A corporation in which shareholders receive profits in the form of dividends. Shareholders who perform work for the corporation also receive wages. The corporation must file a corporate tax return.
C&TC
Child and Teen Checkups. A component of MA and MinnesotaCare that promotes preventive health care for children from birth to age 21. This program is federally known as the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program.
CAC
Community Alternative Care. A federally approved home and community-based services waiver program for chronically ill people under age 65.
CADI
Community Alternatives for Disabled Individuals. A federally approved home and community-based waiver program for people under age 65 who would otherwise require the level of care provided in a nursing facility.
CAF
Combined Application Form. A form on which people can apply for multiple programs administered by DHS, including but not limited to General Assistance (GA), Supplemental Nutrition Assistance Program (SNAP), Minnesota Family Investment Program (MFIP), Medical Assistance (MA), Minnesota Supplemental Aid (MSA), and Emergency Medical Assistance (EMA).
CAI
Cash Advance Items. Items pre-paid in a burial agreement for items above and beyond basic burial services such as flowers, music, obituary notices and motor escort.
Capital Asset
Real or personal property used in a trade or business with a useful life of one year or more.
Capital Expenditure
Payment made to purchase or improve property with a useful life of more than one year.
Capital Gain
Profit from the sale or exchange of business or personal assets. An asset owned and sold within a year is a short-term capital gain. An asset owned for more than one year is a long-term capital gain.
Capital Loss
Loss from the sale or exchange of business or personal assets. An asset owned and sold within a year is a short-term capital loss. An asset owned for more than one year and sold is a long-term capital loss.
Capitation
A method of payment for health services that involves a monthly per person rate paid on a prospective basis to a managed care organization. Capitation occurs six business days before the end of the month.
Capitation Date
The monthly date on which DHS sends capitation payments to health plans.
Caregiver
Obsolete term for caretaker.
Caretaker
A person who provides care and support to a minor child. The person may or may not be covered and may or may not be considered part of the child's household.
Carry Forward Net Operating Loss (NOL)
A federal tax deduction used when allowable business deductions exceed gross receipts for the tax year. The business loss may be carried over into future years.
Case Management
1. A method of providing health care in which the managed health care organization (MCO) coordinates the provision of health services to a managed care enrollee. 2. Services not normally covered by MA that may be covered under a waiver for people with severe and persistent mental illness.
Cash
Cash includes currency, checks, liquid assets, and money orders.
Cash Advance Items (CAI)
Items pre-paid in a burial agreement for items above and beyond basic burial services such as flowers, music, obituary notices and motor escort.
Cash Assistance Programs
General Assistance (GA), Group Residential Housing (GRH), Minnesota Family Investment Program (MFIP), Minnesota Supplemental Aid (MSA), Refugee Cash Assistance (RCA) and emergency cash programs.
Cash Surrender Value (CSV)
The amount the life insurance policy owner, including an annuity owner, would receive if the policy were cashed in.
Cause of Action
A lawsuit.
CCRC
Continuing Care Retirement Community. An organization that enters into a written contract with a client to offer a range of continuing care services while providing flexible accommodations, which may change with the client's needs. A CCRC may also be referred to as a life care community.
CD
Certificate of Deposit. A promissory note issued by a bank entitling the bearer to receive interest. A CD is a time deposit that restricts holders from withdrawing funds on demand. Although it is still possible to withdraw money, this action will often incur a penalty.
Center for Victims of Torture (CVT)
A Minnesota-based private, nonprofit, nonpartisan organization founded in 1985. CVT exists to heal the wounds of government-sponsored torture on individuals, their families, and communities and to stop its practice.
Centers for Medicare and Medicaid Services (CMS)
Administers the Medicare program and works in partnership with the States to administer Medicaid and other programs. Formerly known as HCFA.
Certificate of Coverage (COC)
A summary of a health insurance plan's covered services, grievance and appeal processes for the policyholder. Also referred to as member contract or evidence of coverage, provided by the managed care organization.
Certificate of Creditable Coverage (COCC)
Documentation of a person's creditable coverage. People can present certificates of creditable coverage to their new health plans to prove that they had previous coverage.
Certificate of Deposit (CD)
A promissory note issued by a bank entitling the bearer to receive interest. A CD is a time deposit that restricts holders from withdrawing funds on demand. Although it is still possible to withdraw money, this action will often incur a penalty.
Certification Period
The period of time (up to 12 months) for which eligibility is determined. The certification period may include any retroactive months of eligibility. It is also the period of time for which income is calculated to determine income eligibility and premium or spenddown amounts.
Certified MFPP Provider
A family planning services provider who is approved by DHS to make presumptive eligibility determinations for the Minnesota Family Planning Program.
CHAMPUS
Former name of TRICARE. A Department of Defense health insurance program providing coverage to active-duty and non-active duty members of the armed forces and their dependents, and certain civilian employees. This program was formerly known as CHAMPUS.
CHAMPVA
A Department of Veterans' Affairs program that provides health care coverage for the spouse and children of certain disabled or deceased veterans. This coverage is provided for these family members if they are not eligible for TRICARE benefits.
Child
A person under age 21.
Child & Teen Checkups (C&TC)
A component of MA and MinnesotaCare that promotes preventive health care for children from birth to age 21. This program is federally known as the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program.
Child Care Assistance
Program available to help low- and moderate-income families pursue employment or education leading to economic self-sufficiency by subsidizing their child care.
Child Support
A voluntary or court-ordered payment by non-custodial parents for the support of their children.
Children's Health Insurance Program (CHIP)
The Centers for Medicare and Medicaid Services (CMS) administers the Children's Health Insurance Program (CHIP). This program provides federal matching funds to help states expand health care coverage for the nation's uninsured children.
Children's Health Plan (CHP)
The forerunner of the MinnesotaCare program. CHP began in 1988 and provided comprehensive outpatient health care coverage for children ages 1-17. It was discontinued in 1993, and all children covered at that time were converted to MinnesotaCare.
CHIP
Children's Health Insurance Program. The Centers for Medicare and Medicaid Services (CMS) administers the Children's Health Insurance Program (CHIP). This program provides federal matching funds to help states expand health care coverage for the nation's uninsured children.
CHP
Children's Health Plan. The forerunner of the MinnesotaCare program. CHP began in 1988 and provided comprehensive outpatient health care coverage for children ages 1-17. It was discontinued in 1993, and all children covered at that time were converted to MinnesotaCare.
Civil Recovery
Recovery of an overpayment through the civil judicial process rather than the criminal process.
Claims History Profile
A list of amounts the State of Minnesota has paid for medical services, whether it be the capitation amount or the actual cost of fee-for-service expenses.
Client
A person who is an applicant or enrollee.
Client Option Spenddown
A method for clients to pre-pay a medical spenddown to DHS. Is only available to clients with an automated monthly spenddown.
Clothing and Personal Needs Allowance
The amount of monthly income institutionalized clients may keep or receive for their day-to-day expenses.
CMS
Centers for Medicare and Medicaid Services. Administers the Medicare program and works in partnership with the States to administer Medicaid and other programs. Formerly known as HCFA.
Co-Payment
A fixed amount a person is required to pay for each episode of a particular treatment, medical supply, or equipment. For example, a policy might require a $5 co-payment for each prescription while the insurance pays the remainder.
COBRA Coverage
A provision of the Consolidated Omnibus Budget Reconciliation Act (COBRA) which requires employers to allow former employees to continue coverage through the employer's group plan for 18 months after the employment has ended (29 months if the employee is disabled). In most cases, the former employee must pay the full cost of COBRA coverage.
COC
Certificate of Coverage. A summary of a health insurance plan's covered services, grievance and appeal processes for the policyholder. Also referred to as member contract or evidence of coverage, provided by the managed care organization.
COCC
Certificate of Creditable Coverage. Documentation of a person's creditable coverage. People can present certificates of creditable coverage to their new health plans to prove that they had previous coverage.
Coinsurance
An insured person's share of the cost of treatment. For example, if an insurance policy covers 80% of the cost, the co-insurance amount is 20%.
COLA
Cost-of-Living Adjustment. An increase in income to compensate for inflation.
Combination LTC/Medical Spenddown
The difference between a client’s long-term care (LTC) spenddown and the cost of the client’s LTC or Elderly Waiver (EW) services. A client must have incurred medical expenses, in addition to the cost of LTC or EW services, in an amount equal to or greater than the combination LTC/medical spenddown to become eligible for MA.
Combined Application Form (CAF)
A form on which people can apply for multiple programs administered by DHS, including but not limited to General Assistance (GA), Supplemental Nutrition Assistance Program (SNAP), Minnesota Family Investment Program (MFIP), Medical Assistance (MA), Minnesota Supplemental Aid (MSA), and Emergency Medical Assistance (EMA).
Commercial Annuity
An annuity that is purchased and set up via an insurance company or financial institution licensed or regulated by the Minnesota Department of Commerce or a similar agency of another state.
Community Alternative Care (CAC)
A federally approved home and community-based services waiver program for chronically ill people under age 65.
Community Alternatives for Disabled Individuals (CADI)
A federally approved home and community-based waiver program for people under age 65 who would otherwise require the level of care provided in a nursing facility.
Community Spouse
A person who does not reside in a long-term care facility (LTCF) or receive services through a waiver program (EW, CAC, CADI, DD or BI) who is married to a long-term care (LTC) spouse. A community spouse may receive Medical Assistance (MA) or services through the Alternative Care (AC) program.
Community Spouse's Monthly Maintenance Needs
The calculated amount of income needed by the community spouse. It is an amount up to the maximum monthly income allowance, or the minimum monthly income allowance plus any excess shelter expenses.
Comprehensive Coverage
A term used by insurance companies to describe a broad range of covered services including the diagnosis and treatment of most illnesses and injuries. Coverage may vary under individual policies.
Confidential Data
Data about individuals that even the individuals themselves cannot access, such as information from an investigation about welfare fraud or adoption records.
Conservator
A person, official, or institution appointed by the court to perform financial functions such as contracting, paying bills and investing assets for a minor or incapacitated person, known as the conservatee or protected person.
Continuing Care Retirement Community (CCRC)
An organization that enters into a written contract with a client to offer a range of continuing care services while providing flexible accommodations, which may change with the client's needs. A CCRC may also be referred to as a life care community.
Continuous Enrollment
Enrollment in MinnesotaCare or Medical Assistance (MA) without a break in coverage of one month or more.
Continuous Period of Institutionalization
At least 30 consecutive days of either institutional care in a long-term care facility (LTCF) or receipt of services, based on a documented need, of nursing facility level of care that would qualify for payment by the Elderly Waiver (EW) or Alternative Care (AC) programs; or a combination of both a stay in an LTCF and receipt of services that would qualify for payment by the EW or AC programs that is at least 30 consecutive days.
Contract for Deed
A written obligation by a seller to deliver the deed to the property when certain conditions have been met, such as completion of payments by the purchaser. A contract for deed is a type of mortgage in that it places an encumbrance on the land.
Coordinated Care Plan
These plans include a network of providers that contract with a Medicare Advantage organization to deliver a federally-approved benefit package.
Copy of CHIP
Children's Health Insurance Program. The Centers for Medicare and Medicaid Services (CMS) administers the Children's Health Insurance Program (CHIP). This program provides federal matching funds to help states expand health care coverage for the nation's uninsured children.
Copy of ESI
Employer-Subsidized Insurance. Insurance coverage offered to employees or dependents for whom the employer or union pays at least 50% of the cost of coverage.
Corpus (re Trusts)
Income and/or assets that form the main body of a trust. Assets or income in the trust corpus may be available to a person but the person no longer owns them. Also known as the trust principal.
Cost-Effective Coverage
Other health care coverage for which the amount paid for premiums, coinsurance, deductibles, and other costs is likely to be less than the amount paid by MA for equivalent services.
Cost-of-Living Adjustment (COLA)
An increase in income to compensate for inflation.
Cost-Sharing
An enrollee's financial responsibility for health care program coverage, such as a co-payment, coinsurance, or premium.
County Agency
The local human services office responsible for determining eligibility for Minnesota Health Care Programs.
County of Financial Responsibility
The county responsible for the county costs of an enrollee’s MA.
County of Service
The county responsible for servicing the Medical Assistance (MA) case.
County-Based Purchasing
An option that allows counties to choose to assume the responsibility for purchasing health services for enrollees who are eligible for PMAP.
Creditable Coverage
Creditable coverage gives people credit for previous health insurance coverage when they move to new health plans to reduce the exclusion period that may be imposed due to pre-existing conditions. A person with creditable coverage must be allowed special enrollment in a health plan at a time other than the employer's open enrollment period.
Cremation Society Agreement (CSA)
This type of burial agreement is an agreement in which funds are pre-paid for burial through a cremation society.
CSV
Cash Surrender Value. The amount the life insurance policy owner, including an annuity owner, would receive if the policy were cashed in.
Current Contact
The household of a MinnesotaCare applicant in which at least one other household member is eligible for MHCP, SNAP, or a cash assistance program; is being terminated from MHCP or MFIP; or is being denied MHCP coverage.
Custodial Parent
A parent who has physical custody of his or her minor child.
Cutoff Date
The date by which information must be entered in the health care eligibility system to effect a change for the following month.
CVT
Center for Victims of Torture. A Minnesota-based private, nonprofit, nonpartisan organization founded in 1985. CVT exists to heal the wounds of government-sponsored torture on individuals, their families, and communities and to stop its practice.