Glossary

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Care Coordination
Program target high-risk beneficiaries to improve coordination of both medical and social supports provided by different organizations and providers.
Care management
Refers to programs that seek to help patients achieve an optimal level of wellness, improve coordination of care, and engage beneficiaries and their support systems in a collaborative process designed to manage medical, social, and mental health conditions more effectively.
Care Plan
A written document that outlines the types and frequency of the long-term care services that a consumer receives. It may include treatment goals for him or her for a specified time period.
Caregiver
A person who provides support and assistance with various activities to a family member, friend, or neighbor. May provide emotional or financial support, as well as hands-on help with different tasks. Caregiving may also be done from long distance.
Case management
Services that assist eligible enrollees to secure medical and other services necessary for appropriate health care treatment. Services include the assessment of an eligible individual to determine service needs, development of a specific care plan, referral and related activities to help an individual obtain needed services, and monitoring and follow-up activities.
Cash & Counseling Demonstration and Evaluation
An implementation and study of consumer-directed PAS programs offering cash allowances and information services. Consumers use the allowances to purchase services, assistive devices, and home modifications. The goal is to enable medicaid PAS consumers to exercise maximum consumer direction.
CD-PAS
Consumer Directed Personal Assistance Services
CDDO
Community Developmental Disabilities Organization
Certificate of Need (CON)
A certificate issued by a government body to a health care provider who is proposing to construct, modify, or expand facilities, or to offer new or different types of health services. CON is intended to prevent duplication of services and overbedding. The certificate signifies that change has been approved.
CMHSP
Community Mental Health Service Program
COLA
Cost of Living Adjustment
Community Health Center
An ambulatory health care program usually serving an area that has scarce or nonexistent health services or a population with special health needs. These centers attempt to coordinate federal, state, and local resources in a single organization capable of delivering both health and related social services to a defined population. While such a center may not directly provide all types of health care, it usually takes responsibility to arrange all medical services needed by its patient population.
Community Living Program Grants (CLP)
Part of the Administration on Aging’s (AoA) grant initiative, it is funding for states to enable the elderly, at risk of nursing home placement, to continue to live in their communities, with access to professional help to find community resources and supports that best fit their individual needs.
Community-Based Services
Services designed to help people remain independent and in their own homes; can include senior centers, transportation, delivered meals or congregate meals site, visiting nurses or home health aides, adult day care, and homemaker services.
Community-Integrated Personal Assistance Services and Supports (CPASS)
The goal of this project is to develop an infrastructure and create products that will promote the effective recruitment and retention of personal assistants, and ensure that people with disabilities have the knowledge, access and resources available to maximize choice and control in the use of Personal Assistance Services.
Congregate Housing
Individual apartments where residents may receive some services, such as a daily meal with other tenants. Other services may be included as well. Buildings usually have some common areas such as a dining room and lounge as well as additional safety measures such as emergency call buttons. May be rent subsidized (known as section 8 housing).
Consumer choice
Provided when there is a range of service options to meet the diverse needs of consumers. The degree to which consumers have choice must go beyond the range of service choices and include opportunities for consumers to decide when and where services will be provided, and how and by whom tasks will be performed.
Consumer Directed Model (CDM)
A public program where consumers have an employer/employee relationship with PAS workers.
Consumer direction (CD)
Describes programs and services where people are given maximum choice and control. Consumer direction may also be called \\\"self-determination\\\" or \\\"independent living.\\\" When people say they want to be \\\"independent\\\" or they want \\\"autonomy\\\" or \\\"self-direction,\\\" they are talking about consumer direction too. In consumer-directed programs, consumers can choose to select, manage and dismiss their workers.
Consumer-directed programs
Consumers can decide which services to use, which workers to hire, and what time of day they will come. They can decide whether to hire family members and whether to spend the available funds on things other than services (like appliances or home modifications). In some consumer-directed programs, consumers pay their workers themselves; in others, consumers choose to have a \\\"intermediary service organization\\\" handle payments.
Consumers
Any persons who use goods and services. Consumers of consumer-directed services are people with disabilities of all ages, including persons with: Cognitive needs which include autism, mental retardation, brain injury, dementia (including Alzheimer\\'s Disease, AIDS-related dementa); Physical needs due to accidents, injuries, illnesses, age-related conditions, developmental conditions such as muscular dystrophy, and sensory impairments (including vision and hearing losses, deafness, blindness).
Continuing Care Retirement Community (CCRC)
Communities that offer multiple levels of care (independent living, assisted living, skilled nursing care) housed in different areas of the same community or campus and which give residents the opportunity to remain in the same community if their needs change. Provide residential services (meals, housekeeping, laundry), social and recreational services, health care services, personal care, and nursing care. Require payment of a monthly fee and possibly a large-sum entrance fee.
Continuum of Care
The entire spectrum of specialized health, rehabilitative, and residential services available to the frail and chronically ill. The services focus on the social, residential, rehabilitative and supportive needs of individuals, as well as needs that are essentially medical in nature.
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