The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.(1) Certification--A determination by the department that a facility meets the requirements for participation of the Title XVIII Medicare Program or the Title XIX Medical Assistance Program.(2) Department--The Texas Department of Human Services.(3) Facility--A long-term care institution which has applied for participation or participates in the Title XVIII Medicare Program or the Title XIX Medical Assistance Program.(4) HCFA--Health Care Financing Administration of the United States Department of Health and Human Services.(5) Intermediate care facility for the mentally retarded--A facility that participates in the Title XIX Medicaid Program under the definition in 42 United States Code (USC) §1396(d).(6) Nursing facility--A facility that participates in the Title XIX Medicaid Program under the definition in 42 USC §1396(c).(7) Skilled nursing facility--A facility that participates in the Title XVIII Medicare Program under the definition in 42 USC §1395i-3(a).(8) Standards--The rules, requirements, and guidelines established by HCFA or the state Medicaid agency with which a facility must comply to participate in the Title XVIII Medicare Program or the Title XIX Medical Assistance Program.(9) State Medicaid agency--The state agency designated to administer the funds for the Title XIX Medical Assistance Program.(10) Title XVIII Medicare Program--The health insurance program for the aged and disabled authorized under Title XVIII of the Social Security Act.(11) Title XIX Medical Assistance Program--The medical assistance program in Texas authorized under Title XIX of the Social Security Act.