Medicare Managed Care Manual (Pub. 100-16), Ch. 18b § 190.4
Definition of an Employee
190.4 - Definition of an Employee
(Rev. 30, 09-05-03)
An employee is an individual who is actively working for an employer or, since disabled
persons are not usually working, a person whose relationship to an employer is indicative
of employee status. Whether or not such a person is an employee is established by the
facts applicable to the person's relationship to the employer. The question to be decided
is whether the employer treats a disabled individual who is not working as an employee,
in light of commonly accepted indicators of employee status rather than whether the
person is categorized in any particular way by the employer.