14352 Emergency medical condition: means the sudden and, at the time, unexpected onset of a physical or mental health condition, including severe pain, manifesting itself by symptoms of sufficient severity, regardless of the final diagnosis that is given, that would lead a prudent layperson, possessing an average knowledge of medicine and health, to believe:
A. See Maine Revised Statutes Title 24-A Sec. 4301-AEmergency service: means a health care item or service furnished or required to evaluate and treat an emergency medical condition that is provided in an emergency facility or setting. See Maine Revised Statutes Title 24-A Sec. 4301-A Enrollee: means an individual who is enrolled in a health plan or a managed care plan. See Maine Revised Statutes Title 24-A Sec. 4301-A federal Affordable Care Act: means the federal Patient Protection and Affordable Care Act, Public Law 111-148, as amended by the federal Health Care and Education Reconciliation Act of 2010, Public Law 111-152, and any amendments to or regulations or guidance issued under those acts. See Maine Revised Statutes Title 24-A Sec. 14 Health care treatment decision: means a decision regarding diagnosis, care or treatment when medical services are provided by a health plan, or a benefits decision involving determinations regarding medically necessary health care, preexisting condition determinations and determinations regarding experimental or investigational services. See Maine Revised Statutes Title 24-A Sec. 4301-A health insurance: means insurance of human beings against bodily injury, disablement or death by accident or accidental means, or the expense thereof, or against disablement or expense resulting from sickness, and every insurance appertaining thereto, including provision for the mental and emotional welfare of human beings by defraying the costs of legal services only to the extent provided for in chapter 38. See Maine Revised Statutes Title 24-A Sec. 704 Health plan: means a plan offered or administered by a carrier that provides for the financing or delivery of health care services to persons enrolled in the plan, other than a plan that provides only accidental injury, specified disease, hospital indemnity, Medicare supplement, disability income, long-term care or other limited benefit coverage not subject to the requirements of the federal Affordable Care Act. See Maine Revised Statutes Title 24-A Sec. 4301-A Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases. Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity. Managed care plan: means a plan offered or administered by a carrier that provides for the financing or delivery of health care services to persons enrolled in the plan through:
A. See Maine Revised Statutes Title 24-A Sec. 4301-AMedically necessary health care: means health care services or products provided to an enrollee for the purpose of preventing, diagnosing or treating an illness, injury or disease or the symptoms of an illness, injury or disease in a manner that is:
A. See Maine Revised Statutes Title 24-A Sec. 4301-AParticipating provider: means a licensed or certified provider of health care services, including mental health services, or health care supplies that has entered into an agreement with a carrier to provide those services or supplies to an individual enrolled in a managed care plan. See Maine Revised Statutes Title 24-A Sec. 4301-A Peer-reviewed medical literature: means scientific studies published in at least 2 articles from major peer-reviewed medical journals that present supporting data that the proposed use of a drug or device is safe and effective. See Maine Revised Statutes Title 24-A Sec. 4301-A Plan sponsor: means an employer, association, public agency or any other entity providing a health plan. See Maine Revised Statutes Title 24-A Sec. 4301-A Provider: means a practitioner or facility licensed, accredited or certified to perform specified health care services consistent with state law. See Maine Revised Statutes Title 24-A Sec. 4301-A Recreational athlete: means an individual participating in fitness training and conditioning, sports or other athletic competition, practices or events requiring physical strength, agility, flexibility, range of motion, speed or stamina and who is not affiliated with an amateur, educational or professional athletic organization or any association that sponsors athletic programs or events in the State. See Maine Revised Statutes Title 32 Sec. 14352 Religious nonmedical provider: means a provider who provides only religious nonmedical treatment or religious nonmedical nursing care. See Maine Revised Statutes Title 24-A Sec. 4301-A Rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation. Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims. Standard reference compendia: means :
A. See Maine Revised Statutes Title 24-A Sec. 4301-ATrial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.