391.021  Definitions.--When used in this act, unless the context clearly indicates otherwise:

(1)  "Children's Medical Services network" or "network" means a statewide managed care service system that includes health care providers, as defined in this section.

(2)  "Children with special health care needs" means those children under age 21 years whose serious or chronic physical or developmental conditions require extensive preventive and maintenance care beyond that required by typically healthy children. Health care utilization by these children exceeds the statistically expected usage of the normal child adjusted for chronological age. These children often need complex care requiring multiple providers, rehabilitation services, and specialized equipment in a number of different settings.

(3)  "Department" means the Department of Health.

(4)  "Eligible individual" means a child with a special health care need or a female with a high-risk pregnancy, who meets the financial and medical eligibility standards established in s. 391.029.

(5)  "Health care provider" means a health care professional, health care facility, or entity licensed or certified to provide health services in this state that meets the criteria as established by the department.

(6)  "Health services" includes the prevention, diagnosis, and treatment of human disease, pain, injury, deformity, or disabling conditions.

(7)  "Participant" means an eligible individual who is enrolled in the Children's Medical Services program.

(8)  "Program" means the Children's Medical Services program established in the department.