Glossary

Key terms in home care and habilitation services.

ADL

Activities of Daily Living — basic self-care tasks like bathing, dressing, eating, and mobility.

Business Associate Agreement — HIPAA-required contract between healthcare providers and vendors handling PHI.

Community Living Assistance and Support Services — Texas Medicaid waiver for individuals with disabilities.

Direct Care Innovations — Oklahoma's EVV aggregator system for Medicaid visit verification.

Developmental Disabilities Services — state-funded programs providing support for adults with I/DD.

Electronic Visit Verification — system that electronically captures visit date, time, location, and caregiver/client IDs.

Virtual geographic boundary used to verify a caregiver's GPS location matches the client's address during clock-in.

Services helping individuals with disabilities learn new skills for independent living, as opposed to rehabilitation (regaining lost skills).

Home and Community-based Services — Texas Medicaid waiver providing community-based support for individuals with I/DD.

Home and Community Support Services Agency — Texas licensing category for home care agencies under HHSC.

Texas's state-selected EVV vendor system for Medicaid visit verification.

Habilitation Training Specialist — caregiver certified to provide habilitation services to individuals with disabilities.

Intellectual and Developmental Disabilities — conditions originating before age 22 that affect intellectual functioning and adaptive behavior.

Individual Support Plan (or Individual Service Plan) — personalized care plan for individuals receiving disability services.

Protected Health Information — any health information that can identify an individual, protected under HIPAA.

Progressive Web App — web application that works like a native app on phones without requiring app store download.

Row-Level Security — database-level access control ensuring each organization can only see its own data.

Medicaid billing code for homemaker services (non-medical home care).

Medicaid billing code for habilitation services (residential, per 15 min).