The point at which two different systems are linked (e.g., computer to printer or modem).

Borrowing of assets by a trust fund (Old Age, Survivors, Health and Disability Insurance [OASHDI], health insurance [HI], or supplementary medical insurance [SMI]) from another of the trust funds when one of the funds is in danger of exhaustion. Interfund borrowing was authorized only during 1982-1987.

Cooperative relationship between governments or between agencies within a level of government together with federal, state, and local governments to provide integrated services and manage the delivery system (e.g., local dollars for indigent care are matched with federal Medicaid dollars).

Itemized statement that shows only the beginning stay at a hospital or skilled nursing facility. It is generated when the hospital expects to submit a series of inpatient insurance claims after a minimum confinement of 30 days. Interim bills may be submitted by a hospital that is under a prospective payment system every 60 days during the patient’s confinement or course of treatment.

Immediate initial insurance coverage of an individual who applies for insurance between the date of a prepaid premium and the date the insurance company notifies the applicant of its underwriting decision.

Workers’ compensation report submitted so that money can be paid to the physician during ongoing treatment of an industrial case.

1. Level of medical care for certain chronically ill or disabled individuals in which room and board are provided but skilled nursing care is not. Intermediate care is provided in a step-down unit that is also called an intermediate care unit . 2. Short-term care provided by many long-term facilities that may include rehabilitation services and care for certain conditions (stroke and diabetes) or postsurgical care. The goal is to discharge the patient to his or her home or to a lower level of care. Sometimes called postacute care, subacute care , or transitional care .
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A level of care associated with a skilled nursing facility which provides nursing care under the supervision of physicians or a registered nurse. The care provided is a step down from the degree of care described as skilled nursing care.

Institution furnishing health-related care and services to individuals who do not require the amount of care provided by hospitals or skilled nursing facilities.

1. Medical facility that primarily provides health-related care and services above the level of custodial care to mentally retarded and developmentally disabled individuals but does not provide the level of care available in a hospital or skilled nursing facility. 2. Optional Medicaid service. Each state defines its level of ICF MR care.