Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Acronyms


The following acronyms are mentioned in this report and/or appendices.

ACAP Pennsylvania Adult Community Autism Program
ACO Accountable Care Organization
ADA Americans with Disabilities Act
ADL Activity of Daily Living
AHCCCS   Arizona Health Care Cost Containment System
AIDS Acquired Immunodeficiency Syndrome
ALF Assisted Living Facility
ALTCS Arizona Long-Term Care System
ALTSD New Mexico Aging and Long-Term Services Department
ASAM American Society of Addiction Medicine
ASAP Aging Services Access Points
BMI Body Mass Index
CAHPS Consumer Assessment Health Care Providers and Systems  
CATS Client Assessment and Tracking System
CCIP Chronic Care Improvement Program
CCNC Community Care of North Carolina
CFR Code of Federal Regulations
CHCQM Certified in Health Care Quality and Management
CHF Congestive Heart Failure
CI Critical Incident
CIO Chief Information Officer
CMO Chief Medical Officer
CMS HHS Centers for Medicare and Medicaid Services
CoLTS Coordination of Long-Term Services
COPD Chronic Obstructed Pulmonary Disease
CORE Consolidated Outreach and Risk Evaluation
CPHQ Certified Professional in Healthcare Quality
CQI Continuous Quality Improvement
DD Developmental Disability(ies) or Developmentally Disabled
DHHS North Carolina Department of Health and Human Services
DM Disease Management
DMA North Carolina Division of Medical Assistance
DMH/DD/SAS   North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services  
DON Determination of Need
DRG Diagnosis-Related Group
DSHP-Plus Delaware Diamond State Health Plan Plus
DSHS Washington Department of Social and Health Services
DTR Denial, Termination, and Reduction
EOHHS Massachusetts Executive Office of Health and Human Services
EPSDT Early and Periodic Screening, Diagnosis, and Treatment Program
EQRO External Quality Review Organization
ER Emergency Room
ESR Enrollee Service Representative
EVV Electronic Visit Verification
FE Frail Elderly
FFS Fee-For-Service
FTE Full-Time Equivalent
GSSC Geriatric Support Services Coordinator
HCBS Home and Community-Based Services
HDL High-Density Lipoprotein
HEDIS   Health Effectiveness Data and Information Set
HFA Health and Functional Assessment
HFS Illinois Department of Healthcare and Family Services  
HHSC Texas Health and Human Services Commission
HIPAA Health Insurance Portability and Accountability Act
HIV Human Immunodeficiency Virus
HOS Health Outcomes Survey
HRQ Health Risk Questionnaire
HSD New Mexico Human Services Department
HSW Habilitation Supports Waiver
ICSP Illinois Integrated Care System Partnership
ICT Integrated Care Team
IDD Intellectual and Developmental Disabilities
IDT Interdisciplinary Team
IMT Intra-departmental Monitoring Team
ISHCN Individuals with Special Health Care Needs
ISP Individualized Service Plan
IT Information Technology
KCPC Kansas Client Placement Criteria
KDHE Kansas Department of Health and Environment
LDL Low-Density Lipoprotein
LEIE List of Excluded Individuals/Entities
LME Local Management Entity
LOC Level of Care
LTSS Long-Term Services and Supports
MAP New York Medicaid Advantage Plus
MCO Managed Care Organization  
MCP Member-Centered Plan
MDCH Michigan Department of Community Health
MFP Money-Follows-the-Person
MH Mental Health
MHSIP   Mental Health Statistics Improvement Program  
MI Mentally Ill
MIS Management Information System
MSC+ Minnesota Senior Care Plus
MSHO Minnesota Senior Health Option
NAHQ National Association for Health Care Quality
NCQA National Committee on Quality Assurance
NF Nursing Facility
NOMS National Outcome Measurement System
OBRA Omnibus Budget Reconciliation Act
P4P Pay-For-Performance
PCP Primary Care Provider or Physician
PCT Primary Care Team
PD Physical Disability
PERS Personal Emergency Response System
PIHP Pre-paid Inpatient Health Plan
PIP Performance Improvement Project
POC Plan of Care
QA Quality Assurance
QAPIP   Quality Assessment and Performance Improvement Plan  
QEHO Quality, Evaluation, and Health Outcomes
QExA Hawaii QUEST Expanded Access
QI Quality Improvement
QIC Quality Improvement Council
QIP Quality Improvement Project
QM Quality Management
RFP Request for Proposal
RN Registered Nurse
SA Substance Abuse
SAAM Semi-Annual Assessment of Member
SAS Substance Abuse Services
SCO Senior Care Organization
SDOH New York State Department of Health
SED Serious Emotional Disturbance
SNF Skilled Nursing Facility
SNP Special Needs Plan
SP Service Plan
SPMI   Serious and Persistent Mental Illness
SSI Supplemental Security Income
SUD Substance Use Disorder
TBI Traumatic Brain Injury
TCAD Tennessee Commission on Aging and Disability  
TQM Total Quality Management
UAT Uniform Assessment Tool
UM Utilization Management
WMIP Washington Medicaid Integration Partnership

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