The AABD or Aid to the Aged, Blind, Disabled is a cash assistance program for people who: (1) Have limited income (2) Are 65 or older (3) Are disabled

ABD or Aged, Blind and Disabled are individuals who are: (1) Age 65 and over (2) Unable to work because of a disability that is expected to last for at least a year or a disability that will result in death. (3) Blind

Physical harm, bodily injury, or attempt to cause physical harm or injury, or the infliction of fear of imminent physical harm or bodily injury on an elder or adult with disabilities.

Access is the freedom or ability to get needed services.

Accreditation is official recognition of an organization or person to signify that certain standards of quality have been met. The process is carried out by a nationally recognized accrediting body that determines whether or not standards have been met.

An organization is accredited once it has gone through the accreditation process and has met certain standards of quality.

ACRN or America’s Career Resource Network is a nationwide organization providing young people and adults with educational and career information that helps them make informed career decisions and secure meaningful employment.

The ACSI or American Customer Satisfaction Index is a survey that looks at performance and customer satisfaction within the Workforce Investment system.

Basic, self-care tasks including: bathing, dressing, personal hygiene, walking, transferring, toileting, eating and bed mobility.

Care in a hospital setting which includes surgery, doctor visits, X-rays etc.

The ADA or Americans with Disabilities Act is a federal civil rights law, passed in 1990, to prevent the discrimination of individuals with disabilities in employment, state and local government, transportation, and commercial and public facilities.

Americans with Disabilities consulting provides professional direction with regards to accessible design, construction as well as direction in the areas of employment and "reasonable accommodations."

Provides non-medical care and supervision to adults in need of personal services, protection, assistance, guidance, or training. Adult Day Care assists its participants to remain in the community.

Services provided to dependent adults in a supervised, protective, congregate setting during some portion of a twenty-four hour day. Services offered typically include social and recreational activities, meals and other services that support the health, nutritional, social, and daily living needs of adults.

Any services or instruction below the post-secondary level for individuals at least 16 years of age, who are not enrolled or required to be enrolled in secondary school under state law

Adult Foster Care Homes are private homes where care is provided by families who are recruited and trained to provide care for adults.

An Adult Living Care Facility is a residential facility for people who cannot live alone but do not need medical services.

Adult Residential Care Homes (ARCH) provide for the social and daily needs of individuals rather than medical needs. Residents are usually people who are functionally semi-independent, but need assistance in the activities of daily living. Dietary, housekeeping, social and recreational programs, and medical monitoring are the primary functions of these facilities. ARCHs are designated as Type I or Type II. Type I care homes are limited to 5 or fewer residents in a family home. Type II care homes are institutional settings and may care for as many as 50 to 60 residents.

A State of South Dakota Division of the Department of Social Services. The Division of Adult Services and Aging is the State Unit on Aging for South Dakota.

Person eighteen years of age or older who suffers from a condition of developmental delays, infirmities of aging, or who lacks the functional, physical or mental ability to provide their own self care.

Active support or argument in favor of something such as a cause, idea, or policy.

The AJB or America’s Job Bank is an online database that allows jobseekers to find jobs and employers to post job openings. The job bank also provides national data related to employment and training-related information.

ALMIS or America’s Labor Market Information System is a national database that contains information on who is employed, goods and services, and workforce data for each state.

Dementia is a loss of brain function that occurs with certain diseases. Alzheimer's disease (AD), is one form of dementia that gradually gets worse over time. It affects memory, thinking, and behavior.

Ancillary Services are additional health services that are provided by an in-patient program or hospital. They may include x-ray, drug and laboratory services.

An appeal is a complaint that an individual submits if they disagree with any decision about the services that they are receiving and want that decision reviewed.

Learning a skill or trade through practical experience while under the guidance of a professional.

An ASC or Ambulatory Surgical Center is a non-hospital location that performs outpatient surgery. A person receiving services at an ASC will sometimes stay for a few hours or sometimes overnight.

Assessment is the process of gathering information to determine what is needed.

Assisted Living provides housing along with supportive services for persons needing assistance with personal care or medications.

A program to support low income individuals with a need for assisted living services and without sufficient income to pay the full cost of services.

Items which enable an individual to perform routine personal tasks independently or which provide for a safe and secure environment related to health care needs.

As you grow older you may find that you need to change how you do things. If so, assistive technology (a new term for adaptive devices) might have the answer. Assistive technology includes devices which will help you continue doing the activities you have always done, but in a slightly different way. For example, it might be a walker that makes moving around possible.

Individuals are “basic skills deficient” when their English reading, writing, and speaking skills or computing ability is at or below the 8th grade level.

A basic skills goal is what must be achieved in order to improve basic learning skills. Basic learning skills include reading, math, writing, speaking, listening, problem solving, reasoning and the ability to use these skills.

A beneficiary is the person named to receive proceeds or benefits. For example, the person named on an insurance policy is a beneficiary of that policy.

A Board and Care Home is a group living arrangement designed to meet the needs of people who cannot live on their own. These homes offer some personal services such as meals, housekeeping, and transportation.

A doctor is board-certified when he or she has passed an advanced exam in a special area of medicine. Both primary care doctors and specialists may be board-certified.

Beneficiary of care and services provided by another person.

Individual who provides care, services and support to another person.

Case management is a service that helps people with disabilities to coordinate all of their services. A Case Manager is the person manages this process.

Non-residential places of action and coalition where persons with disabilities learn empowerment and develop the skills necessary to make lifestyle choices. Centers work with individuals and local communities to remove barriers to independence and ensure equality of persons with disabilities.

Medicare and Medicaid will only cover government agencies that are certified by law. To become certified certain health care providers (hospitals, home health agencies, nursing homes and dialysis facilities) are required to pass certain standards that are evaluated by a state government agency. Being certified is not the same as being accredited.

(CNA) A Nurse Aide who has taken special training and passed proficiency testing. The certification is given by the state and entitles them to work in a facility or private home.

Non-continuous household maintenance tasks intended to increase the safety of the resident. Tasks may include replacing fuses, light bulbs, electric plugs, door locks, window latches, or faucets, installing safety equipment, screens and storm windows, weather stripping around doors, window shades and curtain rods, household repair tasks, pest control, mowing of lawns, leaf raking, trimming overhanging tree branches, gardening, clearing of ice and snow and pet care.

The CMS or Centers for Medicare and Medicaid Services is a federal agency under the Department of Health and Human Services (DHHS). It oversees the Medicare, Medicaid, State Children’s Health Insurance Program and the Health Insurance Portability and Accountability Act (HIPPA).

Also known as community action agencies, these agencies are local private and public non-profit organizations that work to empower people of low income. Typical activities include promoting citizen participation, providing utility bill assistance, home weatherization for low-income individuals, administration of Head Start pre-school programs, job training, operation of food pantries and coordination of community initiatives.

Community Support Providers are not-for-profit community agencies certified by the South Dakota Department of Human Services to provide a full range of services and support to help meet the needs and desires of individuals with intellectual and developmental disabilities, as well as their families. The agencies are governed by local Boards of Directors and are required to meet established standards in order to be certified by the State of South Dakota.

The mental ability to understand problems and make decisions.

One appointed by the Court to be responsible for managing the estate and financial affairs of a minor or protected person.

Bowel or bladder control

Continuing Care Retirement Communities (CCRC) combine independent living, assisted living, and a nursing facility under one roof.

Home care services that are provided on an extended basis.

See Skilled Nursing Facilities

The net income figure after out-of-pocket medical costs have been deducted.

A resource is defined as any item of value that a person owns, such as bank accounts, land, vehicles, personal property, etc. Countable resources are those resources that are not exempted when calculating eligibility.

Care that primarily deals with activities of daily living like bathing, dressing, and supervision.

Loss of brain function affecting memory, thought, language, judgment and behavior.

A developmental disability is a severe chronic disability which: 1) Is attributable to a mental or physical impairment or combination of mental and physical impairments; 2) Is manifested before age twenty-two; 3) Is likely to continue indefinitely; 4) Results in substantial functional limitations in three or more areas of major life activities: self-care, receptive and expressive language, learning, self-direction, capacity for independent living, economic sufficiency; and 5) Reflects the need for a combination and sequence of special interdisciplinary or generic care, treatment, or other services, which are life long, or of extended duration and individually planned and coordinated.

An alteration of an individual's capacity to meet personal, social, or occupational demands because of an impairment (American Medical Association); an activity limitation that creates a difficulty in the performance, accomplishment, or completion of an activity in the manner or within the range considered normal for a human being (World Health Organization); the inability to engage in any substantial, gainful activity by reason of any medically determinable physical or mental impairment(s), which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months (Social Security Administration), a physical and/or mental impairment that results in substantial functional limitations in one or more of the following areas of major life activity: Self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, economic self-sufficiency, cognitive functioning, and emotional adjustment (Older Americans Act).

Sequence of evaluations which compare an individual's functional capacity, specifically his/her physical and mental capacity to perform basic work activities against set criteria.

Any airline, ground transportation, and accommodations services that provide accessibility for persons with disabilities.

The equipment and supplies that help persons with physical, sensory, or mental impairments that can make performing an everyday task more difficult. Some disabilities, such as a broken hip, may be temporary; others are relatively minor, such as vision impairments that can be modified by corrective lenses. Other disabilities classified as severe may not represent a handicap—that is, the inability to take part in community life on an equal level with others. For instance, a person confined to a wheelchair may be able to live independently if physical and social barriers to mobility have been removed.

Physical harm, bodily injury, or attempts to cause physical harm or bodily injury, or the infliction of fear of imminent physical harm or bodily injury, between persons in a relationship (i.e., spouse or former spouse; in a significant romantic relationship; has a child or is expecting a child with the abusing party; parent and child; sibling).

A legal document for the purpose of appointing another person to make health care decisions should the 'patient' become incapable of making his/her own health care decisions.

Electronic devices worn by an individual as a necklace or bracelet which allows the individual to summon help in the event of a fall or emergency by pushing a button on the device and activating a call system.

Fluids, nutrients and electrolytes administered through specialized feeding tubes to the esophagus, stomach or intestines.

The enterostomal therapist provides direct patient care and education to persons with abdominal stomach wounds, fistulas, drains, pressure sores, and incontinence.

The wrongful taking or exercising of control over property of an elder or an adult with disabilities with intent to defraud the elder or adult with disabilities.

Those expenses above and beyond what are considered normal household or medical expenses.

An adult family member, or another individual, who is an informal provider of in-home and community care to an older individual or to an individual with Alzheimer's disease or a related disorder with neurological and organic brain dysfunction.

A residential alternative to long term care. As a Medicaid Waiver program, it is available to Medicaid eligible individuals in need of ICF or SNF level of care. Individual families are recruited and trained to provide long term care in private homes. Case management is an integral component, providing monitoring, oversight, supervision, and training to foster caregivers.

Older individual who is determined to be functionally impaired because they are 1) unable to perform at least two activities of daily living without substantial human assistance, including verbal reminding, physical cueing, or supervision; or 2) due to a cognitive or other mental impairment, requires substantial supervision because the individual behaves in a manner that poses a serious health or safety hazard to him/her self or another individual.

South Dakota program which works to decrease barriers to employment for individuals with disabilities. One of the most commonly cited barriers is a fear of losing healthcare coverage. The Medical Assistance for Workers with Disabilities (MAWD) is a change to the traditional Medicaid system that extends healthcare coverage to working South Dakotans with disabilities whose income and assets would otherwise make them ineligible. It “de-links” disability from earnings, and provides an incentive for people with disabilities to work. It provides an opportunity for people to not have to continue to choose between maintaining needed healthcare coverage or becoming independent and productive through employment.

Grandparents (or step-grandparents) or other relatives (excluding the child's parents), who are at least age 55 years and are providing care to children under the age of 18 years, or adults aged 18-59 with disabilities.

One appointed by the Court to be responsible for the personal affairs of a minor or protected person.

Guardianship is a legal relationship between a competent adult and a person over the age of 18 whose disability causes incompetency (a ward). The disability may be caused by mental illness, developmental disability, age, accident, or other causes. A developmental disability or mental illness is not, by itself sufficient reason to declare someone incompetent. In addition, a person may not be declared incompetent simply because it saves someone money or because the disabled person acts or uses personal money in ways that seem odd to someone else. Competency has to do with a person’s ability to make an ‘informed decision’, or, with the risk of harm that they may experience due to their inability to provide for themselves or manage their affairs.

Services designed to support individuals at home or in a community setting, approved under a waiver approved by CMS and administered by State Agencies. A waiver is a mechanism utilized by states which allows certain requirements of Medicaid funding to be waived in order to provide services to eligible individuals in a less restrictive setting.

(HHA) A Nurse Aide who has been tested and proven competent in home health skills. Home Health Aides are able to work in the private home.

Services that allow you to remain safely at home with some assistance in daily living, whether it’s medical, personal hygiene, companionship, rehabilitation and support to aid the healing process after illness, surgery or injury.

Supplies essential nutrients, fluids, electrolytes, medication, blood or blood products directly into the patient’s blood stream. Specific therapies include antibiotics, diuretics, pain control, hydration, chemotherapy and total parenteral nutrition.

(HME) Equipment used by the patient to support attainment of highest level of independent function. HME includes hospital beds, walkers, bath benches, trapezes, oxygen and ventilators.

Modifications or repairs to a residence that increase the safety, comfort, security and independence of the residents and facilities caregiving. Major modifications include ramps, chair lifts, stair glides, roll-in showers and widening of doorways. Minor modifications include installation of grab bars, improved lighting, hand held shower adaptors and door handle replacement.

Inability to leave home without a taxing effort, the assistance of someone else, or the use of crutches, cane, walker, wheelchair or special transportation.

Services which consist of 'hands off' assistance provided to an individual in the performance of basic household tasks including cleaning, vacuuming, washing dishes, laundry, shopping and light meal preparation.

A coordinated program of palliative and supportive care for individuals with terminal illness. An interdisciplinary team of professionals and volunteers provides services in the patient’s place of residence or in an inpatient setting during the illness and period of bereavement.

Independent Retirement Housing provides meals, activities, housekeeping, and maintenance to independent residents.

Provision of information on resources and services available to individuals within their communities and assistance with connection to those services.

Supplies essential nutrients, fluids, electrolytes, medication, blood or blood products directly into the patient’s blood stream. Specific therapies include antibiotics, diuretics, pain control, hydration, chemotherapy and total parenteral nutrition.

Complex skills needed to successfully live independently: Managing finances, handling transportation, shopping, preparing meals, using the telephone and other communication devices, managing medications, navigating a flight of stairs and ordinary housework.

An insurance policy that pays benefits in the event that the policyholder becomes incapable of working.

Long-term care insurance is one of the ways you may pay for long-term care. This type of insurance will pay for some or all of your long-term care. Long-term care insurance is a relatively new type of insurance. It was introduced in the 1980s as nursing home insurance but has changed a lot and now covers much more than nursing home care.

Intermediate Nursing Facilities (ICF) provide less intensive nursing care than that which is typically found in a Skilled Nursing Facility (SNF); however, many ICF patients may require higher levels of care to assist them with the activities of daily living. ICF services include 24-hour nursing care along with rehabilitative, social services, physical, occupational, and other therapies as prescribed by the patient's physician