Glossary
Tags
- ACA
- ACA Marketplace
- ACA subsidies
- CHIP
- CMS
- ESRD
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- FSA
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- Medicaid (rare)
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- QLE
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- Section 1115
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- Silver plan
Assisted Living Facility
A residential facility providing support and care for individuals who need assistance with daily activities, such as dressing, bathing, and managing medications. Coverage of assisted living varies by Medicaid program and state.
A residential facility providing support and care for individuals who need assistance with daily activities, such as dressing, bathing, and managing medications. Coverage of assisted living varies by Medicaid program and state.
Geriatric Care
Specialized healthcare services for older adults, focusing on age-related conditions such as mobility issues, chronic diseases, and dementia. Medicare and Medicaid provide coverage for many geriatric care services, including nursing home care and home healthcare.
Specialized healthcare services for older adults, focusing on age-related conditions such as mobility issues, chronic diseases, and dementia. Medicare and Medicaid provide coverage for many geriatric care services, including nursing home care and home healthcare.
Home and Community-Based Services (HCBS)
Services that allow individuals, particularly those with disabilities or chronic illnesses, to receive care in their homes or communities rather than in institutional settings. Medicaid provides coverage for HCBS, including personal care, nursing, and therapy.
Services that allow individuals, particularly those with disabilities or chronic illnesses, to receive care in their homes or communities rather than in institutional settings. Medicaid provides coverage for HCBS, including personal care, nursing, and therapy.
Long-Term Care (LTC)
A range of services that provide medical and personal care to individuals with chronic illnesses or disabilities who cannot manage their daily activities independently. Medicaid is the primary payer for long-term care services, covering nursing homes, assisted living, and home care.
A range of services that provide medical and personal care to individuals with chronic illnesses or disabilities who cannot manage their daily activities independently. Medicaid is the primary payer for long-term care services, covering nursing homes, assisted living, and home care.
Look-Back Period (Medicaid)
A period of time (usually five years) during which Medicaid reviews an applicant’s financial transactions to determine if assets were transferred to meet Medicaid eligibility. Transferring assets during the look-back period may result in penalties or ineligibility for Medicaid long-term care.
A period of time (usually five years) during which Medicaid reviews an applicant’s financial transactions to determine if assets were transferred to meet Medicaid eligibility. Transferring assets during the look-back period may result in penalties or ineligibility for Medicaid long-term care.
Level of Care (LOC)
A term used in Medicaid to determine the intensity of care required by an individual. LOC assessments are used to establish eligibility for long-term care services, such as nursing home care or home and community-based services.
A term used in Medicaid to determine the intensity of care required by an individual. LOC assessments are used to establish eligibility for long-term care services, such as nursing home care or home and community-based services.
Nursing Home Care
Long-term care services provided in a nursing facility for individuals who need assistance with daily activities or medical care. Medicaid is the largest payer of nursing home care, though Medicare provides limited coverage for skilled nursing facility care.
Long-term care services provided in a nursing facility for individuals who need assistance with daily activities or medical care. Medicaid is the largest payer of nursing home care, though Medicare provides limited coverage for skilled nursing facility care.
Respite Care
Short-term care provided to individuals with chronic illnesses or disabilities to give their regular caregivers temporary relief. Medicaid and some Medicare plans may cover respite care as part of long-term care or hospice services.
Short-term care provided to individuals with chronic illnesses or disabilities to give their regular caregivers temporary relief. Medicaid and some Medicare plans may cover respite care as part of long-term care or hospice services.
Skilled Nursing Facility (SNF)
A healthcare facility that provides high-level medical care and rehabilitation services after hospitalization. Medicare Part A covers skilled nursing care for a limited period after a qualifying hospital stay, while Medicaid may cover long-term stays for eligible individuals.
A healthcare facility that provides high-level medical care and rehabilitation services after hospitalization. Medicare Part A covers skilled nursing care for a limited period after a qualifying hospital stay, while Medicaid may cover long-term stays for eligible individuals.