|CHC||Community HealthChoices managed care organization; These are |
the health insurance plans that will be responsible for the physical
health care and LTSS of their enrolled participants
|COMMONWEALTH||An independent country or community, especially democratic republic.|
|COMMUNITY OF CARE||is the sharing, coordination and integration of medical information |
among different providers to support patient care across multiple points in time and multiple care settings. This process is a vital component of
patient care quality.
|DHS||The state Department of Human Services (formerly known as the|
Department of Public Welfare.
|FEE-FOR-SERVICE||is a payment model where services are unbundled and paid for |
separately. In healthcare, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care,
rather than quality of care.
|HCBS||home and community based services (also called waiver services).|
|INDEPENDENT ENROLLMENT BROKER (IEB)||Independent Enrollment Broker; An agency hired by the sate to help |
people with the eligibility and enrollment process for CHC, HCBS
and nursing homes.
|LTSS||Long term services and supports; Services and supports to assist |
individuals to perform routine daily activities such as bathing, dressing,
preparing meals and taking medications.
|MANAGED CARE PROGRAM||Managed care plans are a type of health insurance. They have |
contracts with healthcare providers and medical facilities to provide
care for members at reduced costs. These providers make up the plan’s
|MLTSS||Managed Long Term Services and Supports (MLTSS) refers to the |
delivery of long term services and supports through capitated Medicaid managed care programs.
|PERSONAL ASSISTANCE SERVICE||For many individuals with disabilities, personal assistance services (PAS) |
help make employment possible. Some people use PAS to carry out
activities night include getting up and ready for work, bathing, dressing,
cooking, cleaning or running errands.
|WAIVER||The way in which the federal government, waiving federal rules, allows states to provide Medicaid-Funded services to people residing in the community who would otherwise be an institute or nursing home to receive|