C

Chronic Care Management

Health care and supportive services that are organized in order to help improve the treatment and progress of patients who are suffering from chronic conditions. Evidence-based interventions and patient education are critical in these programs.

Chronic Disease

An illness or condition that will not improve or recurs periodically. Common examples include diabetes and asthma.

Chronic Disease Prevention in Medicaid

Programs designed to encourage healthy lifestyle changes.

Claim

The process through with a beneficiary (or provider on behalf of a beneficiary) requests payment for a particular service.

CLASS Act

A provision of the ACA establishing a public long-term care insurance system. The CLASS Act provision was never implemented and has since been repealed. CLASS stands for Community Living Assistance Services and Supports.

Clinical Practice Guidelines

Basic suggestions for treatment of common ailments.

COBRA

Consolidated Omnibus Budget Reconciliation Act of 1985. Through this act employees are able to continue their employer-sponsored coverage for up to 18 months if they lose their job. The original legislation required individuals to pay full premiums to continue their coverage through COBRA. A temporary subsidy of 65% of the premium cost for the purchase of COBRA coverage for individuals who have lost their jobs between September 1, 2008 and December 31, 2009 was provided through The American Recovery and Reinvestment Act (ARRA).

Co-insurance

A health insurance cost-sharing method in which there is a percentage of medical claims paid by the plan member after the deductible has been met (for example: after a $500 deductible, there is 10 percent coinsurance).

Community Care Transitions Program

Program designed to reduce hospital readmission by coordinating patients' transition from in-patient to out-patient care.

Community First Choice Option

Provision allowing states to offer home based or community based long-term care for Medicaid enrollees as opposed to care provided in a traditional long-term care institution.

Generic Pharmaceuticals

Prescription drugs with the same chemical make-up as a drug that went through the full FDA approval process that are sold under a different name…