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Glossary

The home care terms, in plain English

Agencies, plans and state offices use a lot of acronyms. Here is what they mean.
HCSF (Health Care Service Firm)
A business that places or employs caregivers, such as home health aides, to provide non-medical care in the home. HCSFs must register every year with the NJ Division of Consumer Affairs.
CHHA (Certified Home Health Aide)
An aide certified by the NJ Board of Nursing to provide hands-on personal care such as bathing and dressing. Aides doing personal care in New Jersey must hold this certification.
Home Health Agency
An agency licensed by the NJ Department of Health to provide skilled nursing and therapy at home under a doctor’s plan of care.
Medicare home health
A Medicare benefit covering intermittent skilled nursing and therapy for homebound patients when ordered by a doctor. It does not cover ongoing hourly or live-in aides.
CMS star rating
A 1 to 5 star quality rating that Medicare publishes for certified home health agencies on Care Compare, based on patient outcomes and surveys.
MLTSS
Managed Long Term Services and Supports. The NJ FamilyCare (Medicaid) program that pays for home and community care for people who need nursing-home level of care.
Accreditation
A voluntary review by an independent body, such as CHAP, ACHC or The Joint Commission, confirming an agency meets its quality standards.
CHAP
Community Health Accreditation Partner, an accrediting body focused on home and community care.
ACHC
Accreditation Commission for Health Care, an accrediting body for home care and other providers.
Enforcement action
A public action by a state agency, such as a civil penalty, consent order, suspension or revocation, taken after a violation of state rules.
Live-in care
One caregiver who stays in the home, usually with an unpaid sleep break, as opposed to 24-hour care in awake shifts.
IDD
Intellectual and developmental disabilities. Adults with IDD in New Jersey may receive services funded by the Division of Developmental Disabilities (DDD).