RFP

MO HealthNet Acronyms

AAAHC / Accreditation Association for Ambulatory Health Care
ABA / Applied Behavior Analysis
ACA / Patient Protection and Affordable Care Act
ACO / Accountable Care Organization
ADA / Americans with Disabilities Act
BAFO / Best and Final Offer
BC-DR / Business Continuity and Disaster Recovery
CD / Children’s Division
CD / Consent Decree
CDC / Center for Disease Control
CFR / Code of Federal Regulations
CHIP / Children’s Health Insurance Program
CMHC / Community Mental Health Centers
CMS / Centers for Medicare and Medicaid Services
COA / Category of Aid
CPS / Comprehensive Psychiatric Services
CSR / Code of State Regulations
CSTAR / Comprehensive Substance Treatment and Rehabilitation
DCN / Departmental Client Number
DD / Developmentally Disabled
DESE / Department of Elementary and Secondary Education
DHSS / Department of Health and Senior Services
DM / Disease Management
DOT / Directly Observed Therapy
DPMM / Division of Purchasing and Materials Management
ECM / Electronic Claims Management
EFT / Electronic Funds Transfer
EHR / Electronic Medical Records
EOB / Explanation of Benefits
EPLS / Excluded Parties List System
EPSDT / Early and Periodic Screening, Diagnosis and Treatment
FAQ / Frequently Asked Questions
FPL / Federal Poverty Level
FQHC / Federally Qualified Health Centers
FSD / Family Support Division
FWA / Fraud, Waste and Abuse
HCY / Healthy Children and Youth
HEDIS / Healthcare Effectiveness Data and Information Set
HHS / Health and Human Services
HHS-OIG / Health and Human Services-Office of the Inspector General
HIPP / Health Insurance Premium Payment
HIPAA / Health Insurance Portability and Accountability Act
HIV / Human Immunodeficiency Virus
HMO / Health Maintenance Organization
ICD / International Classification of Diseases
ICF/MR / Intermediate Care Facility for the Mentally Retarded
IDEA / Individuals with Disabilities Education Act
IEP / Individual Education Plan
IFSP / Individualized Family Service Plan
LCCCP / Local Community Care Coordination Program
LEIE / List of Excluded Individuals/Entities
LOCUS/CALOCUS / Level of Care Utilization System/ Child and Adolescent Level of Care Utilization System
MBE/WBE / Minority Business Enterprise/Women Business Enterprise
MCHH / Managed Care Health Home
MCO / Managed Care Organization
ME / Medical Eligibility
MFCU / Medicaid Fraud Control Unit
MHD / MO HealthNet Division
MIS / Management Information System
MOHSAIC / Missouri Health Strategic Architecture and Information Cooperative
MOU / Memorandum of Understanding
MPR / Medicaid Possession Ratio
MRDD / Mental Retardation Developmental Disability
NCQA / National Committee for Quality Assurance
NEMT / Non Emergency Medical Transportation
NPI / National Provider Identification
NPPES / National Plan and Provider Enumeration System
OAA / Old Age Assistance
OB/GYN / Obstetrics and Gynecology
OMB / Office of Management and Budget
OSWD / Office of Supplier and Workforce Diversity
OT / Occupational Therapy
OTC / Over the Counter
PAT / Parents as Teachers
PCCM / Primary Care Case Management
PCMH / Patient Centered Medical Homes
PCP / Primary Care Physician
PID / Pelvic Inflammatory Disease
PIP / Physician Incentive Plan; Performance Improvement Projects
PMPM / Per Member Per Month
PT / Physical Therapy
PTD / Permanently and Totally Disabled
OA & I / Quality Assessment and Improvement
QBHP / Qualified Behavioral Healthcare Professional
QISMC / Quality Improvement System for Managed Care
QMB / Qualified Medicare Beneficiary
QMHP / Qualified Mental Health Professionals
QSAP / Qualified Substance Abuse Professionals
RFP / Request for Proposal
RHC / Rural Health Clinics
RSMo / Revised Statutes of Missouri
SAFE-CARE / Sexual Assault Forensic Examination and Child Abuse Resource Education
SCHIP / State Children’s Health Insurance Program
SEC / Securities and Exchange Commission
SMHB / Show Me Healthy Babies
SPOE / System Point of Entry
SSI / Supplemental Security Income
STARS / State Traffic Accident Reporting System
ST / Speech Therapy
STD / Sexually Transmitted Disease
TTY/TTD / Teletypewriter/Telecommunications Device for the Deaf
UCDS / Universal Credentialing Data Source Form
URAC / Utilization Review Accreditation Commission
VFC / Vaccines for Children
WIC / Women Infants and Children

Revised 01/2016