Nevada ADRC Glossary of Common Terms

 

A

  • ADL – Activity of Daily Living. Bathing, toileting, dressing, eating, mobility and transferring from one surface to another.
  • ADSD- Aging and Disability Services Division.  The state unit responsible for administering aging and disability services throughout Nevada.  ADSD is a part of the Department of Health and Human Services.
  • ADRC – Aging and Disability Resource Center. Known as a “one-stop shop” for individuals who seek information or other assistance related to aging, physical or developmental disabilities, mental health issues or substance abuse concerns, the ADRC also serves as the “front door” to Family Care due to the Resource Center’s role in eligibility determination for and enrollment in the program. For more information on ADRCs, visit our Learn About section.
  • Assisted Living – Previously used to refer to Residential Care Apartment Complexes, assisted living now commonly refers to the entire spectrum of community-based living arrangements, including Adult Family Homes and Community Based Residential Facilities.

C

  • CMO - Care Management Organization. Previous term for a managed care organization (MCO).
  • CMS - Centers for Medicare and Medicaid. Federal agency responsible for administering Medicaid, Medicare and other health-related public assistance programs.
  • Comprehensive Assessment - Initial and ongoing process employed by the interdisciplinary team (IDT) to identify the member’s needs and strengths, preferences, informal supports and long-term care outcomes and to identify any ongoing conditions that require a course of treatment or regular care monitoring.

D

  • DD - Developmental Disability. Disability manifested before the age of 22 and expected to continue indefinitely due to mental retardation, cerebral palsy, epilepsy, autism, brain injury or another condition that results in substantial functional limitations.
  • DHCFP – Division of Healthcare Finance and Policy.  A division within Nevada's DHHS that administers the state Medicaid program. 
  • DHHS – Department of Health and Human Services. State agency that oversees health-related programs, including Family Care, in Nevada.
  • DME – Durable Medical Equipment. Equipment that can withstand repeated use, is primarily and customarily used to serve a medical purpose, is generally not useful in the absence of illness or injury and is appropriate for use in the home.
  • DMS – Disposable Medical Supplies. Supplies that are usually disposable in nature, cannot withstand repeated use by more than one individual, are primarily and customarily used to serve a medical purpose, generally are not useful to a person in absence of illness or injury and may be ordered and/or prescribed by a physician.

E

  • ES - Economic Support. County agency responsible for determining financial eligibility for public programs.

F

  • Family Care – State program involving the delivery of long-term care services covered under the Medicaid State Plan, including home- and community based waiver programs, to eligble residents through an MCO operating under a risk-based contract with DHS.
  • FOCIS –A program available through the Nevada Division of Healthcare Finance and Policy that helps certain individuals transition from nursing facilities to community based care.
  • Functional Screen – State system that uses information about ADLs, IADLs and other conditions to determine an individual’s Level of Care and functional eligibilty for programs such as Family Care.

I

  • IADL - Instrumental Activity of Daily Living. Includes activities such as meal preparation and medical and money management that serve as indicators of a person’s ability to live independently.
  • IDT – Interdisciplinary Team. Individuals identified by the MCO to provide care management to the member. An IDT includes at minimim the member (or his or her guardian), a case manager and registered nurse.
  • ISP – Individual Service Plan. Document that lists services and supports, paid or unpaid, provided or arranged by the MCO to address all needs identified in the comprehensive assessment and consistent with the Member-Centered Plan. The ISP identifies the types of services or supports authorized by the interdisciplinary team, the amount, the frequency, the duration of each service and the providers of those services.

L

  • LOC - Level of Care. Refers to the level of functionality of an individual who needs long-term care.
  • Long-Term Care – Range of services provided to a person with an irreversible or long-term condition that prevents him or her from engaging in adequate self-care.
  • LTSS – Long term Services and Supports.  A general term for any services that are provide for a long range; could include personal care services, homemaker services, home health services, institutional care, etc.

M

  • Managed Care – Approach to health care intended to streamline services and provide quality and cost-effective care through the supervision, monitoring and advice of a third party.
  • MCO – Managed Care Organization, previously referred to as a Care Management Organization (CMO). Entity that manages care for older persons and adults with physical or developmental disabilities and receives a set amount of money per member per month (capitation payment) to provide care that helps keep those indivduals as healthy and independent as possible.
  • Medicaid – A joint federal/state health insurance program that pays for medical and long-term care services for certain low-oncome individuals, including frail elders and disabled adults.
  • MFP – Money Follows the Person.  A discretionary grant awarded by CMS to DHCFP that helps qualified individuals transition from nursing facilities to community based care.
  • Mental Health – Successful performance of mental function, resulting in productive activities, fulfilling relationships with other people and the ability to adapt to change and cope with adversity.

N

  • Nursing Home - Place where five or more persons who are not related to the operator or administrator reside, receive care or treatment and, because of their mental or physical condition, require access to 24-hour nursing services.

O

  • Older Person – Person who is at least 65 years of age.

P

  • PDPhysical Disability. Physical condition that results from injury, disease or disorder and significantly interferes with a major life activity, such as self-care, walking or working.
  • Personal Care - Assistance with activities of daily living (ADLs).
  • PSA - Public Service Announcements. PSAs are messages in the public interest disseminated by the media without charge, with the objective of raising awareness, changing public attitudes and behaviour towards a social issue.

R

  • RADResource Allocation Decision. Standardized decision-making process for MCOs that balances a variety of factors, including outcomes and costs, in creating an Individual Service Plan.
  • RCAC – Residential Care Apartment Complex, previously referred to as Assisted Living. Place where five or more adults reside in independent apartments and receive up to 28 hours of personal, nursing and supportive services per week.
  • Respite - Services provided to a member on a short-term basis to relieve the member’s family or other primary caregivers from daily stress and care demands.

S

  • SHIP – State Health Insurance Assistance Program.  Provides Medicare education, outreach and one on one counseling to Medicare beneficiaries or those preparing to begin Medicare coverage.
  • SMP – Senior Medicare Patrol program.  Provides assistance to Medicare beneficiaries to prevent, recognize and report Medicare errors and fraud. 
  • Supported Employment – Program providing on-the-job training and ongoing support to employed individuals with significant disabilities.

 

 

 

 

 

 

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