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Access
A person’s ability to obtain healthcare services.
Activities of Daily Living (ADL’s)
Activities of daily living-eating, toileting, bathing etc.
Acute Care (AC)
Medical care that is required for a short period of time to cure a certain illness and/or condition. Acute care facilities are hospitals that mainly treat people with short-term health problems.
Adult Day Care (ADC)
Health support and rehabilitation services provided in the community to people who are unable to care for themselves independently during the day, but are able to live at home at night.
Adult Home-Level 1
A residential care facility licensed by the New York State Department of Social Services for four or more residents. Usually in a private home and overseen by the local County DSS. These homes provide room, meals, and assistance with personal care and supervision for those unable to live alone. Nursing care is not provided. Also called “domiciliary care facility” or “residential care facility”.
Adult Home-Level II
Any facility with more than 4 residents which is licensed and overseen by the New York State Department of Health.
Adult Protective Services (APS)
Caseworkers assess an individual’s situation whose health and safety are in question. Caseworkers assess these individual’s needs for services and may assist in arranging needed services. Can provide money management for those who are unable to manage their finances. Can also assist people in arranging alternative
living arrangements in order to meet their needs.
Ambulatory
Able to walk independently, or with a support such as a cane or walker.
Ambulatory Care
All health services that are provided on an out-patient basis, that don’t require overnight care. Also called outpatient care.
Ancillary Services
Supplemental services, including laboratory, radiology and physical therapy, that are provided along with medical or hospital care, may also include in-home supplemental services that supplement aid service such as having a ramp built at the home of a wheelchair bound individual or installing an Emergency Response unit.
Area Agencies on Aging (AAA)
Area agency is a public or private nonprofit agency, designated by the state to address the needs and concerns of all older Americans at the local level. “Area Agency on Aging” is a generic term. Specific names of Area Agency on Aging may vary. Area Agencies on Aging may be part of a city or county government or a regional planning organization or a private non-profit agency. Each Area Agency on Aging is responsible for a specific geographic area either a city, a single county, or a multi-county district. In NY State there are 59 local offices which serve each county.
Assisted Living ( ALPS)
Services provided to support an individual in the performance of activities of daily living (ADLs) or severe cognitive impairment, usually in a community based residence. Assisted living facilities are now licensed in New York State and are identified as an Adult Care Facility or an Assisted Living Residence.
Assisted Living Facility (ALF)
A residential facility providing ongoing care and related services for persons needing assistance in the activities of daily living.
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Care At Home
It is an optional benefit under both Medicare and Medicaid that focuses entirely on older people, who are frail enough to meet their State’s standards for nursing home care. It features comprehensive medical and social services that can be provided at an adult day health center, home, and/or inpatient facilities. For most patients, the comprehensive service package permits them to continue living at home while receiving services, rather than be institutionalized. A team of doctors, nurses and other health professionals assess participant needs, develop care plans, and deliver all services which are integrated into a complete health care plan. PACE is available only in States which have chosen to offer PACE under Medicaid.
Case Management
Case management is a service which is designed to make the service delivery system more accessible and responsive to the individual needs of clients and provide continuity of care, as client’s needs change. Case management is defined as including the following separate but related activities: assessment of the client and informal caregiver(s); care planning; authorizing services; arranging for services; follow-up to assure that services are being delivered as planned; and reassessment of the client and/or informal caregivers, and as a means for maximizing all resources and services available in the community to meet these needs. It functions as a linkage between the client, informal caregivers, and service providers to facilitate an appropriate, comprehensive and coordinated response to needs.
Certified Home Health Agencies (CHHA)
Certified Home Health Agencies (CHHAs) provide part-time, intermittent health care and support services to individuals who need intermediate and skilled health care. CHHAs can also provide long-term nursing and home health aide services, can help patients determine the level of services they need, and can either provide or arrange for other services including physical, occupational, and speech therapy, medical supplies and equipment, and social worker and nutrition services.
Chronic Care Medicaid (CCMA)
Chronic Care Medicaid will pay for skilled nursing or health related care for eligible recipients in appropriately certified facilities. Medicaid to pay for Nursing Home placement or (LTHHCP) Long Term Home Health Care cases. These are married couples who are looking for the “nursing home without walls” program. It allows them to receive care at home but still qualify for Medicaid
Chronic Care
Treatment given to people whose health problems are long-term and continuing. Nursing Homes, mental hospitals and rehabilitation facilities are chronic care facilities.
Chronic Disease
Diseases which have one or more of the following characteristics: are permanent; leave residual disability; are caused by nonreversible pathological alteration; require special training of the patient for rehabilitation; or may be expected to require a long period of supervision, observation or care.
Community Based Services (CBS)
Long Term care services that are rendered generally at home, but include services rendered in a group setting, such as an adult day care center, or where human assistance is required to aid in necessary travel, such as to a physician’s office.
Consumer Directed Personal Assistance Program (CDPAP)
This Medicaid program provides services to chronically ill or physically disabled individuals who have a medical need for help with activities of daily living (ADLs) or skilled nursing services. Services can include any of the services provided by a personal care aide (home attendant), home health aide, or nurse. Recipients have flexibility and freedom in choosing their caregivers. The consumer or the person acting on the consumer’s behalf (such as the parent of a disabled or chronically ill child) assumes full responsibility for hiring, training, supervising, and – if need be – terminating the employment of persons providing the services.
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Developmentally Disabled
This term refers to someone of any age whose development is delayed either physically, cognitively, or emotionally. The Office of Mental Retardation and Development Disabilities provides a variety of alternative living arrangements and services.
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Early Intervention (EI)
The Early Intervention Program offers services that are deirected to assist families of children with developmental delays through home visits from teachers, therapists and counselors. Medical services for diagnostic or evaluation purposes are included at no charge to families. Every child is entitled to a multidisciplinary evaluation to help assess the child’s needs.
Expanded In-Home Services for the Elderly (EISEP)
EISEP services include non-medical in-home services such as housekeeping, personal care, respite, case management, and related services (such as emergency response systems). EISEP services support and supplement informal care provided by clients’ families. Clients are required to share the cost of services, based on income. These costs are determined by a sliding scale and range from no-cost to full-cost.
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Family Care Home
A residential care facility licensed by the New York State Office of Mental Retardation and Developmental Disabilities for individuals with developmental disabilities.
Family Type Adult Home
See Adult Homes.
Friendly Visiting
A program designed to decrease social isolation by providing regular in-home visits to elderly people living alone.
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Health Related Nursing Care
Care which is less intensive in its nursing services than skilled nursing care. Medicaid reimbursement for such services can be provided on behalf of eligible recipients to certified health related facilities.
Health Insurance Information Counseling & Assistance Program (HIICAP)
The Office for the Aging staff person is available to assist clients with medical bills, health insurance, and Medicare questions.
Home Care and Home and Community Based Care Benefits (HCHC)
Health services rendered to an individual as needed in the home. Such services are provided to aged, disabled, sick or convalescent individuals who do not need institutional care. These services may be provided by a visiting nurse association (VNA) home health agency, hospital or other organized community group. A wide range of long term health care services including skilled nursing care, home health care, personal care services, assisted living, and adult day care. Under Medicare and Medicaid in New York State such services must be provided by a certified home health agency.
Home Care Service Agency (HCSA)
HCSA’s provide hourly nursing care and homemaker, housekeeper, personal-care attendants and other health and social services.
Hospice Care
A program which provides palliative and supportive care for terminally ill patients and their families. Hospice provides expert guidance, support and services for families dealing with a life-limiting illness. The goal is to help the patient live as
fully and comfortably as possible.
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Individualized Family Service Plan (IFSP)
An IFSP is a written plan for the early intervention services you and your child will get from the Early Intervention Program. This plan includes the outcomes for your child and family-what you hope to gain from this program. It will describe the early intervention services your child and family will get to help you reach your goals. It will describe who will provide the service and where and when and how often the services will be provided. And it will also give the ways services will be used to help you and your family reach those goals.
Individualized Residential Alternative (IRA’s)
A home for men and women of all ages needing supervision, generally because of developmental disabilities, but is structured to meet each person’s individual wants, preferences, and needs.
Informal Supports (IS)
Unpaid care and support provided to the consumer by family, friends, neighbors and others in the community.
Information & Assistance (I & A)
Comprehensive and objective information and support (as necessary) for individuals and their caregivers/ families about all medical, non-medical (e.g. housing) and other community services; institutional services; eligibility criteria, etc. to link them with the opportunities, services and resources available to help meet their particular needs.
Instrumental Activities of Daily Living (IADL’S)
These activities include shopping, cleaning, cooking, etc.
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