Glossary

Commonly Used Words and Abbreviations

The following are some of the most commonly used words and abbreviations that you will likely hear as a Home Care Aide and as a beneficiary of the Health Benefits Trust.

Training Partnership

AAA

Area Agency on Aging.

ABT

Accelerated Basic Training

ADSA

Aging and Long-Term Support Administration. Formerly ADSA.

See also: ALTSA

Adult Child Individual Provider

An adult child providing care for his/her biological, step or adoptive parent.

Agency Provider (AP)

A Home Care Aide (HCA) worker employed by a private, Medicaid home care agency, such as: Full Life Care, ResCare, etc.

ALTSA

Aging and Long-Term Support Administration. Formerly ADSA.

ARC

National organization serving consumers with intellectual and developmental disabilities. Formerly known as “ARC.”

See also: The Arc

ARNP

Advanced Registered Nurse Practitioner. Can be a Primary Care Provider (PCP).

AT

Advanced Training

BT

Basic Training

CE

Continuing Education. Supplemental training required for skills development.

CEU

Continuing Education Units.

CNA

Certified Nursing Assistant

Cultural Competency

Culture is often described as the combination of a body of knowledge, a body of belief and a body of behavior. It involves a number of elements, including personal identification, language, thoughts, communications, actions, customs, beliefs, values, and institutions that are often specific to ethnic, racial, religious, geographic, or social groups. These elements often influence beliefs and belief systems surrounding health, wellness, illness, disease, and delivery of care. The concept of cultural competency has a positive effect on care delivery by enabling Home Care Aides to deliver services that are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patients.

DDA

Developmental Disabilities Administration. Formerly DDD.

HCA Credentialed

A worker who has successfully passed the Prometric exam and credentialed by Department of Health as a Home Care Aide.

Home Care Aide (HCA)

Provides care to a consumer living in his or her home. Employed by a private, Medicaid home care agency or DSHS

Individual Provider (IP)

Home Care Aide (HCA) whose employer of record is DSHS

Limited Service Provider

This is any IP who provides care 20 hours a month or less for one consumer.

MRC

Member Resource Center

Non-HCA Credentialed

This is an HCA with a current healthcare credential, such as a Registered Nurse (RN), Licensed Practical Nurse (LPN) or Nursing Assistant Certified (NAC).

O&S

Orientation and Safety.

Parent DD Individual Provider (DDA)

This is an IP who provides care to his/her own adult child with a developmental disability and is contracted through the Developmental Disability Administration.

Parent Individual Provider (HCS/AAA)

This is an IP who provides care to his/her own adult child and is contracted through Home and Community Services (HCS) and/or an Area Agency on Aging (AAA). This is often referred to as a non-DDD Parent Provider.

Respite

This is an IP that provides DDA Respite services at 300 hours or less in a calendar year.

Standard HCA

Home Care Aide who does not work with their own parent or child. Works more than 20 hours a month or has more than one consumer.

Health Benefits Trust

BHP

Basic Health Plan of Washington.

Co-Insurance

Your share of the costs (for example, 20%) of certain health care services AFTER paying the deductible.

COBRA

A private-pay insurance that covers you if you have a lapse in coverage or you are between jobs.

Co-Pay

The fixed amount (for example, $15) you pay for some medical services or medicine. Does not count toward deductible.

Deductible

The amount that you pay for covered services before the plan begins paying in a given year. You need only to satisfy your deductible once in a calendar year.

Diagnostic Imaging

MRI (Magnetic Resonance Imaging), X-rays, mammograms

DME

Durable Medical Equipment. Walkers, crutches, etc.

DSHS

Department of Social and Health Services

Health Insurance Provider

The company that manages your health insurance. For example, Group Health or Kaiser Permanente.

Health Risk Assessment or Health Profile

An online health assessment or questionnaire that evaluates your general health and wellness through a series of questions.

In-Network

A group of doctors and other medical staff in your insurance network, meaning lower costs for you. You don’t have to pay as much when you use this group of providers.

LPN

Licensed Practical Nurse

MRC

Member Resource Center

NDC

Nurse Delegated Core

NDD

Department of Social and Health Services

Network / In-Network

Doctors and other medical staff your insurance will pay for you to see.

Orthopedic Appliances

Braces, splints, etc.

Out-of-Network

A bigger group of providers where you may access care. Your out-of-pocket expenses will be higher than with in-network providers.

Out-of-Pocket Maximum

The maximum amount you will pay in one year for medical services, not including premium payments.

PCP

Primary Care Provider. The doctor or ARNP you choose to oversee your care.

POS

Point of Service Insurance. POS pays a percentage of doctor visits that are out-of-network.

Premium

The cost of your insurance per month. You pay this amount even when you do not use any services. Think of it like a membership fee.

Qualifying Event

Sometimes big changes happen in life. When they do, it’s important to be able to get the best and most affordable health care coverage available to you.

Common Qualifying Events:

  • Change in income
  • Moved to a new state
  • Just got married or divorced
  • Had a baby, either by birth or adoption
  • Experienced a death in the family
  • Had a change in your citizenship status in the U.S.

RNA

Registered Nurse’s Assistant.

TBI

Traumatic Brain Injury.

The Arc

National organization serving consumers with intellectual and developmental disabilities. Formerly known as “ARC.”

Value-based

Value-based drugs are generic brands that treat: diabetes, high blood pressure, high cholesterol, and heart failure.

Washington Healthplanfinder

Also known as the Washington Health Benefit Exchange. The website one-stop shop where you can compare and shop for affordable health insurance plans, including Medicaid (Apple Health). Only open during scheduled enrollment periods.