A medical condition that exists at the same time as the primary condition in the same patient (e.g., hypertension is a co-morbidity of many conditions such as heart disease, end-stage renal disease and diabetes).


A portion of the bill for a medical service that is not covered by the patient’s health insurance policy and therefore must be paid out of pocket by the patient. Coinsurance refers to a percentage, for example 10 percent of the total charge up to a specified...

Community First Choice Option

A state plan option under Medicaid that encourages primary care practices to provide home- and community-based care to chronically-ill Medicare patients. States that take up this option receive a 6 percentage point increase in federal matching payments for costs...

community health center

Organization providing comprehensive primary care, mostly to medically underserved populations, regardless of ability to pay. These public and non-profit entities receive federal funding under Section 330 of the Public Health Service Act, as amended.

Community Living Assistance Services and Supports

Enacted as part of the Affordable Care Act (ACA), the CLASS program aimed to establish a national voluntary insurance program for purchasing non-medical services and supports necessary for individuals with functional limitations to maintain community residence. The...