Medicaid is a program run by the state that helps pay the medical and other bills of people who have low income, cannot afford medical care, and meet other eligibility requirements. Medicaid also pays for home and community based services under the CFC, DDA operated Medicaid Waivers, and other programs.

A Medicaid Waiver program that serves adults aged 18 years and older. The waiver provides services and supports to enable older adults and people with physical disabilities to live in their own homes.

A Medicaid program that offers community-based services to people of all ages who meet an institutional level of care. Services are provided in the person’s home or community residence.

A Medicaid program that provides assistance with activities of daily living, nurse monitoring and Supports Planning to Medicaid recipients. Services are provided in the person’s home or community residence.

A Medicaid program for people who reside in nursing facilities who would like to live in their homes and communities; however their income is too high for participation in Medicaid home and community-based waiver programs.

{{model.dhmhLongName}} ({{model.dhmhAbbreviation}}): The health department for the state of Maryland. The {{model.dhmhShortName}} organizes the health services provided through Medicaid and Medicare.

Long Term Services and Supports (LTSS): Services for older adults, and people with physical disabilities, intellectual disabilities, developmental disabilities, or chronic illness to support greater independence and quality of life.

In-home Supports Assurance System (ISAS): The system used by the Maryland Department of Health to pay for specific in-home services under the traditional service delivery model. Your provider uses the phone to clock-in and clock-out with this system when they come to your home.

Local Health Department (LHD): Organization that helps manage your Nurse Monitors and the health assessments that are required for some Medicaid program services.

Family Supports Waiver: A Medicaid program for children with a developmental disability to provide support services in their homes and communities.

Community Supports Waiver: A Medicaid program for adult 18 years or older with a developmental disability to provide meaningful day and support services in their homes and communities.

Community Pathways Waiver A Medicaid program for adults 18 years or older with a developmental disability and need residential services. Meaningful day and support services in the home and community are also provided.

Service: A direct support professional, vendor, or provider supports you with the outcomes identified in the PCP. This support is paid for through the Medicaid program via the Maryland Department of Health.

Personal Assistance Service: A CO/CFC service when a provider comes to your home and supports you with personal care. They include bathing or showering, dressing, getting in and out of bed or a chair, walking, using the toilet, and eating.

Shared Attendant Service: A CO/CFC service when the provider who comes into your home can take care of you and one other person who lives with you.

Service Clock-in Method (Non Self-Directed): How your provider clocked-in and clocked-out for service when they came to your home.

• EVV App: The staff clocked-in or out using the EVV smartphone application.
• Telephone Clock-in: The staff clocked-in and out using your telephone.
• Manual: The provider clocked-in and out without using your telephone. The service time was entered by the agency supervisor using a computer.

Plan of Service (POS)/Person Centered Plan (PCP): The written support plan that is driven by the participant and describes what is important to and important for them and their welfare. This plan is developed with support from the case manager and the participant's team.

OTP Device: A small tool that providers sometimes use to clock-in and out from your home. Not all participants need this device in their homes.

Participant: Any person enrolled in the CFC, CO, CPAS, CPW, CSW, FSW, ICS, or State Funded programs.

Coordinator of Community Services or "CCS": Person who provides Coordination of Community Services. They can be either an employee or a contractor of a DDA provider.

Coordination of Community Services Agency: The organization that employs your Coordinators of Community Services.

Supports Planning Agency: The organization that employs your Supports Planner.

Supports Planner: Person who helps you manage your services and supports.

Nurse Monitor: A CO/CFC Nurse that visits to check on your health. The Nurse Monitor helps make sure that the services listed on your Plan Of Service are being provided correctly.

Representative: Person you allow to serve as a representative in connection with your DDA services and supports.

CFC Representative: Person you allow to serve as a representative in connection with your Community First Choice services and supports. This person may sign the Plan Of Service on your behalf.

Guardian of Person: A person appointed to manage your personal health care interests. This individual can be your legal guardian or someone appointed as your guardian temporarily.

Guardian of Property: A person appointed to manage your personal property interests. This individual can be your legal guardian or someone appointed as your guardian temporarily.

MyLTSS: A tool created by the Maryland Department of Health to help you manage your services. The tool allows you to review your Plan of Service/Person Centered Plan, representatives, the times your provider worked, and report service problems.

Person Centered Plan Key Terms

• Advanced Directive: "Advanced Directive" is a legal document that tells medical professionals your wishes related to health care.
• Auto Extend: "Auto Extend" is when your PCP extends pass the Annual Plan Date to ensure no disruption to your existing services.
• Clarification Request: "Clarification Request" is when the DDA regional office PCP reviewer has a question about something in your PCP, they submit a message in LTSS to your CCS.
• Health Risk Screen Tool or "HRST": A tool used by the DDA to help identify health and safety needs.
• HRST Score: The screen tool scores from 1-6 that supports teams to determine level of health and safety risks with 1 being minimal and 6 being higher risk.
• In Progress: "In Progress" is when your PCP is still being written by your CCS.
• In Progress - Clarification Requested: "In Progress-Clarification Requested" is when your CCS received the question about your PCP by the DDA regional office and is updating PCP in response to the questions asked.
• InterRAI RUG Score: Resource Utilization Group score - Is a score generated by the InterRAI to help determine the level of assistance an individual may need with instrumental activities of daily living (IADLs) and activities of daily living (ADLs).
• Meets definition of community setting?: A federal requirement for home and community based services to not reflect institutional settings and ensure people have choice, access to their community and relationships of their choosing.
• Pending Regional Program Staff Review: "Pending Regional Program Staff Review" is when your CCS has turned in your PCP to the DDA regional office for review.
• Print View - Complete: PCP Print view that includes all sections: (1) PCP Summary; (2) Outcomes; (3) Service Authorization; (4) Focus Area Exploration; and (5) Signature Pages.
• Print View - Individual and Family: PCP Print view that includes the following sections: (1) PCP Summary including Overview; Outcomes; Important To Me; Important For Me; Risks; Right Restrictions; (2) Outcomes including My Goals and My Choices; and (3) Service Authorization including Service Plan; Documents; Monthly Services; and Total Plan Cost.
• Print View - Provider: PCP Print view specific to a provider authorized in the PCP that includes the following sections: (1) PCP Summary; (2) Outcomes; (3) Service Authorization; (4) Focus Area Exploration; and (5) the specific Provider's Signature Pages.
• Print View - Signature Pages: PCP Print view of all Signature Pages.
• Supports Intensity Scale or "SIS": A tool used by teams to when planning to determine possible support needs in a persons life.

DDA Services

• Assistive Technology Services: Service that supports you to maintain or improve your independent skills. This includes, improving interactions, supporting meaningful relationships, and increasing your ability to live independently, and be an active member of your community.
• Behavioral Support Services: Service that supports you if you are experiencing, or are likely to experience difficulty at home or in the community as a result of behavioral, psychological, social, or emotional issues.
• Career Exploration: Short term service to help you learn new skills you will need in a competitive and integrated job you are interested in.
• Community Development Services: Service that supports you to be more connected to your community. Staff will support you to develop or maintain social and other skills you need to feel confident interacting with all types of people in your community.
• Community Living - Group Home: This service supports you to build and keep skills you need for everyday life, including spending time with others. This service supports you in a home rented or owned by a provider.
• Day Habilitation: Service that supports you to build skills and participate in social activities. Support is provided in small and large groups of people. It is provided in provider programs or in the community.
• Employment Services - Co-Worker Employment Supports: Service that supports you when a co-worker provides help with things like completing your job orientation and training.
• Employment Services - Discovery: Service that supports you to identify a job that is right for you, apply for a job, and prepare for the interview.
• Employment Services - Follow Along Supports: Service that supports you when you start a new job. It helps you learn and complete your tasks while at work; learn new tasks after a promotion or significant changes in duties; and/or when there are other changes at work.
• Employment Services - Job Development: Service that helps you find out or discover what job may best fit with your strengths and what you want to do.
• Employment Services - Ongoing Job Supports: Service that supports you when you know how to complete your daily job tasks but need someone, other than your supervisor, to talk to when you have questions or concerns. This service is in-person at least twice a month. Staff can also be available by phone or computer to check-in with you as needed.
• Employment Services - Self-Employment Development Supports: Service that supports you to develop a business and marketing plan to set up your own business.
• Environmental Assessment: This service is an assessment with you at your home to see if changes to your home or assistive technology are needed to support your independence, health, or safety.
• Environmental Modification: Service that supports you to add or change something in your home so that you can be more independent. It may also help you make your home safer and healthier.
• Family and Peer Mentoring Supports: This service connects you and your family to mentors with experiences like yours. They explain community services, programs, and strategies they have used to achieve goals. This can help you and/or your family members learn about and access community resources beyond those offered through the DDA Waiver.
• Family Caregiver Training and Empowerment Services: This services cover educational materials, training programs, workshops, and conferences that help your unpaid family caregiver: understand your disability; get better at providing supports; develop and get community and other resources and supports; develop or improve parenting skills; develop advocacy skills; and support you in developing self-advocacy skills.
• Focus Areas: These topic specific areas to help with pre-planning that helps you explore and share your life goals. They include: Employment; Communication; Lifelong Learning; Community Involvement; Day to Day Live; Finance; Home and Housing; Health and Wellness; and Relationships.
• Housing Support Services: These services provides you with information about and support with getting and keeping independent housing.
• Individual and Family Directed Goods and Services: If you self-direct your services, you can purchase equipment or supplies that relate to a need or goal identified in your PCP, maintain or increase your independence, or promote opportunities for you to participate in community living that are not available through a Waiver service, Medicaid State Plan, or another source. This includes up to $500 that you may choose to use to support staff recruitment and advertising efforts. You can use the money for staff recruitment to develop and print flyers and use staffing registries.
• Live-In Caregiver Supports: This service helps cover the cost of rent and food for someone who provides supports and services to you while they live in your home.
• Meaningful Day Services: Meaningful Day services are designed to give participants opportunities to:
  1. Work in competitive integrated employment;
  2. Develop maintain and improve skills that support community inclusion and employment;
  3. Build and strengthen relationships;
  4. Support self-determination;
  5. Engage in community life;
  6. Control personal resources; and
  7. Understand the potential impact of employment on his or her public benefits.
• Medical Day Care: Service that supports you to participate in a group program that provides health care, nursing, physical therapy, occupational therapy, nutrition, personal care, social, and related activities. This is in provider program or in the community.
• Nursing Support Services: Based on your assessed need, this service supports a registered nurse licensed in Maryland to provide Nursing Consultation, Health Case Management, and Nursing Delegation services.
• Participant Education, Training, and Advocacy Supports: This service covers the cost of a training program, workshop, or conference you need to attend to learn more about how to develop self-advocacy skills, exercise your civil rights, and develop skills needed to control and be responsible for your services.
• Personal Supports: This service helps with different kinds of support needs if you live in your own or your family’s home and would like to improve your independent living skills.
• Recalculated Total Plan Year Cost: In the event there is a rate change during the plan year, this cost will display what the recalculated total plan year cost will be using the updated rates.
• Remote Support Services: This service supports your independence in your home so that you don't have to rely on staff. Staff can be available to you as needed and check-in through technology instead of being where you are.
• Residential Services: DDA’s residential services include Supported Living, Shared Living, Community Living – Group Home, and Community Living - Enhanced Support.
• Respite Care Services: This service is short-term support that gives you and your family, or other primary caregiver, a break from daily routines.
• Self-Directed Services: Services directed by the participant.
• Shared Living: This service supports you to build and keep skills needed for everyday life, including spending time with others. The service supports you to share a home and life experiences with another person, a couple or a family in the community that you choose. The service is based on trust and commitment you and the person, couple or family have with each other. It includes three levels of support.
• Support Broker Services: If you self-direct your services, you can choose this service. A Support Broker is an optional service that can provide employer related information and advice for a participant in support of self-direction to make informed decisions related to day-to-day management of staff providing services within the available budget. This helps you make decisions related to your budget and day-to-day management of staff that support you.
• Supported Living: This service supports you to use or develop new independent living skills in your own home. It includes help finding an apartment or house, roommates, and supports based on your preferences and choice.
• Transition Services: This service provides funding for certain expenses if you move from an institutional setting to a group home or from a provider run home to your own home in the community.
• Transportation Services: This service helps you independently get to community activities. Your community is where you live, work, shop, or spend your days. The service is provided based on the assessed need for this service in your PCP.
• Vehicle Modifications: This service covers the cost to you or your family to modify (change) your vehicle so that it is more accessible. It can also help cover the cost of repairs to the vehicle modification.