A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
C
Case Management:
A process used by a doctor, nurse, or other health professional to manage health
care. Case managers make sure you get needed services and track your use
of facilities and resources.
Source: Centers for Medicare & Medicaid
Services
Catastrophically Disabled:
Catastrophically disabled persons have a permanent severely disabling injury,
disorder or disease that compromises the ability to carry out the activities
of daily living to such a degree that the individual requires personal or
mechanical assistance to leave home or bed or requires constant supervision
to avoid physical harm to self or others.
Source: The U.S. Department of Veterans Affairs
Categorically Needy:
As defined by the Centers for Medicare & Medicaid Services, categorically
needy individuals are those who must be covered, which usually includes: low-income
families with children; individuals receiving Supplemental Security Income
(SSI); pregnant women, infants and children with incomes less than a specified
percent of the Federal poverty level; and qualified Medicare beneficiaries.
States have options as to how they define categorically
needy. Their definition may include individuals receiving only a state
supplementation of SSI, although their income would prohibit any SSI
payment. Categorically needy individuals must be provided with the following
services: inpatient hospital services; outpatient hospital services;
rural health clinic services; laboratory and x-ray services; nursing
facility services; home health care services for individuals age 21 or
older; family planning services and supplies; early and periodic screening,
diagnosis and treatment for individuals under age 21; certified mid-wife
services and physician services; certified pediatric and family nurse
practitioner services; and Federally qualified ambulatory and health
center services. In addition, there are many other services a state may
choose to provide such as prescription drugs. For the medically needy,
states have considerably more discretion in the services they provide.
Source: Social Security Administration (SSA)
Centers for Medicare & Medicaid
Services (CMS):
The Centers for Medicare & Medicaid Services (CMS) is a Federal agency
within the U.S. Department of Health and Human Services. CMS runs the Medicare
and Medicaid programs - two national health care programs that benefit about
75 million Americans. And with the Health Resources and Services Administration,
CMS runs the State Children's Health Insurance Program (SCHIP).
Source: Centers for Medicare & Medicaid
Services
Child:
Under Social Security, a recipient’s "child" refers to a biological
child or any other child who can inherit personal property under state law,
or who meets certain specific requirements under the Social Security Act. This
can include a legally adopted child, equitably adopted child, stepchild, or
grandchild.
Source: Social Security Administration
Claim:
A claim is a request for payment for services and benefits received.
Source: Centers for Medicare & Medicaid
Services
Compensable:
Able to be compensated or paid.
Source: Merriam-Webster Dictionary, 2003
Conditional Entry/Resident (under
immigrant law):
Any alien granted permanent resident status on a conditional basis (e.g., a
spouse of a U.S. citizen; an immigrant investor), who is required to petition
for the removal of the set conditions before the second anniversary of the
approval of his or her conditional status.
Source: U. S. Citizenship and Immigration Services
(USCIS)
Continuing Disability Review (CDR):
Federal law requires Social Security to do a Continuing Disability Review (CDR)
on any disabled child to determine whether or not the child remains disabled.
The CDR must be done at least every three years for recipients under age
18 whose condition is likely to improve, and no later than 12 months after
birth for babies whose disability is based on low birth weight. Social Security
may also do CDRs for recipients under age 18 whose conditions are not likely
to improve. At the time a CDR is conducted the representative
payee must present evidence that the child is and has been receiving
treatment considered medically necessary and available for his or her disabling
condition. Failure to provide this evidence may result in suspended payment
of benefits.
Source: Social Security Administration
Continuum of Care (CoC):
A Continuum of Care is a local or regional system for helping people who are
homeless or at imminent risk of homelessness by providing housing and services
appropriate to the whole range of homeless needs in the community, from homeless
prevention to emergency shelter to permanent housing. In 1995, the Department
of Housing and Urban Development (HUD) implemented the Continuum of Care
approach to streamline the existing competitive funding and grant-making
process under the McKinney-Vento Homeless Assistance Act and to encourage
communities to coordinate more fully the planning and provision of housing
and services for homeless people.
Source: The Department of Housing and Urban
Development
Copayment:
In some health plans, a copayment is the amount paid for each medical service,
like a doctor's visit. A copayment is usually a set amount. For example,
this could be $5 or $10 for a doctor's visit.
Source: Centers for Medicare & Medicaid
Services
Credits:
Previously called "Quarters of Coverage." As an individual works
and pays taxes, he or she earns credits that count toward eligibility for future
Social Security benefits. An individual can earn a maximum of four credits
each year. Most people need 40 credits to qualify for benefits. Younger people
need fewer credits to qualify for disability or survivors benefits.
Source: Social Security Administration
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