Brain Injury Rehabilitation

LR-1570.2000

Rehabilitation programs that develop an individually tailored treatment plan that combines the resources of physical, occupational and speech/language therapists; physiatrists (physical medicine specialists); neuropsychologists/psychiatrists; cognitive rehabilitation therapists; rehabilitation nurses; vocational counselors; social workers and/or other specialists to help individuals who have been disabled by an acquired brain injury attain their maximum level of functioning and quality of life. Common disabilities experienced by ABI patients following acute treatment and medical stabilization include problems with cognition (thinking, memory, and reasoning), sensory processing (sight, hearing, touch, taste, and smell), communication (expression and understanding), and behavior or mental health (depression, anxiety, personality changes, aggression, acting out, and social inappropriateness). Therapy generally focuses on behavioral management, neuropsychological adaptation, environmental structuring, eating and swallowing management, cognitive and communication skills, daily living and social skills, self-care, ambulation, academic and vocational skills, and community reintegration. The goal of brain injury rehabilitation is to restore functions and skills that can be recovered and to help patients learn to do things differently when functioning cannot be restored to pre-injury levels.

Community Clinics

LN-1500

Consumer-based, community-controlled, nonprofit outpatient facilities that provide basic health care including physical examinations, immunizations, family planning, nutrition assistance and diagnosis and treatment of common ailments for low income people, people who are homeless or uninsured/underinsured or other medically underserved populations that are geographically, economically and culturally challenged. Services are generally provided on an ability-to-pay basis. In the U.S., most community clinics are part of the network of Federally Qualified Health Centers, and many are known as "free clinics".

Dental Care

LV-1600

Programs that specialize in the care of the teeth and associated structures in the oral cavity including the prevention, diagnosis and treatment of diseases of the teeth and gums.

Disease/Disability Specific Screening/Diagnosis

LF-4900

Programs that offer screening and/or in-depth diagnostic procedures that establish the presence of a targeted disease, disability, condition or disorder and/or which provide a logical foundation for ongoing treatment.

HIV Testing

LF-4900.2400

Programs that offer HIV tests which are used to identify individuals who have been infected with the Human Immunodeficiency Virus (HIV) and are at risk for developing AIDS (acquired immune deficiency syndrome) or which are used to measure progression of the disease in people known to be infected. The most common HIV screening test is the enzyme immunoassay (EIA) which most frequently uses peripheral blood drawn from the arm or a finger as a sample, but can also be conducted using serum, oral fluids or urine. Repeatedly reactive EIA tests are confirmed using the Western blot or the immunofluorescence assay (IFA). The most common test that is used to measure disease progression is the PCR (polymeraise chain reaction) or viral load test. Many programs that provide HIV testing also provide pre-testing and post-test counseling which includes information about AIDS/HIV, reducing risks for HIV transmission, emotional support to help the individual deal with the testing process and test results, and information about and referral to other AIDS-related services.

Home Health Care

LT-2800

Programs that make necessary medical services available in the homes of people who are aged, ill or convalescing.

Hospice Care

LT-3000

Programs that provide a full range of supportive services for terminally ill individuals who are in the final stages of their illnesses and for their families. Services may include medical care, pain and symptom management, home nurse visitation, case management, emotional and spiritual support, and bereavement services for the patient and members of the family. Hospice care may be provided at home, in a freestanding hospice facility, a hospice unit of a hospital or in long-term care facilities such as nursing homes. In order to qualify for Medicaid or Medicare reimbursement, an individual must have a life threatening illness and must be certified by their physician to have entered the last six months of life.

Hospitals

LL-3000

Medical institutions that provide diagnostic and treatment services for people whose illnesses or injuries require that they occupy a bed for at least one night. Hospitals can be distinguished by the level of care they offer (general acute, subacute, extended acute care), the auspices under which they operate which also, in some cases, defines the patients they serve (city/county, state, Veteran's Affairs, military hospitals), and the medical conditions they specialize in treating (specialty hospitals).

Inpatient Rehabilitation

LR-4000

Programs that provide intensive rehabilitative services on a 24-hour basis for patients who are severely disabled as a result of injury or disease. Services include a thorough evaluation of the person's abilities and disabilities and the development and implementation of a rehabilitation plan which may incorporate physical, occupational, speech and/or other types of therapies; education about modifications in lifestyle which may be necessary including information about diet, exercise and stress reduction; guidance in using adaptive devices which maximize the person's functional abilities; and counseling for the person and/or significant others to facilitate a positive adjustment to the person's current condition. Inpatient rehabilitation services may be provided by general acute care hospitals or skilled nursing facilities.

Medical Equipment/Supplies

LH-5000

Programs that pay for or provide necessary in-home hospital equipment, monitoring devices, respiratory aids, prevention kits and other medical supplies that are required by people who want to prevent the transmission of an infectious disease, are coping with the effects of a chronic health condition or disability or are convalescing following surgery or illness. Included are programs that provide medical equipment on a loan basis as well as those that provide equipment that people can keep.

Medication Information/Management

LH-2700.5000

Programs that conduct a review of the prescription and over-the-counter medication and other substances (e.g., herbal remedies, vitamins and other supplements, illegal drugs) that people are taking, and answer any questions they may have about their medications or their medication regimen. The reviews address a number of issues including appropriate therapeutic uses of particular substances; adverse side effects; interaction/reaction with foods and other drugs; product identification and availability or equivalency; safety when used by children, pregnant or breastfeeding women or older adults, many of whom may have multiple prescriptions; and outcomes. The objectives of the program are to support the individual's ability to self-administer medications as prescribed and to ensure their safety and well being, particularly in circumstances where their medication regimen is complex.

Nursing Facilities

LL-6000

Inpatient health care facilities that provide nursing and personal care over an extended period of time (usually more than 30 days) for people who require convalescent care at a level which is less than that provided in an acute facility and/or for chronically ill or frail elderly individuals or people with disabilities.

Palliative Care

LT-6650

Programs that provide for the comprehensive management of the physical, psychological, social, spiritual and existential needs of patients with the objective of helping them achieve the best possible quality of life through relief of suffering, control of symptoms and restoration of functional capacity while remaining sensitive to personal, cultural and religious values, beliefs and practices. The focus of palliative care is on people with incurable, progressive illnesses who are in the early stages of their illness. Palliative care may be provided in a wide variety of health care settings including hospitals, nursing facilities, hospice facilities and the person's own home; and may be coordinated with other services including curative therapies.

Physical Therapy

LR-6600

Programs that evaluate joint motion, muscle strength and endurance, heart and lung function and the ability of people to perform activities of daily living; and utilize the therapeutic properties of exercise, heat, cold, electricity, ultraviolet, water, manipulation and massage to improve circulation, strengthen muscles, reduce pain and restore mobility to people who have been disabled by a stroke, arthritis, back or spinal cord injuries or other debilitating conditions. Physical therapists practice in a variety of settings including hospitals, private offices, outpatient clinics, rehabilitation centers, developmental centers, home health agencies, schools and pediatric centers.

Prenatal Care

LJ-5000.6600

Programs that provide medical care for expectant mothers from the time of conception to the onset of labor to ensure their own physical well-being and the healthy development and birth of their child. Services generally include identification of risk factors based on age, health and/or personal and family history that may affect a woman's pregnancy; diet and lifestyle advice; routine checkups to look for signs of problems associated with pregnancy (such as edema, preeclampsia, or gestational diabetes) and to assure that the pregnancy is progressing well; ultrasound and other forms of prenatal testing to monitor fetal development and check for possible birth defects; and general information about being pregnant, e.g., what is normal and what is cause for concern, remedies for morning sickness or sleeplessness, managing weight gain and other common issues.

Public Health Nursing

JP-6600

Programs that protect and improve the health of the community through the use of public health nurses whose services are available through departments of public health, schools and voluntary agencies, typically in connection with medical programs supervised by physicians. Activities may include home visits to provide nursing under medical supervision for acutely ill patients and people who are chronically ill; outreach to populations who may not seek out health care through a traditional medical facility; support for physicians in public health clinics and disease detection programs; first aid and screening programs for school children; nutrition counseling; family planning information and a wide range of health education and prevention programs for the community at large which deal with personal health practices that can help to prevent illness.

Veteran Outpatient Clinics

LN-9000

Outpatient medical facilities operated by the U.S. Department of Veterans Affairs that provide routine primary medical care for eligible veterans. Services generally include x-rays, general health check ups, blood pressure checks, treatment for basic illnesses and laboratory tests.

Visual/Reading Aids

LH-0600.9000

Programs that pay for or provide equipment or other products which enhance the ability of people who have visual impairments or other disabilities to see and/or read; or which make television programs, feature films, home videos and other visual media accessible by providing a descriptive narration of key visual elements in these programs.