- Glossary

• Care At Home Waiver
  Medicaid waiver programs that provide medical and related services to severely disabled children so that they do not need to remain institutionalized. This includes case management, respite care and home and vehicle modification services that would not otherwise be covered by Medicaid.
• CASA
  Community Alternative Systems Agency - Division of New York City's HRA that assesses and authorizes Medicaid personal care services for elderly and disabled individuals.
• CHHA
  Certified Home Health Agency - A private home care agency that provides 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, physical, occupational, and speech therapy, medical supplies and equipment, and social worker and nutrition services.  Services provided by CHHAs may be reimbursed by Medicare, Medicaid, private payment, and some health insurers.  CHHAs take referrals from physicians, discharge planners, and directly from patients.  There are many CHHAs in New York State, with at least one in each county.  To find CHHAs in your area, go to http://homecare.nyhealth.gov/ in NYS or nationally at http://www.medicare.gov/HHCompare.
  
• CHP
  Child Health Plus - A state-subsidized medical insurance program for low-income children up to age 19 who are not eligible for Medicaid.
• Community based long-term care services
  A category of services covered under Medicaid consisting of:

  • Personal Care Services (excluding those who need only housekeeping)
  • Consumer-Directed Personal Assistance Services
  • Certified Home Health Agency
  • Adult Day Health Care (but not social-model adult day care)
  • Private Duty Nursing
  • Long-Term Home Health Care Program (Lombardi waiver)

  An individual must require at least one of those services for at least 120 days per calendar year in order to be eligible to enroll in MLTC.  Furthermore, a dual eligible age 21+ who requires at least one of those services for at least 120 days per calendar year is required to enroll in MLTC.
• Community Spouse
  For purposes of Medicaid eligibility, a community spouse is "[a] person who is the spouse of an institutionalized person [i.e., in a medical institution, nursing facility, or receiving HCBS waiver or PACE services], and who is residing in the community and not expected to receive home and community-based services provided pursuant to a waiver under Section 1915(c) of the Social Security Act for at least 30 consecutive days."  Medicaid Reference Guide, Glossary, at iii.
  
• CBLTC
  Community-Based Long-Term Care - A category of services covered under Medicaid consisting of:

  • Personal Care Services (excluding those who need only housekeeping)
  • Consumer-Directed Personal Assistance Services
  • Certified Home Health Agency
  • Adult Day Health Care (but not social-model adult day care)
  • Private Duty Nursing
  • Long-Term Home Health Care Program (Lombardi waiver)

  An individual must require at least one of those services for at least 120 days per calendar year in order to be eligible to enroll in MLTC.  Furthermore, a dual eligible age 21+ who requires at least one of those services for at least 120 days per calendar year is required to enroll in MLTC.
• CDPAP
  Consumer Directed Personal Assistance Program - a type of Medicaid-covered Community-Based Long-Term Care in which the consumer can select, train, supervise, and schedule his/her own personal assistants, who are not required to be certified as PCA/HHAs and who are exempt from the restrictions of the Nurse Practice Act (i.e., they may administer medication and perform other skilled tasks, unlike PCA/HHAs).  18 NYCRR § 505.28.