Community mental health center (CMHC)

Facility that provides comprehensive, ambulatory outpatient mental health day services to individuals residing in a specific locale (catchment area). CMHC is defined in the community Mental Health Centers Act (Section 201), which specifies the services to be provided and requirements for the governance, organization, and operation of the centers. The CMHC Act provides for federal financial assistance for the construction, development, and initial operations of CMHCs and, on an ongoing basis, for the costs of their consultation and education services. Health care services may consist of counseling, education, evaluation, development of skills for daily living, vocational rehabilitation, and short-term stabilization services.

Community rating

Method for determining premiums for a managed care health insurance plan wherein the premium is based on the average cost of the actual or anticipated health services used by all subscribers in a certain geographical area. Use of this method helps spread the cost of illness evenly for all subscribers to the insurance plan. Individual characteristics of the insured are not considered. Sometimes called pooled rate. See also pooling.

Community-based services

Local or regional assistance or support designed to help older people remain independent and in their own homes. This can include senior centers, transportation, delivered meals or congregate meals site, visiting nurses or home health aides, adult day care, and homemaker services.