AHCCCS Related Acronyms 

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AHCCCS Related Acronyms

 

A

A&AA
Aging and Adult Administration
A/R
Applicant/Recipient
AAA
1)  Area Agency on Aging
2)  Arizona Agency on Aging
AAC
Arizona Administrative Code: State regulations established pursuant to relevant statutes. For purposes of this solicitation, the relevant sections of the AAC are referred to throughout this document as "AHCCCS Rules."
AAR
Arizona Administrative Register
ABD
Aged, Blind or Disabled
ABIL
Arizona Bridge to Independent Living
ACA
Affordable Care Act
ACE
AHCCCS Customer Eligibility: A computer system that determines eligibility for ALTCS, SSI MAO, KidsCare and other AHCCCS programs.
ACH
Automated Clearing House
ACIA
Arizona Commission on Indian Affairs
ACN
Application Control Number
ACOIHC
Advisory Council on Indian Health Care
ACOM
AHCCCS Contractors Operation Manual
ACTS
Automated Change Tracking System
ACW
Attendant Care Worker
ADES
Arizona Department of Economic Security
ADHS
Arizona Department of Health Services
AEC
Annual Enrollment Choice
AEIC
Advance Earned Income Credit
AFDC
Aid For Families with Dependent Children: A federal assistance program under Title IV-A of the Social Security Act. Replaced by the Temporary Assistance to Needy Families (TANF) program.
AF
R - CA related Medical Assistance
AG
Attorney General
AGO
Arizona Governor’s Office
AHCCCS
Arizona Health Care Cost Containment System
AHCCCSA
Arizona Health Care Cost Containment System Administration
AHI
AHCCCS Health Insurance
AI
American Indian
AI/AN or AIAN
American Indian/Alaskan Native
AIHP
American Indian Health Program
AIR
All-Inclusive Rate (also called OMB Rate)
AKA
Also Known As
ALTCS
Arizona Long Term Care System: The Arizona Long Term Care System), a program under AHCCCSA that delivers long term, acute and behavioral health care services to eligible members, as authorized by ARS § 36-2931 et seq., encompassing long term care and alternative service delivery for AHCCCS Recipients and/or AHCCCS eligible Recipients i.e., developmentally disabled, elderly and physically disabled.
AMADC
Automated Medical Assessment Date Capture
AMB
AHCCCS Medical Benefits
AMPM
AHCCCS Medical Policy Manual
AN
Alaska Native
AP
Assistance Payments
APIS
Assistance Payment Information System
APS
Adult Protective Services
APTC
Advanced Premium Tax Credit
ARHQ
Agency for Research and Healthcare Quality
ARMS
Arizona Random Moment Sampling
ARRA
American Recovery and Reinvestment Act
ARS
Arizona Revised Statutes
ASH
Arizona State Hospital
ASR
Appropriations Status Report
AZTECS
Arizona Technical Eligibility Computer System: A computer system designed for DES to track eligibility for eligible recipients.

B

BAA
1)  Business Associates Addendum
2)  Business Associates Agreement
BBA
Balanced Budget Act of 1997
BCCTP
Breast and Cervical Canter Treatment Program
BEER
Beneficiary and Earnings Data Exchange
BENDEX
Beneficiary and Earnings Data Exchange is a tape source from SSA, identifying Medicare Part A and B beneficiaries.
BHS
Behavioral Health Services
BIA/GA
Bureau of Indian Affairs, General Assistance
BIA
U.S. Bureau of Indian Affairs
BIC
Beneficiary Identification Code
BMS
Bureau of Member Services
BOE
Bureau of Eligibility
BR
By Report
BW
Base Wage

C

CA
Cash Assistance/Temporary Assistance for Needy Families (TANF) (Prior to 8/1/97 referred to as Aid to Families with Dependent Children (AFDC))
CAH
Critical Access Hospital
CAN
Claim Account Number
CB
C.O.B.R.A. Medical Assistance
CC
Communications Center
CCM
County to County Move
CCTS
Client Contact Tracking System
CDC
U.S. Centers for Disease Control and Prevention
CDIB or CIB
Certificate of Degree of Indian Blood
CFR
Code of Federal Regulations
CHEP
Cuban Haitian Entrant Program
CHILDS
Children's Information Library Data Source
CHIP
Children's Health Insurance Program (KidsCare)
CHIPRA
Children's Health Insurance Program Reauthorization Act
CHR
Community Health Representative
CHS
Contract Health Services
CIB
Certificate of Indian Blood
CMDP
Comprehensive Medical and Dental Program
CMS
Center for Medicare and Medicaid Services, a federal agency under the Department of Health and Human Services
CMV
Current Market Value
CO
Central Office
COBA
Coordination of Benefits Agreement
COE
1)  Court Ordered Evaluation is when a judge orders a person to receive a psychiatric evaluation.
2)  Cost of Employment
COLA
Cost of Living Adjustment
CPS
Child Protective Services
CRIT
Colorado River Indian Tribes
CRS
Children's Rehabilitative Services
CRSA
Children's Rehabilitative Services Administration
CSMIA
Community Spouse Monthly Income Allowance
CSN
Client States None
CSRA
Community Spouse Resource Assessment
CSRD
Community Spouse Resource Deduction
CSV
Cash Surrender Value
CY
Calendar Year

D

DAC
Disabled Adult/Children
DBF
AHCCCS Division of Business and Finance
DBHS
Division of Behavioral Health Services (a division within the Arizona Department of Health Services)
DBME
Division of Benefits and Medical Eligibility (a division within the Department of Economic Security)
DCS
Division of Chile Safety (a division within the Department of Economic Security)
DCSE
Division of Child Support Enforcement (a division within the Department of Economic Security)
DCW
Direct Care Worker
DD
Developmentally Disabled
DDD
Division of Developmental Disabilities (a division with the Department of Economic Security)
DDSA
Disability Determination Services Administration (a division within the Department of Economic Security)
DES
Department of Economic Security
DFSM
AHCCCS Division of Fee-for-Service Management
DHCM
AHCCCS Division of Health Care Management
DHHS
Department of Health and Human Services
DHS
Department of Health Services
DIB
Disability Insurance Benefits
DME
Durable Medical Equipment
DMS
AHCCCS Division of Member Services
DNB
Deemed Newborn
DO
Physician Osteopath
DOA
Department of Administration
DRA
Deficit Reduction Act of 2005
DRG
Diagnostic Related Group
DTO
Danger to Others is a clinical diagnosis that someone may cause harm to others.
DTS
Danger to Self is a clinical diagnosis that someone may cause harm to themselves.
DWW
Disabled Widow/Widower

E

EA
Emergency Assistance
EAP
Energy Assistance Programs
ECAP
Energy Crisis Assistance Program
ED
Surgery/Emergency Department
EDD
Expected Date of Delivery
EDI
Electronic Data Interchange
EEI
Expenses Exceed Income
EFT
1)  Electronic File Transfer
2)  Electronic Funds Transfer
EHNAC
Electronic Healthcare Network Accreditation Commission
EHR
Electronic Health Record
EITC
Earned Income Tax Credit
EMPOWER
Employing and Moving People Off Welfare and Encouraging Responsibility
EO
Executive Order
EOB
Explanation of Benefits: A form included with a check from the insurance carrier which explains the benefits that were paid and/or charges that were rejected.
EOM
End of Month
EOMB
Executive Office of Management and Budget
ePIP
Electronic Provider Incentive Payment Application
EPSDT
Early and Periodic Screening Diagnosis and Treatment
EQRO
External Quality Review Organizations
ER
Emergency Room
ERA
Electronic Remittance Advice
ERIR
Eligibility Review, Investigation & Recovery
ESRD
End Stage Renal Disease
EUD
Eligibility/Enrollment Update Document
EW
Eligibility Worker
EYO
End of Year

F

FAA
Family Assistance Administration (an administration under DES/DBME)
FBR
Federal Benefit Rate
FC
Foster Care
FDIH
Fort Defiance Indian Hospital
FEHBA
Federal Employees Health Benefit Act of 1959
FESP
Federal Emergency Services Program
FFS
Fee-For-Service
FH
Fair Hearing
FIC
Family Involvement Center is a not-for-profit, family-directed organization that assists and supports families/caregivers with children experiencing emotional, behavioral, or mental health disorders.
FMV
Fair Market Value
FOLD
FAA On-Line Documents
FPL
Federal Poverty Limit
FPS
Family Planning Services
FQHC
Federally Qualified Healthcare Centers
FS
Food Stamps (renamed Supplemental Nutritional Assistance Program in 2008)
FTP
File Transport Protocol
FTW
Freedom to Work

G

GA
General Assistance
GEP
General Enrollment Period
GIMC
Gallup Indian Medical Center
GMH
General Mental Health is a classification of diagnoses that is not Seriously Mentally Ill; these diagnoses are not so severe that people cannot function without intense services and medication(s).
GRHCC
Gila River Health Care Corporation (dba Hu Hu Kam Hospital)
GSA
Geographic Service Area
GSL
Guaranteed Student Loan
GUIDE
General Unemployment Insurance Development Effort (the system that maintains Arizona Unemployment data)

H

HCBS
Home and Community Based Services
HCE
Health Care Excel Quality Quest, Inc.
HEAplus
Health-e-Arizona Plus
HCIC
Health Choice Integrated Care
HHCC
Hopi Health Care Center
HHS
U.S. Department of Health and Human Services
HI
Hospital Insurance
HIC
Health Insurance Claim Number
HIFA
Health Insurance Flexibility and Accountability Act
HIPAA
Health Insurance Portability and Accountability Act of 1996
HIT
Health Information Technology
HMS
Health Management Systems
HP
Health Plan
HPE
Hospital Presumptive Eligibility
HSAG
Health Services Advisory Group, Inc.
HUD
Housing and Urban Development

I

IC
Industrial Commission
ICD-10
International Classification of Diseases
IEP
Initial Enrollment Period
IFB
Invitation for Bid
IGA
Intergovernmental Agreement
IHCIA
Indian Health Care Improvement Act of 1976
IHS
U.S. Indian Health Service
IMD
Institution for Mental Disease
INS
Immigration and Naturalization Service
IP
In-patient
IPV
Intentional Program Violation
IRS
Internal Revenue Service
IRWE
Impairment Related Work Expense
ISA
Interstate Agreement
ISD
Information Services Division
ISM
In-kind Support and Maintenance
ISP
Individualized Service Plan is a plan that a person receiving behavioral health services develops with his/her case manager to outline his/her treatment goals and methods to achieve those goals.
ITCA
Inter Tribal Council of Arizona, Inc.
ITU or I/T/U
Indian Health Service, Tribally Operated 638 Facilities, Urban Indian Health Clinics
IV-A
Refers to programs under Title IV-A of the Social Security Act (example: Cash Assistance/Temporary Assistance to Needy Families (TANF))
IV-D
Refers to programs under Title IV-D of the Social Security Act (example: Child/medical Support and Establishment of Paternity)
IV-E
Refers to programs under Title IV-E of the Social Security Act (example: Foster Care and Adoption Subsidy)
IVR
Interactive Voice Response

J

JOBS
Job Opportunities and Basic Skills Program
JTPA
Job Training Partnership Act

K

KC
KidsCare
KCN
KidsCare Case Number
KID
KidsCare Individual Number

L

LIC-FAC
Licensed Facility
LIEAP
Low Income Energy Assistance Program
LPG
Legal Permanent Guardian
LPR
Lawful Permanent Resident
LTC
Long Term Care

M

M/C
Medicare Claim Number
MA
Medical Assistance
MA-SP
Medical Assistance Specialty Programs
MAGI
Modified Adjusted Gross Income
MAO
Medical Assistance Only
MCO
Managed Care Operation
MCR
Member Change Report
MCR Application
Member Change Request Application
MD
Medical Doctor/Physician
MDMA
Member Database Management Administration
MEDICS
Medical Eligibility Determination and Information Control System
MHA
Mental Health of America, a non-profit organization that advocates for those diagnosed with a mental illness.
MI/MN
Medically Indigent/Medically Needy
MIHS
Maricopa Integrated Health Services is the public health service system for residents of Maricopa County.
MIKID
Mentally Ill Kids in Distress is a service provider that provides support and assistance to families in Arizona with behaviorally challenged children, youth and young adults.
MMA
Medicare Prescription Drug Improvement and Modernization Act of 2003
MMIC
Mercy Maricopa Integrated Care
MMMNA
Minimum Monthly Maintenance Needs Allowance
MOA
Memorandum of Agreement
MOU
Memorandum of Understanding
MSP
Medicare Savings Program
MSU
Member Services Unit

N

N/A
Not Applicable
NA
1)  Native American
2)  Nutrition Assistance Program (formerly known as Food Stamps)
NAC
Native American Connections
NACA
Native Americans for Community Action, Inc.
NACHCI
Native American Community Health Center, Inc. (dba Native Health)
NAIHS
Navajo Area Indian Health Service
NAMI
National Alliance on Mental Illness is a non-profit advocacy group for those receiving behavioral health services and their families.
NAO
Navajo Area IHS Office
NB
Newborn
NCCI
National Correct Coding Initiative
NCHICA
North Carolina Healthcare Information and Communications Alliance
NCPDP
National Council for Prescription Drugs Programs
NCR
No Carbon Required
NCUIH
National Council of Urban Indian Health
NCVHS
National Committee on Vital and Health Statistics
NEMT
Non-Emergency Medical Transportation
NEW
Native Employment Works
NF
Nursing Facility
NICOA
National Indian Council on Aging
NIH
National Institutes of Health
NIHB
National Indian Health Board
NOA
Notice of Action
NOAA
Notice of Adverse Action
NOH
Notice of Hearing
NP
Nurse Practitioner
NPI
National Provider Identification
NPPES
National Plan and Provider Enumeration System
NUBC
National Uniform Billing Committee

O

OAH
Office of Administrative Hearings
OALS
Office of Administrative Legal Services
OASDI
Old Age Survivor Disability Income
OCE
Outpatient Claim Editor
OCR
Optical Character Recognition
OIG
Office of Inspector General
OJT
On the Job Training
OLS
Office of Legal Support
OMB
Office of Management and Budget (used in phrase OMB Rate; see AIR)
OMH
U.S. Office of Minority Health
OOD
Office of the Director
OP
Outpatient
OPE
Office of Program Evaluation
OPE/QCA
Office of Program Evaluation/Quality Control Assurance
OPFS
Outpatient Hospital Fee Schedule
OPPS
Outpatient Prospective Payment System
OSI
Office of Special Investigations

P

PA
Prior Authorization
PACeHR
Purchasing & Assistance Collaborative for Electronic Health Records
PAIHS
Phoenix Area Indian Health Service
PAO
Phoenix Area IHS Office
PAS
Pre-Admission Screening
PAT
Provider Affiliation Transmission
PBC
Patient Benefits Coordinators
PBO
Patient Business Office; or possibly Public Benefits Outreach (ITCA program)
PC
Program Contractor
PCCR
Program Contractor Change Request
PC
Prescribing Clinician is a member of a clinic team that has the authority to prescribe medications.
PCP
Primary Care Physician is a doctor that provides general medical care.
PERM
Payment Error Rate Measurement
PHS
Public Health Service
PI
Primary Informant
PIC
Phoenix Indian Center, Inc.
PIMC
Phoenix Indian Medical Center
PIP
Practice Improvement Protocol is a set of guidelines and best practices established by ADHS/DBHS for clinicians to follow to ensure proper behavioral health services are provided.
PMMIS
Pre-paid Medical Management Information System
PMV
Presumed Maximum Value
PNA
Personal Needs Allowance
PPC
Prior Period Coverage
PPACA
Patient Protection and Affordable Care Act
PRU
Provider Registration Unit
PSA
Program Support Administration
PSE
Public Service Employment

Q

QI
Qualified Individual; or possibly Quality Improvement
QI-1
Qualified Individual-1
QI-2
Qualified Individual-2
QM/UM
Quality Management/Utilization Management
QMB
Qualified Medicare Beneficiary
QTS
QDWI Tracking System

R

RAU
Research and Analysis Unit
RBHA
Regional Behavioral Health Authority
RC
RIBICOFF Children Medical Assistance Category
RCA
Refugee Cash Assistance
RFH
Request for Hearing
RFI
Request for Information
RFP
Request for Proposal
RFQ
Request for a Quote
RN
Registered Nurse
RPMS
Resource and Patient Management System
RR
Railroad Retirement
RRB
Railroad Retirement Benefits
RRP
Refugee Resettlement Program
RSA
Rehabilitation Services Administration
RSVP
Retirement Survivors Disability Insurance
RSDI
Retirement Survivor’s Disability Insurance
RTC
Residential Treatment Center

S

SA
Substance Abuse is the use of illegal substances like illegal drugs and prescription drugs; it also includes using substances in ways other than intended like gasoline, household chemicals, etc.
SAIL
Senior Adult Independent Living
SAMHSA
U.S. Substance Abuse and Mental Health Services Administration
SAVE
Systematic Alien Verification for Entitlements
SBU
SSI Budget Unit
SC
S.O.B.R.A. Child Medical Assistance Category
SCHIP
State Children's Health Insurance Program (KidsCare)
SCORE
Service Core Of Retired Executive
SEOP
Supplementary Education Opportunity Grants
SEP
Special Enrollment Period
SESP
State Emergency Services Program
SGA
Substantial Gainful Activity
SHARE
Service to Help Arizonan's with Relief on Energy
SHIP
State Health Insurance Assistance Program
SIC
Simpatico Integrated Care
SLMB
Specified Low-Income Medicare Beneficiary
SMI
1)  Serious Mental Illness
2)  Seriously Mentally Ill is a diagnosis that means the illness is disabling and requires intense behavioral health services and medication(s).
SMIB
Supplementary Medical Insurance Benefit
SNAP
Supplemental Nutrition Assistance Program (previously known as Food Stamps)
SNF
Skilled Nursing Facility
SNIP
Strategic National Implementation Process
SOBRA
Sixth Omnibus Budget Reconciliation Act
SOC
Share of Cost
SOLQI
State On-Line Query Internet
SS-5
Application for a Social Security Number
SSA
1)  Social Security Act is the federal government act that mandates Title 19 and Title 21 benefits.
2)  U.S. Social Security Administration
SSD
Social Security Disability
SSDI
Social Security Disability Insurance
SSI
Supplemental Security Income
SSI MAO
Supplemental Security Income Medical Assistance Only
SSIG
State Student Incentive Grants
SSN
Social Security Number
SSR
Social Security Retirement
STT
Special Treatment Trusts
SU
Service Unit
SUA
Standard Utility Allowance
SVES
State Verification and Exchange System
SW
S.O.B.R.A Woman Medical Assistance Only Category
SYSM
System Mail

T

T1
First Extension (Transitional Medical Assistance)
T2
Second Extension (Transitional Medical Assistance)
T3
Third Extension (Transitional Medical Assistance)
T4
Fourth Extension (Transitional Medical Assistance)
TAIHS
Tucson Area Indian Health Service
TANF
Temporary Assistance for Needy Families
TAO
Tucson Area IHS Office
TAPP
Tribal Assistance to Needy Families, refers to CA (Cash Assistance)
TC
Tuberculosis Control
TCRHCC
Tuba City Regional Health Care Corporation
TCS
Transactions and Code Sets
TIC
Tucson Indian Center, Inc.
TIG
Technical Interface Guidelines
TITLE XIX
The section of the Social Security Act which describes the Medicaid program's coverage for eligible persons, (i.e., medically indigent).
TITLE XIX/T19
Title 19 benefits are provided through the Medicaid federal entitlement program; benefits are delivered in Arizona through the Arizona Health Care Cost Containment System.
TITLE XVI
The section of the Social Security Act that provides eligibility requirements for the SSI Cash program.
TITLE XVIII
The section of Social Security Act that describes the Federal Medicare program's coverage for eligible persons (i.e., aged, blind and disabled).
TITLE XX
An amendment to the Social Security Act that requires the establishment of a comprehensive plan and the coordination of social services through community involvement.
TITLE XXI
The section (or Title) of the Social Security Act that authorizes the State Children's Health Insurance Program known as KidsCare in Arizona
TITLE XXI/T21
Title 21 benefits are a separate benefits program funded by federal dollars; in Arizona, this program is provided through AHCCCS and is known more commonly as KidsCare.
TMA
Transitional Medical Assistance
TOPS
Technical Operations Production Support
TPEP
Two Parent Employment Program
TPL
Third-Party Liability
TRBHA
Tribal Regional Behavioral Health Authority
TRE
Training Related Expenses
TRL
Tribal Relations Liaison
TTAG
Tribal Technical Advisory Group (to the Centers for Medicare and Medicaid Services)
TWEP
Tribal Work Experience Program

U

UB
Uniform Billing
UI
Unemployment Insurance
UIHP
Urban Indian Health Program
UP
Unemployed Parents
UPC
Urgent Psychiatric Care is a facility that provides behavioral health care to those in crisis for no more than 23 hours, after which they are referred to another inpatient or outpatient service provider.
USC
United States Code
USCIS
United States Citizenship and Immigration Services (part of Homeland Security)
UTMA
Universal Transfers to Minors Act

V

VA
U.S. Department of Veterans Affairs
VD
Ventilator Dependent
VISTA
Volunteers In Service To America
VR
Vocational Rehabilitation
VTR
Value of the One-Third Reduction

W

WIA
Workforce Investment Act
WIC
Women Infants and Children (nutritional program)
WIHCC
Winslow Indian Health Care Center

X

Y

YTD
Year to Date

Z

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