A person who has the legal authority to manage the property and financial affairs of a protected person during the period of his or her disability. A person who is appointed by a court to manage the estate of a protected person.

Deposited Will

A testamentary instrument may be filed for safekeeping with the court in the county of residence by the testator during his/her lifetime. A will that is deposited is filed while the testator is alive.

Durable General Power of Attorney

A power that remains in effect in spite of and throughout the principal’s incapacity. Medical Power of Attorney: A power of attorney that takes effect upon the principal’s incapacity and designates a substitute decision-maker for healthcare matters.

Estate Tax (“Death” Tax)

A progressive tax imposed on the transfer of property at the time of death. The basic federal estate tax exclusion for 2005 is $1.5 million. This exclusion is scheduled to rise to $2 million next year (2006) and continue at that level in 2007 and 2008. In 2009, the exclusion is set to rise to $3.5 million. In 2010, the estate tax is set to disappear completely, but only for that year. In 2011, the estate tax returns. with an exemption level of $1 million. In addition to the exclusion amount of $1.5 million, all transfers to a spouse are exempt from the federal estate tax. Accordingly a married couple in 2005 can transfer a total estate of $3 to their children with no estate tax liability. Note, however, that the exception levels and rate schedule of the estate tax are likely to change drastically during the current Congressional session. The U.S. House of Representatives has already voted to completely repeal the estate tax and the Senate is working on a bipartisan compromise with increased exemption levels and lowered rates.

Guardian

A person appointed by a court to exercise authority over another person’s physical concerns. Including place of abode and medical treatment. A person who has qualified as a guardian of a minor or incapacitated person pursuant to testamentary or court appointment.

Formal Proceedings

Proceedings conducted before a judge with notice to interested person.

Informal Proceedings

Those conducted without notice to interested persons by an officer of the court acting as a registrar for probate of a will, appointment of a person representative, or determination of a guardian under sections 15-14-202 and 15-14-301 C.R.S.

Living Will

A document by which a person directs that his or her life not be artificially prolonged by extraordinary measures when there is no reasonable expectation of recovery from extreme physical or mental disability.

Lodged Wills

Testamentary instrument of a deceased person is filed with the court in decedent’s county residence within 10 days of death of testator. A will that is lodged is filed after the testator has died.

Personal Representative

A person who settles and distributes the probate estate of a deceased person in accordance with the terms of a probated will or in accordance with the rules of descent and distribution in the Colorado Revised Statutes.

Power of Attorney

An instrument whereby a person (the “principal”) grants another (the “agent”) the authority to act for and in the place of the principal. Generally, powers of attorney automatically terminate upon the death or incapacity of the principal and an agent cannot make medical decisions for the agent. (Two exceptions: a durable power of attorney and a medical power of attorney).

Probate

The procedure by which a will is proven to be the testator’s valid directions. Also refers to the administrative process by which the deceased person’s assets are collected, valued and either distributed or liquidated. taxes are calculated and paid, and claims of creditors are adjudicated and settled.

Probate Estate

Probate Estate refers to all assets (i.e.: real estate. personal property, cash, stocks) and liabilities (i.e.: mortgage, credit cards. loans) that a person owns or owes at death.

Proxy Decision Maker

In Colorado, a substitute decision maker will be recognized by a Dr. or hospital to make medical treatment decisions when no guardian with medical decision-making authority, agent appointed in a medical durable power of attorney, or other known person has the legal authority to provide such consent or refusal on the patient’s behalf and the attending medical physician determines that a patient lacks the decisional capacity to provide informed consent to or refusal of medical treatment.

Testator

A person who makes a will or a person who has died leaving a valid will.

Trust

When one person (trustee) holds property at another person’s (settlor’s) request for the benefit of someone else (the beneficiary). A legal relationship whereby property (the “corpus”) is given by a person or entity (the “settlor”), to another person or entity (the “trustee”) to hold for the benefit of a third party (the beneficiary”).

Will

A document that takes effect upon death, by which a person (the “testator”) directs the distribution of his or her probate estate and appoints a “personal representative” to carry out these directions.

GLOSSARY OF TERMS AND ACRONYM LIST

300%ers -- Persons whose income is up to three times the SSI payment limit. This optional eligibility category is eligible for Medicaid by virtue of need for long term care services.

 

A & A -- Aid and Attendance (VA Benefit)

 

A/CSA -- Alcohol/Controlled Substance Abuse

 

AAA -- Area Agency on Aging

 

AABD -- Aid to the Aged, Blind, and Disabled (Federal Term)

 

AARP -- American Association of Retired Persons

 

AAS -- Aging and Adult Services

 

AASD -- Aging and Adult Services Division

 

AB -- Aid to the Blind

 

AB-T -- Aid to the Blind- Treatment

 

ACF -- Alternative Care Facility

 

ADA -- Americans with Disabilities Act

 

ADAD -- Alcohol and Drug Abuse Division

 

ADC -- Adult Day Care

 

ADL -- Activities of Daily Living

 

ADP -- Automated Data Processing

 

ADS -- Adult Day Services

 

Adult Foster Care (AFC) -- This is not a Medicaid program or service; however, many AFC eligible are also Medicaid eligible. This provides residential care with supervision for client medications, etc. While these services are not as extensive as those rendered in a nursing home, they do represent an important component of a "continuum" of long term care. It is funded through a 95% General Fund and a 5% local match.

 

AG -- Attorney General

 

AIDS -- Acquired Immune Deficiency Syndrome

 

ALJ -- Administrative Law Judge

 

Allowed Charge-- The Amount Medicare Will Consider for Payment for a Given Service or Supply

 

AND-SSI -- Aid to the Needy Disabled- SSI

 

AOA -- Administration on Aging

 

AP -- Assistance Payments

 

APS -- Adult Protective Services

 

ASA -- American Society of Aging

 

BBA -- Balanced Budget Amendment

 

BC/BS -- Blue Cross/Blue Shield of Colorado, Medicaid's former Fiscal Agent

 

BENDEX -- Beneficiary Data Exchange

 

Beneficiary -- One Who is Entitled to Receive Benefits

 

Benefits -- The Scope of Services Available to Beneficiaries

 

BI -- Brain Injury

 

BIA -- Bureau of Indian Affairs

 

BL -- Black Lung

 

CAHHA -- Colorado Association of Home Health Agencies

 

CAHPS -- Consumer Assessment of Health Care Study

 

CAHSA -- Colorado Association of Homes and Services for the Aging

 

CAP -- Colorado Admissions Program

 

CAT Scans -- Computerized Axial Tomography

 

CBMS -- Colorado Benefits Management System

 

CCOA -- Colorado Commission on Aging

 

CCR -- Code of Colorado Regulations

 

CCSO -- Colorado Congress of Senior Organization

 

CDAS -- Consumer Direct Attendant Support

 

CDBG -- Community Development of Social Services

 

CDF -- Colorado Drug Formulary

 

CDHCPF -- Colorado Department of Health Care Policy and Financing

 

CDHS -- Colorado Department of Human Services

 

CDOLE -- Colorado Department of Labor and Employment

 

CDOR -- Colorado Department of Revenue

 

CDPHE -- Colorado Department of Public Health and Environment

 

CDSS -- Colorado Department of Social Services or County Department of Social Services or County Department of Human Services

 

CFMC -- Colorado Foundation for Medical Care- HCPF's PRO Contractor

 

CFR -- Code of Federal Regulations

 

CGS -- Colorado Gerontological Society

 

CHAMPUS -- Civilian Health and Medical Program of the Uniformed Services

 

CHFA -- Colorado Housing Finance Authority

 

CHP+ -- Children's Health Plan Plus

 

CICP -- Colorado Indigent Care Program

 

CM -- Case Manager

 

CMA -- Case Management Agency

 

CO/EBTS -- Colorado Electronics Benefits Transfer Service

 

COBRA -- Consolidated Omnibus Budget Reconciliation Act of 1985

 

COIN -- Client Oriented Information System (CDHS-HCPF eligibility database)

 

Co-Insurance -- The amount of the allowed charge the beneficiary is responsible for paying on assigned medicare beneficiaries

 

COLA -- Cost of Living Adjustment

 

Colorado Works -- Colorado's Welfare Reform Program (see: TANF)

 

CRD -- Chronic Renal Disease

 

CS -- Federal SSI-Colorado Supplement

 

CSE -- Child Support Enforcement

 

CSL -- Colorado Senior Lobby

 

CSR -- Continued Stay Review

 

CSU -- Child Support Unit

 

CTRANS -- County Transportation Refers to Non-Emergency or Non-Wheel Chair Transportation Services

 

Day Program -- Part of the home and community based services for persons with developmental disabilities. This is the day program part of the waiver.

 

DC -- Day Care

 

DD -- Developmentally Disabled

 

DEFRA -- Deficit Reduction Act

 

DHMC -- Denver Health Medical Center

 

DHS -- Colorado Department of Human Services

 

DIH -- Department of Indian Health

 

DLE -- Colorado Department of Labor & Employment

 

DME/MED EQUIP. -- Durable Medical Equipment and Supplies

 

DORA -- Colorado Department of Regulatory Agencies

 

EA -- Emergency Assistance

 

EBD -- Elderly, Blind, and Disabled

 

EBT/EFT -- Electronic Benefit Funds Transfer

 

EGHP -- Employer Group Health Plan

 

Eligible -- This refers to one full time equivalent client for a defined period of time. Every person who is issued a MAC Is called an "eligible." It does not refer to the number of clients who actually use a medical service. When a MAC is issued, the computer system assigns a prescribed span of time for which the person is eligible. If eligibility is not renewed at the end of the span, eligibility lapses.

 

EOMB -- Explanation of Medicare Benefits

 

FDA -- Food and Drug Administration

 

FNS -- Food and Nutrition Services

 

FPL -- Federal Poverty Limit

 

FMV—Fair Market Value

 

FS -- Food Stamps

 

GA -- General Assistance

 

GJTO -- Governor's Job Training Office

  

HB -- House Bill (introduced to the Colorado House in the General Assembly/Legislature)

 

HCA -- Home Care Allowance

 

HCBS -- Home and Community Based Services

 

HCBS-BI -- Home and Community Based Services - Persons with brain injury

 

HCBS-CES -- Home and Community Based Services - Children's Extensive Support

 

HCBS-CM -- Home and Community Based Services for the Elderly, Blind, and Disabled Case Management

 

HCBS-CMW -- Home and Community Based Services - Children's Medical Waiver

 

HCBS-CS -- Home and Community Based Services for the Elderly, Blind, and Disabled Client Services

 

HCBS-DD -- Home and Community Based Services - Persons with Developmental Disabilities

 

HCBS-EBD -- Home and Community Based Services - Elderly, Blind, and Disabled

 

HCBS-MI -- Home and Community Based Services - Mentally Ill

 

HCBS-PLWA -- Home and Community Based Services - People Living with AIDS

 

HCBS-SLS -- Home and Community Based Services - Supported Living for persons with developmental disabilities

  

HCPF Medicaid -- Colorado Department of Health Care Policy & Financing

 

Health Insurance Buy-In -- Premium and coinsurance/deductible payments for private health insurance policies for medicaid clients when it can be shown to be cost effective

 

HH -- Home Health Care

 

HH# -- County Household Number

 

HHA -- Home Health Aide or Home Health Agency

 

HHS -- Health and Human Services Federal agency

 

HIBI -- Health Insurance Buy-In Program

 

HIS -- Indian Health Services

 

HM -- Home Maker

 

HMO -- Health Maintenance Organization

 

Home Care Allowance -- This is not a Medicaid program or service; however, most Home Care Allowance eligible are also Medicaid eligible. Services are for persons residing in their own homes and include personal care and supportive services. While these services are not medical in nature, they do represent an important component of a "continuum" of long term care. It is funded through 95% General Fund and 5% Local Match

 

Home Mod -- Home Modification

 

HOSPICE -- Hospice

 

HUD -- Housing and Urban Development

 

IADL -- Independent Activity of Daily Living

 

ICD-9-CM -- International Classification of Diseases, version 9, Clinical Modification

 

ICF -- Intermediate Care Facility

 

IEVS -- Income Eligibility Verification System

 

IM -- Income Maintenance

 

Inpatient -- Inpatient Hospital Care

 

ISP -- Internet Service Provider

 

IT -- Information Technology

 

IV-D -- Title IV-D, Social Security Act Federal Child Support Enforcement Program regulations

 

IVES --Income Eligibility Verification System

  

JBC -- Joint Budget Committee

 

Lab/X-ray -- Laboratory and Radiology Services

 

LEAP -- Low-income Energy Assistance Program

 

LOC -- Level of Care or Line of Code

 

LOS -- Length of Stay

 

LPN -- Licensed Practical Nurse

 

LTC -- Long Term Care

 

LTCO -- Long Term Care Ombudsman

 

MA -- Medical Assistance

 

MC -- Medicaid

 

MCO -- Managed Care Organization

 

Medicare -- That portion of the Social Security Act which provides health care benefits to citizens over age 65 or under age 65 who are permanently disabled or suffering from chronic renal failure

 

Medicare Part A -- That part of Medicare law providing for in-patient hospitalization, SNF care, NH benefits, & home health services to senior citizens

 

Medicare Part B -- A supplementary program to Part A providing for physicians' services, outpatient hospital services, & other supplies. Waivers were granted in 1996 to enable use of RUGs 3 for routine costs.

 

Medicare/TPL -- Medicare/Third Party Liability

 

Mental Health -- This refers to the mental health care provided through the community

 

MHASA -- Mental Health Assessment & Services Agency

 

MI -- Medically Indigent

 

MK or M19 -- Medicaid

 

MOW -- Meals on Wheels

 

MS -- Medical Services

  

MSW -- Master's of Social Work or Medical Social Work

 

NASUA -- National Association of State Units on Aging

 

NCOA -- National Council on Aging

 

NCQA -- National Commission on Quality Assurance

 

NCSC -- National Council of Senior Citizens

 

ND -- Non-Diversion

 

NDS -- Net ware Directory Services

 

NF -- Nursing Facility

 

NH -- Nursing Home

 

NPE -- Nutrition Program for the Elderly

 

NRTA -- National Retired Teachers Association

 

OAA -- Older Americans Act

 

OAP/A -- Old Age Pension/65 years or older

 

OAP/B -- Old Age Pension/60 to 64 years

 

OAP/SO -- Old Age Pension- State Only health and medical benefits

 

OASDI -- Old Age Survivors Disability Insurance

 

OAVP -- Older American Volunteer Programs

 

OBRA -- Omnibus Budget Reconciliation Act

 

OCA -- Older Coloradans Act

 

OLTC -- Options for Long Term Care

 

OP -- Outpatient

OSPB -- Office of State Planning and Budget (Governor's Office)

 

OT/PT/ST -- Occupational Therapy/Physical Therapy/ Speech Therapy

 

OTC -- Over the Counter Drugs

 

Outpatient -- Outpatient Hospital Services includes all hospital-based outpatient care ranging from emergency room to hospital based care

 

Over 65 -- Inpatient Psychiatric Hospital Care for Persons over age 65. State owned and operated hospital care.

 

PA -- Public Assistance

 

PACE -- Programs of All Inclusive Care for the Elderly

 

PAR -- Prior Authorization Review

 

PASARR -- Pre Admission Screening and Annual Resident Reviews

 

PC -- Personal Care

 

PCBH -- Personal Care Boarding Home

 

PCP/PCPP -- Primary Care Physician/Primary Care Physician Program

 

PDCS -- Prescription Drug Card System

 

PDN -- Private Duty Nursing

 

PE -- Presumptive Eligibility

 

PERA -- Public Employees - Retirement Association

 

PETI -- Post Eligibility Treatment of Income

 

PHN -- Public Health Nurse

 

PHP -- Prepaid Health Plan

 

Physician -- Physician's services are those ranging from family practice to specialty care.

 

PLWA -- People Living With AIDS

 

PMR -- Planning and Management Region

 

PN -- Personal Needs

 

POC -- Plan of Care

 

PPD -- Per Patient Day

 

PPHP -- Pre Paid Health Plan

 

PPO -- Preferred Provider Organization

 

Prescription Drug -- Includes payment for all drugs provided through Medicaid including those dispensed in nursing home, but excluding those which are dispensed in the inpatient hospital setting

 

PRO -- Peer Review Organization

 

QA -- Quality Assurance

 

QC/QA/ME -- Quality Control/Quality Assurance/Management Evaluation

 

QDWI -- Qualified Disabled & Working Individuals

 

QMB -- Qualified Medicare Beneficiary

 

 

R/R/R -- Re-determination/Re-certification/Reassessment

 

Rebate- Prescription Drugs -- Medicaid prescription drug optional benefit. In an effort to offset the additional costs related to the items above, manufacturers rebate Medicaid drug expenses for certain items. The rebates are not accounted for in MMIS data and are handled manually through accounting transactions.

 

Residential Program -- Part of the Home and Community Based Services for the Developmentally Disabled, is the residential care provided for under the waiver.

 

RN -- Registered Nurse

 

ROI -- Return on Investment

 

RRB -- Railroad Retirement Benefits

 

RSDI -- Retirement, Survivors, Disability Insurance

 

RSVP -- Retired Senior Volunteer Program

 

RTC -- Residential Treatment Center (Children with behavioral problems)

 

SB -- Senate Bill (introduced to the Senate in the Colorado General Assembly/Legislature)

 

SBSS -- State Board of Social Services

 

SEP -- Single Entry Point

 

SISC -- SSI Status Code

 

SLMB -- Special Low-Income Medicare Beneficiaries

 

SMIB -- Supplementary Medical Insurance Benefits

 

SN -- Skilled Nursing

 

SNF -- Skilled Nursing Facility

 

SPA -- Single Purpose Application

 

SSA -- Social Security Administration

 

SSCN -- Social Security Claim Number

 

SSI -- Supplemental Security Income

 

SSI-CS -- Supplemental Security Income- Colorado Supplement (OAP)

  

SSN -- Social Security Number

 

SSO -- Social Security Office

 

ST -- Speech Therapist or Therapy

 

ST. I.D. # -- State Identification Number (Medicaid #)

 

STAC -- Specialized Transportation Association of Colorado

 

SUA -- State Unit on Aging

  

TANF -- Temporary Assistance to Needy Families

 

Title XIX -- Social Security Act- Medicaid

 

Title XVIII -- Social Security Act- Medicare

 

UCB -- Unemployment Compensation Benefits

 

ULTC-100 -- Uniform Long Term Care (client needs assessment tool form)

 

 

UR -- Utilization Review of medical providers
 

VA -- Veterans Administration

 

VISTA -- Volunteers in Service to America

 

Vol 10 -- CDSS Staff Policy Manual for State Policy on Older Americans Act

 

Vol 7 -- CDSS Staff Policy Manual for Social Services

 

Vol 8 -- CDSS Staff Policy Manual for Medicaid