Glossary : C-D
A-B E - H I - M N - S T - Z
C
CA - Chronological Age
The actual age of an individual derived from his or her date of birth.
C.A.C.C.B. - Colorado Association of Community Centered Boards
Now doing business as Alliance.
C.A.M.I.
Colorado Alliance for the Mentally Ill.
Capitation
A method of financing services where the payer pays a fixed amount of money per person to a managing agency to deliver a set of services whether or not the person uses the services.
C.A.P.R.A.
Colorado Association of Private Residential Agencies.
Cardiac Conditions
ASD: Atrial Septal Defect - An opening occurring between the two upper chambers of the heart.
VSD: Ventricular Septal Defect - An opening occurring between the two lower chambers of the heart.
PDA: Patent Ductus Arterious - An opening occurring between the aorta and the main pulmonary artery persisting after birth.
C.A.R.F. - Commission on Accreditation of Rehabilitation Facilities
A private, nonprofit organization that establishes standards of quality for services to people with disabilities. Adherence to these standards is then measured through an on-site review of the organization. CARF is the nationally recognized accrediting authority whose sole concern is to promote quality services for people with disabilities.
Carmel Community Living
A contract agency eligible to serve persons with developmental disabilities within the DDRC service area.
Carve Out
Certain services may be purchased outside the basic managed care package (for example, as when long-term support services are delivered through means other than a managed health plan).
Case Rate
This is a dollar amount that the payer pays per consumer to the managing entity. Case rates are keyed to people who actually receive or use services. Capitation rates are keyed to an entire service group whether or not they receive services.
Cash and Counseling
A model program in three states funded by the Robert Wood Johnson Foundation. Individuals receive funding which they control themselves.
C.A.T. Scan - Computerized Axial Tomography
An x-ray that produces serialized pictures of the brain.
C.C.B. - Community Centered Board
A nonprofit organization created by the Colorado legislature to determine eligibility of individuals with developmental disabilities within a specific geographical district and develop a plan for services and supports. CCBs are authorized to provide services directly or to purchase services from service provider organizations.
CCB Designated Service Area
The geographical area specified by the Executive Director of the Department of Human Services to be served by a designated CCB.
C.C.M.S. - Community Contract and Management System
Computerized system used by CCBs and the state unit of Developmental Disabilities Services for tracking consumer information. C.C.M.S. furnishes demographic, program enrollment and billing information.
CCR
Code of Colorado Regulations
CDAS - Consumer Directed Attendant Support
Provides in-home services from attendants selected, hired, trained and supervised by the person receiving the services.
C.D.D.P.C. - Colorado Developmental Disabilities Planning Council
Developmental Disabilities Planning Councils exist in each state and U.S. territory, advising and assisting state agencies in planning for and providing services to persons with developmental disabilities.
C.D.E.
Colorado Department of Education.
CDHCPF
Colorado Department of Health Care Policy and Financing.
C.D.H.S.
Colorado Department of Human Services.
CDPHE
Colorado Department of Public Health and Environment.
C.E.C. - Council for Exceptional Children
A national, professional organization concerned with special education. www.cec.sped.org
Cerebral Palsy (CP)
Conditions which exhibit spasticity, weakness, lack of coordination or any other motor problem due to organic brain damage. These include sensory and/or movement disorders, seizures, mental retardation, learning disabilities and disorders of behavior.
C.E.S.
See Children's Extensive Support waiver.
CFS
Children and Family Services.
C-HCBS
Children’s Home and Community Based Services Waiver. Medicaid benefits and case management for children birth to 18 years old with significant functional long-term care needs. Waives SSI income limit for children who meet long-term care criteria. Families may apply for this program through their CCB, County Human Services office, or any other CHCBS Case Management Agency.
Chestor House Incorporated
A contract agency eligible to serve persons with developmental disabilities within the DDRC service area.
C.H.F.A.
Colorado Health Financing Authority.
Child Find
Process of identifying children with disabilities, typically completed by a team in a school district.
Children and Family Services (CFS)
DDRC team of resource coordinators and support staff who administer the Family Support Services Program (FSSP) and provide case management for children birth to eighteen active or waiting for EI, FSSP, CES, CHCBS and CWA.
Choice Living Services, Inc.
A contract agency eligible to serve persons with developmental disabilities within the DDRC service area.
Chromosome
Cell structures that carry the genes. These hereditary factors include 46 chromosomes in humans.
Chronological Age (CA)
The actual age of an individual derived from his or her date of birth.
C.I.E.
Community Integrated Employment.
C.I.S. - Combined Information Services
A collaborative effort of several CCBs to review and develop an information systems plan to track and access information for managed care.
Client (computer term)
The client part of a client-server architecture. Typically, a client is an application that runs on a personal computer or workstation and relies on a server to perform some operations. For example, an e-mail client is an application that enables you to send and receive e-mail.
CLR
Comprehensive Life Review.
C.M.
Case Manager.
CMA
Case Management Agency.
CMBS
Colorado Benefits Management System.
C.M.I.
Chronically Mentally Ill.
CMS or CMMS - Center for Medicaid Services /Center for Medicare MedicaidServices
Federal unit which administers Medicare/Medicaid.
C.M.V. - Cytomegalovirus
A virus which can result in damage to a fetus.
C.M.W. - Children's Medical Waiver
Provides Medicaid benefits to children birth through age 17 living at home who would otherwise be ineligible due to parental income and/or other resources.
CNA
Certified Nurse’s Aide.
CNA - Colorado Nonprofit Association
A private, nonprofit organization whose purpose is to promote and strengthen Colorado’s nonprofit community. www.coloradononprofits.org
C.O.B.R.A. - Comprehensive Omnibus Budget Reconciliation Act
A law passed by the U.S. Congress in 1985 with provisions for states to include habilitation services offered in home and community based pre-vocational and community employment for qualifying persons.
Co-contraction
All muscles around the joint are working so that the joint, when pushed from any direction, won't work.
Cognitive
A broad term that refers to any class of mental "behaviors" such as reasoning or problem solving. Awareness with perception.
Colorado Division of Vocational Rehabilitation Services
This is a state agency that provides services to eligible individuals with disabilities, such services resulting in an employment outcome. Some services offered by the Division are dependent on financial eligibility.
Commensurate Wages
A wage which is proportionate to the prevailing wage paid experienced non-disabled workers in the community for essentially the same type of work based on a comparison of the quantity and quality of production of the disabled worker with that of the non-disabled workers.
Communication Board
A primary system of communication for individuals who cannot vocalize intelligibly. These boards have pictures, symbols or words and may be electronically operated. To use these boards, a person must be able to associate a picture with an object, event or need.
Community Advantage
A contract agency eligible to serve persons with developmental disabilities within the DDRC service area.
Community Centered Board (CCB)
A nonprofit organization created by the Colorado legislature to determine eligibility of individuals with developmental disabilities within a specific geographical district and develop a plan for services and supports. CCBs are authorized to provide services directly or to purchase services from approved service agencies.
Community Experiences
Learning experiences for the purpose of assisting individuals with appropriate social and functional skills in the community.
Community Participation (CP)
This service offers opportunities for persons with developmental disabilities to experience valued adult roles in the community. These services should enable an individual to access and participate in typical services, supports and activities that any person might enjoy.
Community Partnerships & Associates (aka Stepping Stones)
A contract agency eligible to serve persons with developmental disabilities within the DDRC service area.
Community Support Services, Inc.
A contract agency eligible to serve persons with developmental disabilities within the DDRC service area.
Comprehensive Life Review (CLR)
Thorough review of all aspects of the person’s current life situation by the interdisciplinary team. CDHS/DDD Regs. 1.2.4.
Comprehensive Services
Comprehensive Services (Adults) provides 24-hour residential care, employment and other day-type services and transportation. Comprehensive Services is an all-inclusive program that is designed to ensure that all identified needs in a person’s Individualized Plan (IP) are met. A person cannot be living with his/her family and receive Comprehensive Services.
Concept
Generalized abstract idea gathered from a particular instance.
Conditioning (Operant)
Procedure through which the likelihood of a behavior occurring can be either strengthened or weakened by the event that directly follows the behavior.
Conductive Hearing Loss
A loss in which the intensity of sound vibrations reaching the auditory nerve in the middle ear is reduced.
Consecutive Swallow
Coordinated action necessary for safe, efficient feeding.
Consent
An informed agreement which is expressed in writing and is freely given.
Consequence
A stimulus that occurs after a behavior. It makes a behavior more or less likely to occur again in the future.
Consumer Directed Supports
Support services under the control of the consumer.
Contingent or Contingency
The relationship between a behavior and the consequence that follows.
Contralateral
Movement of opposite arm and leg.
CORF
Comprehensive Outpatient Rehabilitation Facility.
Cost Savings
These are efforts to direct resources into the most cost-effective services and supports for individuals in order to provide quality services to the most individuals possible.
Cottonwood Community Alternatives, Inc.
A contract agency eligible to serve persons with developmental disabilities within the DDRC service area.
C.P.
See Community Participation.
C.P.
See Cerebral Palsy.
CPR - Cardiopulmonary Resuscitation
An emergency medical procedure for a victim of cardiac arrest or respiratory arrest using compressions and lung ventilation.
CPR Directive - Cardiopulmonary Resuscitation (CPR) Directive
Also known as a Do Not Resuscitate (DNR) Order allows an individual, agent, guardian, or proxy to refuse resuscitation in the event of cardiac arrest or respiratory arrest.
CPS
Child Protective Services.
C.P.U. (computer term) - Central Processing Unit.
The CPU is the brain of the computer. Sometimes referred to simply as the processor or central processor, the CPU is where most calculations take place. In terms of computing power, the CPU is the most important element of a computer system.
C.R.E.
See Colorado Rehabilitation Enterprises.
Criterion Referenced
Measurement of performance as compared to an established standard.
C.R.S. 27-10.5, as amended - Colorado Revised Statutes
Authorizes services for persons with developmental disabilities.
CSP
Community Support Program.
CTRS
Certified Therapeutic Recreation Specialist.
Cues or Prompts
Forms of assistance to a person that helps teach a behavior and indicates what to do to earn a reinforcer. Cues come in physical, visual and verbal forms. Physical assistance refers to physical cues.
CWA
Children With Autism Medicaid Waiver. Medicaid benefits and behavioral supports for children birth through five years old with medical diagnosis of autism. Families must apply through their local Community Centered Board (e.g., DDRC).
Cyanosis
A bluish discoloration of the skin or finger nails and toe nails caused by a lack of or diminished oxygen supply.
Cy-Les Ranch
A contract agency eligible to serve persons with developmental disabilities within the DDRC service area.
D
D.D.
Developmental Disabilities.
D.D. Planning Council
A council appointed by the Governor whose goal is to advocate and foster public awareness of problems and issues facing persons with developmental disabilities. Also see C.D.D.P.C.
DDD - Division for Developmental Disabilities
DDD is the division within the Department of Human Services, Office of Health and Rehabilitation Services, responsible for the administration of state sponsored services and funding for developmental disabilities for the State of Colorado. This agency oversees services to Community Centered Boards.
D.D.F. - Developmental Disabilities Foundation
Established in 1982 to generate additional resources to meet the needs of people with developmental disabilities. It assists DDRC with donations, fund raising, grants, estate planning, and other activities.
D.D.R.C. - Developmental Disabilities Resource Center
DDRC is the Community Centered Board for Jefferson, Clear Creek, Gilpin, and Summit counties.
Defense Mechanisms
Mechanisms used by an individual to protect the ego.
Denial
Avoiding admission of certain external stimuli to consciousness.
Developmental Delay
Being behind other children of the same age in achieving cognitive, adaptive, physical, and social skills.
Developmental Disabilities
A disability that occurs before the person reaches 22 years of age, substantially impacts the person’s daily life, is caused by mental retardation or related conditions (for example: cerebral palsy, autism, epilepsy, Down syndrome, or other neurological conditions) and impairs the person’s general intellectual functioning. People with developmental disabilities have an IQ of 70 or below, and they experience significantly limited daily living skills in two or more areas.
D.H.S. - Department of Human Services
Formerly referred to as the Department of Social Services.
D.I. - Deinstitutionalization
The movement of individuals out of large congregate settings into smaller, more individualized settings.
Diabetes
A general term for diseases characterized by excessive urination (metabolism) and thirst.
Direct Payments
Governmental funding flowing directly to the individual accountable service user.
Direct Service Professional
A service/support paid provider for SLS/CES.
Directionality
Perception of directions in relation to the body, particularly awareness of the right and left sides of the body.
Discipline
To bring under control through enforcement of limits, moving toward development of self-control. (Not the same as punishment.)
Distractibility
Inability to apply the mind to a given task.
D.N.R.
A Do Not Resuscitate order. Also known as a CPR Directive.
Dorsal
Refers to the upper back.
Down Syndrome
A syndrome resulting from chromosomal abnormalities.
DSP
Direct Service Professional.
Due Process
Procedures which guarantee an individual’s right to disagree, refuse, change, or permit services.
Dungarvin Colorado, Inc.
A contract agency eligible to serve persons with developmental disabilities within the DDRC service area.
D.V.R.
Division of Vocational Rehabilitation.
D.Y.S.
Division of Youth Services.
Dysarthria
Inability to speak or difficulty speaking which results from muscle weakness and/or lack of coordination in the chest, neck or mouth.
Dysphagia
Problems related to swallowing.
Dyspnea
Shortness of breath.
