Glossary - Acronyms and Definitions

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1 Glossary - Acronyms and Definitions Agriculture: Advancing Colorado s Renewable Energy and Energy Efficiency (ACRE 3 ) - The ACRE 3 program was created in 2007 to promote the feasibility, development, and implementation of renewable energy and energy efficient technologies in agriculture. Pursuant to Section (1.5) (a), C.R.S., the Colorado Agricultural Value-Added Development Board is authorized to administer the ACRE 3 program and fund agricultural energy-related projects using severance tax revenues transferred to the Agricultural Value-Added Cash Fund. Agricultural Services Division - The Agricultural Services Division administers the majority of the Department's large regulatory and consumer protection programs and is divided into four operating divisions: (1) Animal Health; (2) Inspection and Consumer Services; (3) Plant Industry; and (4) Conservation Services. Agriculture Management Fund - The Agriculture Management Fund (AMF) is one of the Department's larger cash funds and receives 65.0 percent of the interest earned on the sale of unclaimed securities from the Colorado Travel and Tourism Promotion Fund. AMF expenditures support various Department programs and efforts to further the overall mission of the Department approved by the Commissioner. Agricultural Products Inspection Program - This program in the Agricultural Markets Division performs mandatory and non-mandatory inspections of fruits and vegetables to determine the grade, size, and quality of fruits and vegetables being exported from and imported to Colorado. Animal Health - This operating division in the Agricultural Services Division oversees the prevention, traceability, and control of livestock diseases; the operation of the Rocky Mountain Regional Animal Health Laboratory; the implementation of pest control measures; licensing and inspection of pet care facilities; and investigations animal cruelty claims. Brand Board - The Brand Board inspects and verifies the ownership of livestock at sale barns, slaughterhouses and export sites to protect producers and buyers from fraud and theft of livestock. The Brand Board also investigates reported livestock theft, maintains brand records, and licenses livestock sale barns, processing plants and alternative livestock farms. The Brand Board constitutes an enterprise pursuant to (5) (a), C.R.S. for the purposes of Section 20 of Article X of the state constitution (TABOR). Colorado Wine Industry Development Board (CWIDB) - The Colorado Wine Promotion Board is responsible for promoting and funding research, development, and marketing of wines and grapes produced in the state, and serves as a resource for the Colorado wine industry (Section (1), C.R.S.). Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

2 Corrections: Conservation Services - This Agricultural Services operating division includes biological pest control, noxious weeds, and weed free forage programs; a groundwater protection program; and the chemigation permitting and inspection program. It also encourages development of agricultural-based renewable energy projects through the provision of grants. Cooperative Agricultural Pest Survey Program (CAPS) - The CAPS program conducts annual surveys for targeted pests, as well as outreach, and education to provide early detection of exotic pests that may threaten agriculture and the environment (e.g. the emerald ash borer). This is a joint project between the Department and other state and federal groups, including the U.S. Department of Agriculture and Colorado State University. Inspection and Consumer Services (ICS) - ICS programs provide metrology and regulatory laboratory services including content analysis of feeds, fertilizers, groundwater, and pesticides. Additionally, ICS inspects: anhydrous ammonia tanks, eggs, grain warehouses, agricultural commodity handlers and dealers, door-to-door sales companies, custom meat processors, and small and large weighing and measuring devices. Plant Industry - This program in the Agricultural Services Division is responsible for organic certification, nursery stock inspection, produce inspection, certification of plant and seed exports, seed inspection and certification, commercial and private pesticide applicator testing and licensing, and inspection of pesticide product records and labels. Additionally, this program has also been tasked with developing and administering the Industrial Hemp Regulatory Program established in S.B Administrative Segregation (Ad seg) - A no-longer-used term for solitary confinement. See maximum security. Earned time - Offenders who behave themselves while in prison or on parole, obey the rules, and comply with their assigned programs, are awarded "earned time", which makes them eligible for earlier release from prison or an earlier end to their parole term. They can also receive "achievement earned time" for successfully completing a milestone or phase of a program, or for promoting the safety of correctional staff, volunteers, contractors, or other persons at the DOC. Jails - Colorado jails are operated by county sheriffs and are funded by counties. They hold inmates who are awaiting trial and misdemeanor offenders who have been sentenced to jail by a court. Misdemeanor sentences are generally less that one year in length. The Department of Corrections operates prisons for offenders convicted of felonies. Felony sentences are generally at least one year in length. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

3 Colorado State Penitentiary (CSP) - Located in Cañon City, CSP is the most secure correctional facility in the Colorado Department of Corrections system. Most of the offenders in this 750 bed facility are classified as "maximum security" and stay in their single-occupant cells 23 hours per day. Colorado State Penitentiary II (CSP II) - Located near Colorado State Penitentiary in Cañon City, CSP II is part of the complex of buildings know as Centennial Correctional Facility and is more properly called "Centennial South." It was designed to house maximum security offenders but was taken out of service when the number of maximum security offenders declined. Corrections Corporation of America (CCA) - A private corporation that, under contract with the Department of Corrections, operates three correctional facilities in Colorado that house Colorado offenders. (Bent County Correctional Facility, Kit Carson Correctional Facility, and Crowley County Correctional Facility) Community Education Centers (CEC) - A private corporation that, under contract with the Department of Corrections, operates a correctional facility in Colorado Springs called the Cheyenne Mountain Reentry Center (CMRC). The prison focuses on Colorado inmates who are nearing release and on parolees who have been temporarily reincarcerated for parole violations. Denver Reception and Diagnostic Center (DRDC) - This 570 bed state operated correctional facility provides intake services for offenders sentenced to the Department of Corrections. Denver Women's Correctional Facility (DWCF) - This 975 bed facility is the largest female facility operated by the Department of Corrections. Department of Corrections (DOC) - The Colorado Department of Corrections. Inmate Intensive Supervision Program (ISP-Inmate) - A DOC program that allows some lower risk DOC offenders to live in an approved private residence outside of prison prior to parole. They are intensively supervised while in the program and are subject to curfews, electronic monitoring, and testing for substance use. Maximum security - An inmate classification that requires the offender to stay alone in his cell for 23 hours per day. Parole Intensive Supervision Program (ISP-Parole) - Parole ISP provides a higher level of supervision for high risk parolees, including those who might not otherwise be paroled due to the risk posed to public safety and those who have reached their mandatory release date and must be paroled. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

4 Education: San Carlos Correctional Facility (SCCF) - A 250-bed correctional facility located in Pueblo that houses and treats DOC offenders with serious mental illnesses. Sex Offender Treatment and Monitoring Program (SOTMP) - An in-prison program that seeks to change the behavior of sex offenders. Sterling Correctional Facility (SCF) - This 2500-bed state-operated facility is the largest prison in the state. Therapeutic Community (TC) - A group-based approach for dealing with substance abuse and/or mental illness. In a prison-based TC, the offenders live together and actively help and monitor each other while also being monitored and treated by therapists. Youthful Offender System (YOS) - YOS is a "middle-tier" correctional program. Based in Pueblo and operated by the Department of Corrections, it lies between the juvenile and adult prison systems. Offenders in the program are either juveniles (i.e. less than age 18), who have been tried and sentenced as adults, or young adults, age 18 and 19. All receive sentences to the adult correctional system as well as shorter YOS sentences. The adult sentence is suspend while the YOS sentence is being served. If the offender successfully completes the YOS program, the adult sentence is waived. Offenders who fail out of YOS serve their adult sentence in adult prison. Accelerating Students Through Concurrent Enrollment Program (ASCENT) - This program allows students who are retained by their high school for instruction beyond their senior year ("5 th year students") to enroll in courses at institutions of higher education. Subject to available appropriations, school districts are allowed to receive funding through the School Finance Act for these students ($6,410 for FY ). Amendment 23 - Section 17 of Article IX of the Colorado Constitution, approved by voters in November The amendment requires the state to increase the base per pupil funding, and state funding for categorical programs by at least inflation plus one percent each year through FY , and by at least inflation thereafter. It established the State Education Fund, which receives one-third of one percent of tax revenues collected on the state's taxable income in addition to other transfers authorized by the General Assembly. Building Excellent Schools Today (BEST) Program - House Bill replaced the capital construction financial assistance programs that were established in response to the Giardino lawsuit with the BEST Program. The Program was designed to increase the amount of financial assistance provided and to allow projects to be completed more quickly. Rather than relying on General Fund appropriations, the Program is supported by: (1) royalty and rental income earned on state trust lands; (2) up to $45.0 million per year in marijuana tax Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

5 revenue; and (3) lottery spillover proceeds. These revenues, along with local matching funds, are used to finance projects directly and to make lease payments on certificates of participation used to finance public school construction projects. Colorado Academic Standards (CAS) - Adopted pursuant to S.B , includes statewide academic content standards in English language proficiency and ten content areas: dance, drama and theater arts; mathematics; music; reading, writing and communicating; science; social studies; visual arts; and world languages. The State Board of Education adopted the standards in 2009 and amended the standards to incorporate the Common Core State Standards (a state-led effort to develop common standards) in Colorado Achievement Plan for Kids (CAP4K) - Common name for S.B (Romer and Penry/Witwer and Scanlan) which directs the State Board of Education to adopt a description of school readiness and workforce readiness, and to adopt assessments that are aligned with the school readiness description on or before December 15, 2010 or as soon thereafter as is fiscally applicable, as adjusted by H.B (Middleton/Romer). Categorical programs - Programs designed to serve particular groups of students or particular student needs have traditionally been referred to as "categorical" programs. These programs currently include: (1) special education programs for children with disabilities; (2) English language proficiency programs; (3) public school transportation; (4) career and technical education programs; (5) special education programs for gifted and talented children; (6) expelled and at-risk student services grant program; (7) small attendance center aid; and (8) comprehensive health education. Section 17 of Article IX of the Colorado Constitution requires total state funding for categorical programs to increase by at least inflation plus one percent through FY , and by at least inflation annually thereafter. Colorado Preschool Program (CPP) - School districts are authorized to operate preschool programs to serve at-risk three-, four-, and five-year-old children. The General Assembly allows districts to count participating children as 0.5 FTE for purposes of the School Finance Act. The number of children for whom funding is provided is capped statutorily (currently at 28,360). Colorado School for the Deaf and the Blind (CSDB) - CSDB is a state-funded school, located in Colorado Springs, that provides comprehensive educational services for children from the ages of birth through twenty-one whom have documented hearing and/or vision loss. The School also provides services to school districts, state institutions, and other approved education programs. Colorado Student Assessment Program (CSAP) - Pursuant to H.B and subsequent legislation, the Department developed educational model content standards in twelve subject areas and, each year since 1997, has administered student assessments in several subject areas and grades. With the transition to new statewide academic standards Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

6 and assessments pursuant to S.B , Colorado last administered the CSAP exams in the school year and began administering the Transitional Colorado Assessment Program (TCAP in the school year). With the implementation of new statewide academic standards and assessments required by S.B , Colorado is transitioning to a new set of assessments, the Colorado Measures of Academic Success (CMAS) in the school year, including assessments in mathematics, English language arts, science, and social studies. Educator Effectiveness - Common name for S.B (Johnston and Spence/Scanlan and Murray) which creates new teacher and principal evaluation systems and changes the way teachers gain non-probationary status and how they can lose it. Requires the Department of Education to develop a statewide model evaluation system for the use of local districts who choose to do so. Requires evaluation systems to include measures of academic growth of students. Began statewide implementation for educators and principals in FY English Language Proficiency Assessment (ACCESS) - The ACCESS program, administered through a contract with the University of Wisconsin, consists of two distinct tests: (1) a screening test used soon after registration to evaluate students whose home language survey indicates that a language other than English is spoken in the home; and (2) an assessment test that is administered in January each year to students identified as "no English language proficiency" (NEP), or "limited English language proficiency" (LEP) in the body of evidence gathered in the screening process. The assessment test measures proficiency in the domains of listening, speaking, reading, and writing, and it is used to calculate growth rates for English language learners statewide. Facility Schools - A "facility school" is an approved educational program provided by day treatment centers, residential child care facilities, and other licensed facilities or hospitals that provide residential child care. Under current law, facility schools receive funding calculated as 1.73 times the statewide base per pupil funding based on actual pupil enrollment each month and the number of days educational services are provided. General Education Development (GED) - The State GED Testing Program is responsible for the oversight and supervision of GED Testing Centers, issuance of Colorado High School Equivalency Diplomas, granting of age waivers for GED tests, review of requests for GED test accommodations, and the issuance of transcripts and duplicate diplomas. Growth Model - Refers to the "Colorado Growth Model", and provides a common understanding of how individual students, groups of students, schools, and districts progress from year to year toward state standards based on where each individual student begins. The Growth Model uses a common measure to describe how much growth each student makes and how much growth is needed to reach state standards. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

7 No Child Left Behind (NCLB) Act - Passed by Congress in December 2001, sets federal requirements for assessments and accountability systems. Per Pupil Revenues (PPR) - A defined term in the School Finance Act, per pupil revenues means the total amount of state and local funding a school district is eligible to receive pursuant to the School Finance Act divided by the district s funded pupil count. Public School Fund (also called the "Permanent Fund") - Created in Section 3 of Article IX of the Colorado Constitution, this Fund primarily consists of proceeds from state education trust lands. This fund is a trust, as it is to "forever remain inviolate and intact". However, the interest and other income earned on the fund balance "shall be expended in the maintenance of the schools of the state". Reading to Ensure Academic Development (READ) Act - Common name for H.B (Massey and Hamner/Johnston and Spence) which requires teachers to assess the literacy development of students in kindergarten through third grade, requires the creation and implementation of individual intervention plans (called READ plans) for students identified with a significant reading deficiency, and provides guidance for decisions regarding whether to advance students identified with a significant reading deficiency. Creates the Early Literacy Fund to provide districts with per pupil funding to support intervention programs and services for students with significant reading deficiency. Creates reporting and accountability requirements for local school districts associated with early literacy. School Finance Act - Initially adopted in 1994, the Public School Finance Act specifies a formula to provide state and local financial support for the operations of public schools [see Article 54 of Title 22, C.R.S.]. The General Assembly typically passes one bill each year, called the "school finance" bill, which makes amendments to this formula. State Charter School Institute - The Institute is allowed to authorize "institute charter schools" located within a school district's boundaries if the school district has not retained exclusive authority to authorize charter schools. State Education Fund (SEF) - Created in Section 17 of Article IX of the Colorado Constitution, the SEF consists of one-third of one percent of income tax revenues, plus any interest earned on the fund balance and any additional transfers into the SEF authorized bye the General Assembly. Fund revenues are not subject to the Taxpayer's Bill of Rights limitation on fiscal year spending, and appropriations from the SEF are not subject to the statutory limitation on General Fund appropriations. State Public School Fund (SPSF) - The SPSF receives funds from three primary sources: 1) federal mineral lease revenue, 2) interest earned on the principal of the Public School Permanent Fund, and 3) school district audit recoveries. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

8 Governor's Office: Advanced Industries - The Advanced Industries Accelerator Program was created by the legislature to promote growth and sustainability in advanced industries (advanced manufacturing, aerospace, bioscience, electronics, energy and natural resources, infrastructure engineering, and technology and information) by helping drive innovation, accelerate commercialization, encourage public-private partnerships, increase access to early stage capital and create a strong ecosystem that increases the state s global competitiveness. Capital Company (CAPCO) Incentives - The Office of Economic Development (OED) certifies CAPCOs that are qualified to offer assistance to business enterprises that create jobs in the state. Insurance companies that make an investment of certified capital in an OEDcertified CAPCO can receive a tax credit against premium taxes owed. Colorado First Customized Job Training - This program provides incentives for companies to create jobs in Colorado by providing job training assistance. Colorado Tourism Office - The Office promotes Colorado as a vacation destination by developing and implementing marketing and promotional strategies, materials and programs that, in concert with private sector promotional activities, portray a consistent, unified brand image of Colorado in the tourism marketplace. Economic Development Commission (EDC) - The Commission promotes economic development in Colorado through the distribution of grants and loans from the Economic Development Fund to public and private entities to help existing businesses expand and new companies locate in Colorado. It also provides funds for marketing programs and special activities to promote Colorado nationally and internationally. Film Incentives - The Film Incentives Cash Fund provides incentive payments to qualified film production companies based on the amount of documented expenditures made in Colorado. The cash fund receives General Fund appropriations and an annual transfer from the Limited Gaming Fund. Colorado Energy Office - The Colorado Energy Office provides energy information and services to Colorado citizens and businesses. The office coordinates efforts to advance energy efficiency and renewable energy resources. The office is primarily funded with General Fund appropriations, federal Petroleum Violation Escrow moneys, and Severance Tax moneys. Leading Edge Program Grants - The Leading Edge Program provides entrepreneurial training at Small Business Development Centers. Trainees receive hours of business planning assistance for their planned, new, or existing businesses. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

9 Low-Income Energy Assistance (LEAP) - Pursuant to H.B , the Governor's Office was appropriated a portion of the operational account of the Severance Tax Trust Fund in the Department of Natural Resources for home energy efficiency improvements for low-income households. Minority Business Office (MBO) - This program promotes the development of existing and new minority businesses and works to increase minority participation in public and private sector contracting. Chief Information Security Officer (CISO) - Develops information security policies, standards and guidelines for public agencies; promulgates rules; directs information security audits and assessments in public agencies; establishes a risk management process and deploys risk mitigation strategies, processes and procedures. Office of Information Technology (OIT) - Oversees technology initiatives at the state level, recommending strategies to maximize service delivery efficiency in a cost-effective manner through the application of enterprise technology solutions. Office of State Planning and Budgeting (OSPB) - This office is responsible for program, policy, and budgetary planning, including economic and state revenue forecasting. Small Business Development Centers - This program oversees a network of ten college and university-based centers, five community-based centers, and three satellite offices that provide training and counseling to new business ventures in conjunction with the federal Small Business Administration. Colorado Creative Industries - The Colorado Creative Industries Council is dedicated to the cultural, educational, and economic welfare of the state of Colorado. The council, a group of private citizens selected by the Governor and recognized for their diverse and knowledgeable perspectives on the arts and their insight into community and state interests, creates policy to benefit the arts in Colorado. The staff is charged with enacting the policies and programs put forth by the council and serving the needs of artists, organizations, and citizens statewide. Health Care Policy and Financing (HCPF): Accountable Care Collaborative (ACC) - The Accountable Care Collaborative is an initiative that provides incentive payments to entities for managing the care of Medicaid patients with the goal of increasing utilization of cost-effective preventive care. The payments are larger for those entities that achieve better health outcomes. Incentive payments are made to Regional Care Collaborative Organizations (RCCOs) to develop a network of providers, deliver support services to those providers, and perform state reporting Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

10 functions. A second set of incentive payments are made to Primary Care Medical Providers (PCMPs) that function as medical homes for clients. Behavioral Health Organization (BHO) - Regional entities that provide or arrange for mental health and substance use disorder services for Medicaid clients. These behavioral health services are provided to Medicaid clients through a statewide managed care or "capitated" program, so the Department pays each BHO a pre-determined monthly amount for each Medicaid client within a BHO s geographic area who is eligible for behavioral health services. [Services for individuals who are not eligible for Medicaid are funded through the Department of Human Services.] Centers for Medicare and Medicaid Services (CMS) - The Centers for Medicare and Medicaid Services (CMS) is the federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with State governments to administer Medicaid, the State Children's Health Insurance Program (SCHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including quality standards in nursing homes through its survey and certification process and clinical laboratory quality standards. Children's Basic Health Plan (CBHP) - The Children's Basic Health Plan (CBHP) can also be referred to as CHP+ (Children's Health Plan Plus) or the State Children's Health Insurance Program (SCHIP). The CBHP is a state administered health insurance plan for low-income children (18 years and younger) and pregnant women (19 years of age and older) who have incomes too high to qualify for Medicaid but under 250 percent of the federal poverty level. Coverage includes inpatient and outpatient hospital services, physician services, prescription drugs, dental for children, and mental health care. Children's Extensive Support (CES) Program - Medicaid home- and community-based services (HCBS) waiver program for children with developmental disabilities who reside with their families. Provides in-home family support services for children who require nearly 24-hour supervision due to the severity of the child's medical and behavioral issues. Colorado Indigent Care Program (CICP) - The CICP serves clients with incomes below 250 percent of the federal poverty level who did not have insurance or were under insured. Payments to the providers are made through four distribution calculations to determine the amount of funding available for reimbursement of uncompensated costs associated with treating indigent clients. The federal match for this program comes from the Federal Disproportionate Share Hospital (DSH) payments or through the Upper Payment Limit (UPL) financing mechanisms. The state match for the federal funds comes from the Hospital Provider Fee, funds certified at public hospitals, or through the General Fund. Community Centered Boards (CCBs) - Twenty private, non-profit entities designated by the department to coordinate services for people with developmental disabilities in their Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

11 specified geographic regions. The CCBs serve as the single entry points for determining program eligibility and developing and managing service plans for individuals in various residential, supported living, and family support programs for people with developmental disabilities. Most, although not all, CCBs also provide direct program services. Medicaid and other state funds are the primary source of CCB funding, and CCB operations are subject to state rules and contractual agreements. Comprehensive Services - Comprehensive services for people with developmental disabilities include housing, day program, and other support services. Most residential services for adults with developmental disabilities are funded through the comprehensive Medicaid home- and community-based (HCBS) waiver program. This program comprises the largest single component of the budget for services for people with developmental disabilities. Comprehensive Primary and Preventive Care Grants Program - This program awards grants to health care providers in order to expand primary, preventative health care services to low income, uninsured residents of Colorado. Over the years, the majority of the grant money has been spent on expanding clinics or expanding the availability of primary care services for uninsured or medically indigent by hiring additional staff and purchasing equipment and supplies. This program is funded from the Tobacco Master Settlement Agreement. Disproportionate Share Hospital (DHS) - Providers (hospitals and clinics) who see a disproportionate share of low-income and uninsured individuals. Early and Periodic Screening, Diagnosis, and Treatment Program - These outreach and case management services are aimed at the promotion of health, the prevention of disease, and improved access to health care services. Enrollment Broker - Provides information on basic Medicaid benefits offered through managed care health plans and how the plans compare with the fee-for-service and primary physician program. Family Support Services Program (FSSP) - The Family Support Services Program provides flexible funding to assist families with costs and services beyond those normally needed by families who do not have a child with a developmental disability (e.g., home modifications). This is a General Fund (non-medicaid) program. Federally Qualified Health Centers (FQHC) - Federally Qualified Health Centers are community-based organizations that provide comprehensive primary care and preventative care services to persons of all ages, regardless of their ability to pay. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

12 Fee-for-Service - A contract arrangement where a provider is paid based on a fee-scheduled for services rendered. Managed Care Organizations (MCOs) - Managed Care Organizations are entities that contract to provide health care services in a managed care system, including health maintenance organizations, prepaid inpatient health plans, and prepaid ambulatory health plans but excluding primary care case managers. Medicaid Management Information System (MMIS) Contract - The Medicaid Management Information System is an automated claim, capitation processing and reporting system. In Colorado, the MMIS processes or adjudicates claims and capitations based on edits that determine payment or payment denial. Warrants are produced by the State based on the information electronically transmitted from the MMIS. Medicare Modernization Act of 2003 Maintenance of Effort Payment - On January 1, 2006, the Centers for Medicare and Medicaid Services (CMS) implemented the Part D prescription drug benefit for Medicare clients. Clients who were eligible for both Medicaid and Medicare were required to switch their prescription drug benefit from Medicaid to Medicare. However, the Medicare Modernization Act of 2008 required that the states still retain some responsibility for paying for the prescription drug coverage for Medicaid clients. For calendar year 2006, states had to pay 90 percent of the federal Medicaid portion of their average dual eligible drug benefit from calendar 2003, inflated to 2006 using the National Healthcare Expenditure average growth rate. As each calendar year passes, the 90 percent factor is reduced by 1.67 percent each year, until it reaches 75 percent, where it will remain at 2015 on a go-forward basis. Old Age Pension State Medical Program - The Old Age Pension (OAP) Health and Medical program was established through Article XXIV of the Colorado Constitution and by Section , C.R.S., to provide health care services to persons who qualify to receive old age pensions but who are ineligible for Medicaid or Medicare. Primary Care Medical Providers (PCMPs) - Within the Accountable Care Collaborative (ACC) initiative the Primary Care Medical Providers (PCMPs) function as the medical homes for Medicaid clients. They receive incentive payments through the ACC based on health outcomes. Program of All-Inclusive Care for the Elderly (PACE) - The Program of All-Inclusive Care for the Elderly (PACE) is a Medicare/Medicaid managed care system to provide health care and support services to individuals 55 years and older at risk of institutional care. The PACE program is a fully capitated program in that the contractor assumes full risk for the medical costs and long-term care needs of their clients for the contracted rate. Under PACE programs, the contractor receives both a Medicare rate (for Medicare eligible services) and a Medicaid rate (for Medicaid eligible services). Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

13 Public School Health Services - The Public School Health Services Program began in 1997 with the passage of S.B Under this program, school districts are able to bill Medicaid for health care services that the districts provide to Medicaid eligible children. The expenditures incurred by the district for these services are the state match for the federal financial participation. The Department then allocates the federal financial participation back to the school districts, minus the administrative costs to the state for the program. The additional federal funds that the school districts receive are then used to support local school health services, increase access to primary and preventative care programs for low-income, under or uninsured children, and to improve the coordination of care between schools and health care providers. Qualified Medicare Beneficiaries (QMBs) - These individuals have incomes at or below 100% of the federal poverty level and resources at or below twice the standard allowed under the Social Security Income program. These individuals qualify for payment of Medicare Part A and Part B premiums, deductibles, and coinsurance through the Medicaid program. The federal Medicaid match rate for these individuals is 50% in Colorado. Regional Care Collaborative Organization (RCCO) - As part of the Accountable Care Collaborative (ACC) initiative, Regional Care Collaborative Organizations are responsible for developing a network of providers, delivering support services to those providers, and performing state reporting functions. They receive incentive payments through the ACC based on health outcomes. Special Low-Income Medicare Beneficiaries (SLMBs) - These individuals have incomes between 100% of the federal poverty level and 120% of the federal poverty level and resources at or below twice the standard allowed under the Social Security Income program. The Medicaid benefit under this program is limited to payment of Part B Medicare premiums. Supported Living Services (SLS) - The supported living services program for adults with developmental disabilities provides services in the home to help individuals with aspects of daily living (i.e., eating, dressing etc.) and other activities including employment and recreation. Individuals served live with their families or semi-independently, and services provided are for less than 24-hour care. The majority of services are funded through the SLS Medicaid home- and community-based (HCBS) waiver program. Upper Payment Limit (UPL) - The Medicare Upper Payment Limit (UPL) is the maximum amount Medicaid can reimburse a provider and still receive federal matching funds. Currently, the state reimburses providers below the UPL. However, publicly-owned providers certify public expenditures up to the UPL, which allows the state to generate a federal match without a state fund expenditure for the difference. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

14 Higher Education: Area Vocational School (AVS) - This line provides state support for the three area vocational schools to provide postsecondary vocational training. College Opportunity Fund (COF) Program - The College Opportunity Fund Program includes line items for stipends for students at state operated institutions, stipends for students at private institutions, and fee-for-service contracts with state supported institutions. Colorado Commission on Higher Education (CCHE) - The Colorado Commission on Higher Education serves as a central policy and coordinating board for public higher education in Colorado. Fee-for-service (FFS) contracts - These are contracts between the Colorado Commission on Higher Education and the governing boards of the higher education institutions. Pursuant to Sections and 304, C.R.S., the Commission may purchase services from the governing boards of the state supported institutions of higher education for costs associated with maintaining their role and mission, such as serving a rural area, to reward their performance based on student retention and degree completion, and for providing certain specialty education programs such as medical and veterinary schools. GEAR UP - The federal GEAR UP program supports pre-collegiate services in secondary schools and college scholarships for program participants. Services are targeted toward students who would otherwise be unlikely to pursue post-secondary education, such as those who are low income and first in their families to attend college. Local District Junior Colleges - This line item provides state grant funds for Aims Community College and Colorado Mountain College, which are local, rather than state, institutions. Stipends - Stipends can be used by eligible undergraduate students to attend any stateoperated higher education institution. The amount of the flat-rate, per-credit-hour stipend is determined annually by the General Assembly through the budget process. In limited circumstances, students may also receive a stipend to attend a private institution. State Historical Fund (SHF) - Pursuant to Colorado's Constitution, a portion of tax revenues from limited gaming activities is deposited in the State Historical Fund for historic preservation. Western Interstate Commission on Higher Education (WICHE) - Colorado pays annual dues to this association of western states that organizes reciprocal tuition agreements and facilitates the exchange of data and policy analysis. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

15 Human Services: Acute Treatment Unit (ATU) - An ATU is a facility that provides short-term psychiatric care (which may include substance abuse treatment) in a 24-hour, therapeutically planned and professionally staffed environment. This type of care is designed for individuals who do not require inpatient hospitalization but need more intense and individualized services than are available on an outpatient basis. Adult Assistance Programs - A unit of the Department of Human Services that is responsible for the administration of numerous assistance programs that focus on the elderly population. Programs determine medical disability for Colorado residents who apply for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits. Included in its responsibilities is processing disability cases for Medicaid. The division supervises the Aid to the Needy Disabled programs, which provide cash assistance to disabled individuals awaiting SSI eligibility determination and those individuals who meet state eligibility requirements but not federal requirements. In addition, the division (1) supervises Adult Protective Services programs (APS), which intervene on behalf of at-risk adults to correct or alleviate situations of abuse, neglect, or exploitation; (2) supervises and funds the provision of services to older Coloradans throughout the state through the auspices of 16 Area Agencies on Aging (AAA); and (3) supervises the county administered Old Age Pension (OAP) program, which provides cash assistance to eligible individuals age 60 and older. Aid to the Needy Disabled (AND) Programs - Consists of three programs that provide direct cash payments to the disabled poor that qualify. The Aid to the Blind State Supplemental Grant Program provides supplemental income to individuals who are legally blind and unable to secure or retain employment. The Aid to the Needy Disabled - Colorado Supplement provides a state supplement to individuals who qualify for federal Supplemental Security Income (SSI) grants, but who are receiving less than the maximum federal grant. The Aid to the Needy Disabled State-only Grant Program provides assistance to persons with a disabling condition, lasting six months or longer, who are awaiting SSI determination. Area Agencies on Aging (AAAs) - Sixteen regional entities (often associated with regional councils of government) that administer local programs for the elderly such as "meals on wheels". The Area Agencies on Aging receive federal funding distributed by the State and state allocations, including distributions from the Older Coloradans Cash Fund. Assertive Community Treatment (ACT) Programs - The ACT program is an evidence-based service delivery model for providing comprehensive community-based treatment and support services for adults with serious and persistent mental illness. These services are provided through Community Mental Health Centers to ensure that these individuals can live successfully in the community. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

16 Automated Child Support Enforcement System (ASCES) - This computer system is used by county staff to establish paternity, locate absent parents, manage child support enforcement caseloads, and track collection efforts. Behavioral Health Crisis Response System - This is a coordinated, seamless system to provide crisis intervention services for communities throughout Colorado. System components include: (1) a 24-hour telephone crisis service that is staffed by skilled professionals who are capable of assessing crisis situations and making the appropriate referrals; (2) mobile, walk-in, stabilization, residential, and respite services; and (3) a public information campaign. Burial Reimbursements - This program provides assistance, up to a maximum of $1,000, to help defray the costs of burial expenses for Aid to the Needy Disabled/Aid to the Blind recipients; the maximum is $1,500 for children receiving supplemental security income payments. This is an optional state program. However, if not funded by the State, counties would pay these costs. Child Abuse and Neglect Reporting Hotline System - A single, statewide child abuse and neglect reporting system that routes callers to the county responsible for accepting and responding to reports of abuse and neglect, and records and captures call data. Child Care Assistance Program Automated Tracking System (CHATS) - A data system that supports the Department and all counties in managing the subsidized child care programs. Child and Family Services (CFSR) review - Periodic federal review of state child welfare performance. The review compares state outcome data on child safety, placementpermanency, and well-being with federal benchmarks, and includes on-site visits by federal staff. Based on the review, state and federal authorities negotiate a performance improvement plan. A state that fails to meet its performance goals may be subject to financial sanctions. Child Care Development Funds (CCDF) - Federal child care block grant. Pursuant to federal law, these funds may be appropriated by state legislatures for child care subsidies, child care quality improvement efforts, and related activities. The CCDF funds available to the state each year consist of various components, each of which have specific requirements and restrictions. For example, some components require state matching expenditures and some are required to be spent on particular activities, such as to disseminate information on community child care providers. Child Care Licensing System (CCCLS) - An information system that provides web-based access to child care licensing data for licensing specialists and the public. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

17 Child Welfare Training Academy - Pursuant to Section , C.R.S., the Department of Human Services is required to ensure that persons hired to work within child welfare services receive the necessary training to perform the functions of their jobs responsibly and effectively. It requires that minimum standards of competence be demonstrated prior to the receipt of academy certification, including but not limited to: (a) investigating reports of child abuse or neglect; (b) reporting confirmed incidents of child abuse or neglect to the state department; (c) preparing documents related to records and reports of child abuse or neglect; (d) entering data into computer systems; and (e) maintaining confidentiality in accordance with state and federal law. Children's Residential Habilitation Program (the "CHRP" waiver for children with developmental disabilities) - Medicaid home- and community- based services (HCBS) waiver program for children with developmental disabilities who are in county custody (foster care). Provides comprehensive residential services up to the age of 21. Counties may, at their option, use portions of their annual capped allocation of child welfare funds for the CHRP program, thereby accessing matching federal Medicaid funds for services to eligible children. Client Index Project - A system that assures that each recipient of state benefits has a unique identifier. Each program uploads the name, gender, date of birth, social security number, and other identifying information for any individual served, and the Index looks for other duplicate entries and assigns a unique identifier. The Index retains both this unique identifier and the identifiers assigned by each respective program's system. Collaborative Management Program (H.B ) - A program in which county departments of human/social services may enter into a memorandum of understanding (MOU) with local agency representatives to promote a collaborative system of services to children and families with multi-systems needs. Colorado Benefits Management System (CBMS) - The Colorado Benefits Management System (CBMS) is the computer system used to determine a citizen's eligibility for public assistance programs like Medicaid, the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), and many others. CBMS is developed and maintained by the State for use by county social service organizations and various medical assistance sites throughout the state. The majority of employees assigned directly to CBMS reside in the Governor s Office of Information Technology. Colorado Child Care Assistance Program (CCCAP) - Child care subsidy program for low income Coloradans. Eligibility and provider reimbursement levels are set by counties, within state and federal parameters. Subject to available appropriations, counties are required to provide child care assistance (subsidies) to any person or family whose income is less than 165 percent of the federal poverty level and may offer subsidies to families with incomes up to 85 percent of the state median income. Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

18 Colorado Children's Trust Fund - The Colorado Children's Trust Fund provide grants to local prevention and education programs that deal with child abuse and neglect. It is supported by a $15 fee on petitioners for the dissolution of marriage, legal separation, or the declaration of legal invalidity of marriage. Colorado Mental Health Institutes - The Department of Human Services administers and operates two mental health institutes providing inpatient hospitalization for individuals with serious mental illness. The institutes currently provide comprehensive psychiatric, psychological, rehabilitation, and therapeutic care to up to 545 patients. The Colorado Mental Health Institute at Pueblo (CMHIP) operates a total of 451 beds. First, 307 "forensic" beds are used to serve two populations: (a) individuals with pending criminal charges who require evaluations of competency to stand trial or require services to restore to competency; and (b) individuals who have been found to be not guilty by reason of insanity. Second, 144 "civil" beds are used to serve adolescents, adults, and geriatric patients who are referred for admission by community mental health centers, county departments of social services, or the Department s Division of Youth Corrections. Civil patients include individuals who have sought treatment voluntarily and individuals who have been committed involuntarily by the court. The Colorado Mental Health Institute at Fort Logan (CMHIFL), located in southwest Denver, operates 94 civil beds for adults. Colorado Trails - Colorado Trails is a statewide system, operational since 2002, that supports activities in the Division of Child Welfare and the Division of Youth Corrections. It provides case management, financial tools, and other resources to users of the program. Colorado Works Program - The Colorado Works Program implements the federal Temporary Assistance for Needy Families (TANF) program. Colorado Works is administered at the county level and provides time-limited cash assistance for needy families and other services and supports to help families avoid or end dependence on government benefits. Community Mental Health Centers (CMHCs) - The Department contracts with 17 community mental health centers to deliver mental health services to individuals within a particular geographic region. Generally, services are focused on low income individuals who are not eligible for mental health services through the Medicaid program and who do not receive mental health care from any other source. [Services for individuals who are eligible for behavioral health services through the Medicaid program are funded through the Department of Health Care Policy and Financing.] Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

19 Community Programs (in Youth Corrections) - This section of the Division funds contract placements of juveniles typically in community settings with lower security levels than state-operated institutions. This section also supports case management that begins during a juvenile's stay in commitment and continues through the end of parole. Finally, this section funds S.B programs intended to divert juveniles from detention and commitment, or reduce their length of stay. Community Services for the Elderly - This section encompasses programs funded by the federal Older Americans Act and state-only resources for senior services. Responsibilities include developing a state plan for aging services, overseeing federal grants and providing assistance and funding to 16 local Area Agencies on Aging and local service providers to provide services to seniors age 60 years and older. County Administration - Provides funding for county departments of social services to administer several programs including Supplemental Nutrition Assistance Program (food assistance), adult cash assistance programs (except Old Age Pension), child support services, and the Low Income Energy Assistance Program. County Financial Management System (CFMS) - The system tracks program expenditures by program, by funding source, by county; tracks and allocates administrative costs by program; and, tracks expenditures that are estimated to count toward federal maintenance of effort requirements. County Tax Base Relief - The County Tax Base Relief line was created to assist counties with high social services costs relative to their assessed property valuations meet their required expenditures. County Incentive Payments - Section , C.R.S., provides that when child support enforcement payments are collected on behalf of custodial parents who have received public assistance, such amounts may be used to reimburse public assistance paid in accordance with federal law. Disability Determination Services - Disability Determination Services conducts medical disability determinations for the Social Security Administration for Colorado residents applying for Social Security Disability Insurance and Supplemental Security Income Programs. Division of Youth Corrections (DYC) - The Division of Youth Corrections in the Department of Human Services is responsible for management and oversight of delinquent juveniles who are detained while awaiting adjudication, and for those who are committed to the Department after adjudication. Early Intervention (EI) Services - Services for infants and toddlers under the age of three who have a significant developmental delay, or who are at risk of a significant developmental Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

20 disability or delay due to a diagnosed physical or mental condition, and their families. Services may include parent education, training, and assistance in child development, therapies (e.g., speech, occupational and physical therapies) and related activities. Many of these services are provided in the child s home. Electronic Benefits Transfer Service - House Bill authorized the Department to implement an electronic benefits transfer system (EBTS) to deliver Food Stamp, Works Program, Old Age Pension, Aid to the Needy Disabled, Aid to the Blind, Child Welfare, Child Care, and Low Income Energy Assistance benefits. The EBTS replaces the paper-based system of checks and Food Stamp coupons. Employment and Regulatory Affairs (ERA) - This section is responsible for four separate functions of the Department of Human Services, including: (1) Audits; (2) Food Stamp Quality Assurance; (3) Human Resources; and, (4) Performance Management. It was formerly known as the Office of Performance Improvement (OPI). Food Distribution Program - This program administers the distribution of foods from the U.S. Department of Agriculture (USDA) to eligible recipient agencies, which maintain and enhance nutritional needs of the populations served. Agencies include schools, child care centers, local jails, nutrition programs for the elderly and the Department of Corrections. Food Stamp Job Search Units - This program provides employment, job search and training services to food stamp recipients. Able-bodied Food Stamp recipients, ages 18 to 60, without dependent children, must meet a work requirement in order to remain eligible for Food Stamps. If they do not meet the work requirement, these individuals are limited to three months of Food Stamp benefits in any 36-month period. Work is defined as work, workfare or an educational activity (adult basic education, GED preparation, college courses, vocational training, vocational rehabilitation, or job search classes). Health Information Management System (HIMS) - This automated system supports clinical and administrative business functions at the Mental Health Institutes, the Regional Centers for persons with developmental disabilities, and the Division of Youth Corrections' detention and institutional facilities. The system was implemented in October 1995 in response to a requirement by the federal Health Care Financing Administration for providers to itemize all services and bill Medicare under a physician fee schedule. The system includes medical records, census, billing and accounts receivable, client banking, nutrition, laboratory, pharmacy, and clinical assessment and treatment information. Incompetent to proceed (ITP) - Based on a statutorily defined legal test [see Section et seq., C.R.S.], a court may determine that due to a mental or developmental disability, a person involved in a criminal proceeding does not have sufficient present ability to assist in the defense or to have a rational and factual understanding of the criminal proceedings. A court may order the Department to conduct a competency evaluation and submit a report to the court. If a court finds a defendant incompetent to proceed, the court Prepared by JBC Staff - Revised 9/18/ Acronyms and Definitions

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