Definitions and acronyms used in the long-term care standards chart

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DSHS Home Acronyms Revisions WAC Number Index Site Map WCCC

Revised December 13, 2011

Definitions and acronyms. Types of Medical institutions and Alternate Living Facilities

NOTE:

Definitions and acronyms used in the institutional standards and PNA chart.

SIL	Special Income Level. 300% of the FBR. LTC cases with income at or under the SIL are CN. LTC cases with income over the SIL are MN. LTC cases are C, L and K track in ACES.
SSI	Supplemental Security Income
FBR	Federal Benefit Rate. The SSI cash payment standard
MNIL	Medically Needy Income Level
FPL	Federal Poverty Level
CNIL	Categorically Needy Income Level
HCS	Home & Community Service Division
DDD	Division of Developmental Disabilities
PNA	Personal Needs Allowance
CS	Community Spouse (a spouse of an institutionalized person)
IS	Institutional Spouse (a spouse who is considered institutionalized
VA	Veterans Affairs
NF, RHC, IMR, IMD	Medical Institutions. See explanation below
ALF, AFH, EARC, ARC, AL, DDD GH	Alternate Living facilities also called Residential settings. See explanation below
CN-P	Categorically Needy Medicaid Program
MPC	Medicaid Personal Care
MN-P	Medically Needy Medicaid Program

Medical Institutions: Medical institutions are licensed to provide medical care, including nursing care.

Medical Institutions are Nursing Homes (NF), Hospitals, Hospice Care Centers, State Veteran Nursing Homes, Intermediate Care Facilities for the Mentally Retarded (ICF/MR), Residential Habilitation Centers (RHC) and Institutions for the Medically Diseased (IMD).

Alternate Living Facilities (ALF) is a term used for residential facilities in the community. These are not medical facilities. DDD and HCS authorize services under MPC or a DDD or HCS Waiver program in these facilities. These facilities are either licensed as Adult Family Homes (AFH) or boarding homes. A licensed boarding home can be called an assisted living (AL), Enhanced Adult Residential Center (EARC), Adult Residential Center (ARC) or DDD Group Home (DDD GH).

Personal needs allowance standards can vary depending on the type of facility, type of service and if someone is receiving a state funded cash assistance grant.

Federal formulas are used in most long-term standards with the exception of PNA in medical institutions and ALFs. PNA standards in these facilities is set by legislative funding.

The LTC standards chart includes the federal formula and the date these standards change annually. Links to the federal formulas are found below the chart.

Definitions Definition WACs used in Medicaid and LTC Medicaid