List of Common Acronyms and Glossary of Terms (Updated 10/7/2014) AA AHCI ACOA ACPM ACT ADA ADL ADHD ADM AFDC AIDS AIMS ALOC ALOS AMA APD Appt. ARC ARD ASAM ASD ASAP ASCII AUPM Alcoholics Anonymous Allegheny HealthChoices Inc. Adult Child of Alcoholic Average Cost per Member Assertive Community Treatment Americans With Disabilities Act Activities of Daily Living Attention Deficit Hyperactivity Disorder Admission Aid to Families with Dependent Children Acquired Immune Deficiency Syndrome Abnormal Involuntary Movement Scale Alternate Level of Care Average Length of Stay Against Medical Advice Advance Planning Document Appointment AIDS-related complex Accelerated rehabilitation decision American Society of Addictive Medicine Autism Spectrum Disorders As Soon as Possible American Standard Code for Information Exchange Average Units per Member BAL/BAC BCM BCBH BEC BHEF BH-MCO BHoCC BHRS Blood Alcohol Level/Blood Alcohol Content Blended Case Management Beaver County Behavioral Health Basic Education Circular Behavioral Health Encounter File Behavioral Health Managed Care Organization Behavioral Health of Cambria County Behavioral Health Rehabilitation Services (for children and adolescents) Twice per day Bureau of Narcotic Drugs and Devices Blood Pressure Borderline Personality Disorder Bureau of Program Integrity Brother Blood Sugar Behavioral Specialist Consultant Base Service Unit Bid BNDD B/P BPD BPI Bro. BS BSC BSU 1 C&Y CAC CAC CAFS CAFAS CAO CANS CAP CASSP CAU CBC CBT CC CCRS CD CDA Cert CFR C/FST CHADD CIS CLA CLIA CM CMHC CNS C/O COB COC COD CQI CRD/LIC CRC CRCS CRF CRNP CRR CSI CSP CSR CRR CYS CTB CTT CVA Cx Children and Youth Certified Addiction Counselor Clinical Advisory Committee Children and Adolescent Family Services Children and Adolescent Functional Assessment Scale County Assistance Office Child and Adolescent Needs & Strengths (assessment tool) Corrective Action Plan Child and Adolescent Service System Program County Administrative Unit Complete Blood Count Cognitive Behavioral Therapy/Therapist Chief Complaint Consolidated Community reporting System Chemical Dependency Cost driver Analysis Certificate Code of Federal Regulations Consumer/Family Satisfaction Team Children with Attention Deficit Disorders Client Information System Community Living Arrangement Clinical Laboratory Improvement Amendment Care/Case management/Manager Community Mental Health Center Central Nervous System Complaint Of Coordination of Benefits Coordination of Care Co-Occurring Disorders Continuous Quality Improvement Credentials/license Complaint Review Committee Capitation Rate Calculation Sheet Consumer Registry File Certified Registered Nurse Practitioner Community Residential Rehabilitation Consumer Satisfaction Instruments Community Support Program Continued Stay Review Community residential Rehabilitation Children and Youth Services Ceased to Breathe Community Treatment Team Cerebral Vascular Accident Cancelled D&A DA DAP Drug and Alcohol Drug Abuse Disability Advocacy Program 2 DEA Dep DFA DHS DM DME DMIRS DOB DOI DOH DOS DPW DSH DSM DTS Dual Dx DUR Drug Enforcement Agency Dependent(s) Difficulty Falling Asleep Department of Human Services (formerly DPW) Distinct Member Durable Medical Equipment Data Management and Information Retrieval System Date of Birth Department of Insurance Department of Health Date of Service Department of Public Welfare – name change occurred in Nov 2014 to DHS Disproportionate Share Diagnostic and Statistical Manual of Mental Disorders Delirium Tremens Dual Diagnosis Drug Utilization Review ECC ECF ECT ECM EEG EIN EKG Elig. EMA EMC EOB EPS EPSDT ER ERISA ETOH EVS Ex. Electronic Claims Capture Extended Care Review Electroconvulsive Therapy Electronic Claims Management Electroencephalogram Employee Identification Number Electrocardiogram Eligibility Early Morning Awakening Electronic Media Claims Explanation of Benefits Extraparamydial Symptoms Early and Periodic Screening, Diagnosis and Treatment Emergency Room Employee Retirement Income Security Act (1974) Alcohol Eligibility Verification System Example F2F FA Fac. FAC Fam. Fam Hx. FBA FBMHS FCBHA FFS FFT FQHC FTE Face to Face Fiscal Agent Facility Family Advisory Committee Family Family History Functional Behavioral Assessment Family Based Mental Health Services Fayette County Behavioral Health Administration Fee for Service Functional Family Therapy Federally Qualified Health Center Full-Time Employee 3 FTP F/U FUH Fx. File Transfer Process Follow Up Follow Up after Hospitalization Fracture GA GAF GAAP GF GM GME GRP GTC General Assistance Global Assessment of Functions Generally Accepted Accounting Principles Grandfather Grandmother Graduate Medical Education Group General Terms and Conditions HC HC-SE HC-SW HEDIS HH/HWH HHS HI HIO HIPAA HIV/AIDS HMO HPI Hr Hs HTN H HWH Hx Health Choices Health Choices South East Health Choices South West Healthcare Effectiveness Data and Information Set Standards Halfway House U.S. Department of Health and Human Services Homicidal Ideation Health Insuring Organizations Health Insurance Portability and Accountability Act Human Immunodeficiency Virus/ Acquired Immune Deficiency Syndrome Health Maintenance Organization History of Present illness Hour Bedtime Hypertension Husband Halfway House History IBS ICD ICF ICM ICSI ICF/MR ID IDDM IE IEA IFB IM IMD Ind. Info. IN-NET Irritable Bowel Syndrome International Classification of Diseases or Impulse Control Disorder Intermediate Care Facility Intensive care manager Integrated Children’s Services Initiative Intermediate Care Facilities for Person with mental retardation Identification Insulin Dependent Diabetes Mellitus Independent Evaluator (Beaver County) Independent enrollment Assistance (Program) Invitation for Bid Intramuscular Institutes for Mental Disease Individual Information In-Network 4 IOP IP IP IPRO IRR ISP ISPT IV IVF Intensive Outpatient Program Independent Prescriber Inpatient Island Peer Review Organization Inter-rater Reliability Individualized Service plan Interagency Service Planning Team Intravenous Intravenous Fluids JCAHO JDC Joint Commission on the Accreditation of Healthcare Organizations Juvenile Detention Center L LAAM LCD LCP LCSW Li LM LOC LOS LOT LSD LTSR LTC Left Levo-Alpha-Acetyl-Methadol Last day Covered Licensed Clinical Psychologist Licensed Clinical Social worker Lithium Left Message Level of Care Length of Stay Level of treatment Lysergic acid diethylamine Long Term Structured Residential Long Term Care MA MAID MAMIS MBE/WBE MCO M.D. MDD Med Dir Med eval. Med rec Mem MFCC Mg. MGF/MGM MH MISA MO MPL MSE MST MSW MT Medical Assistance Medical Assistance Identification Number Medical Assistance Management Information System Minority Business Owner/Women Business Owner Managed Care Organization Medical Doctor Major Depressive Disorder Medical Director Medical Evaluation Medical Record Member Marriage, Family and Child Counselor milligram Maternal grandfather/maternal grandmother Mental Health Mental Illness and Substance Abuse Mother Minimum Participating Levels Mental Status Exam Multisystemic Therapy Masters in Social Work Mobile Therapy 5 NCQA NDC NCE NKA NMP Non-cert. Non-Par. NWBHP National Committee for Quality Assurance National Drug Code Non-Continuous Eligibility No Known Allergy Non-money payment Non-certification Non-Participating Northwest Behavioral Health Partnership (NW 3) OAR OBRA OCYF OD OIP OMA OMAP OMHSAS OMR OP OOA OON OOPA OTC OTR Outpatient Authorization Form Omnibus Budget Reconciliation Act Office Children, Youth and Families Overdose Other Insurance Paid Office of Medical Assistance Office of Medical Assistance Programs Office of mental Health and Substance Abuse Services Office of Mental Retardation Outpatient Out of Area Out of Network Out of network provider authorizations Over the counter Outpatient Treatment Report (aka treatment plan) PA PAC Par, PCIS PCN PCP PCPC PDA PDR PE &O PEPS PFC PHI PH-MCO PGF/PGM PHP PIN PIP PMH PMPM POM POS POSNet Pre-cert. PRN Peer Advisor Provider Advisory Committee Participating Patient Census Information System Penicillin Primary Care Provider/Practitioner Pennsylvania Client Placement Criteria Pennsylvania Department of Aging Physician Desk Reference Prevention, Education and Outreach Program Evaluation Performance Summary Provider Field Coordinator Protected Health Information Physical Health Managed Care Organization paternal grandfather/paternal grandmother Prepaid Health Plan or Partial Hospitalization Parents Involved Network Performance Improvement Plan Past Medical History Per member Per month Performance Outcome Measures Point of Service Pennsylvania Open Systems Network Pre-certification As needed 6 Prov Psych P/T PT. PR PRTF Provider Psychiatry part-time Patient Peer Review Psychiatric Residential Treatment Facility QA/QI/QM QARI qd qhs QIAAG QMC QOCC qod QSF Quality Assurance/Quality Improvement/Quality Management Quality Assurance Reform Initiative every day every night Quality Improvement Activity Advisory Group Quality Management Committee Quality of Care Committee every other day Quarterly Status File RC RCA RFP RPT R/O ROI RTF RTO Rx Rxn Resource Coordination Root Cause Analysis Request for Proposals Report Rule Out Release of Information Resident Treatment Facility Return to Office Prescription Relaxed S&S SA SAP SBHM SBP SBT SCD SERB SGA SI SMH SMM SNF SNU SO Soc Hx. SOP SPR SSA SSDI SSI SSN Signs and Symptoms Substance Abuse Statutory Accounting Principles Southwest Behavioral Health Management (SW 6) State Blind Pension Strength Based Treatment Sleep Continuity Disturbance Socially Economically Restricted Business Second Generational Atypical Antipsychotics Suicidal Ideation State Mental Hospital State Medicaid Manual Skilled Nursing Facility Special Needs Unit Significant Other Social History Structured Outpatient Program System Performance review Social Security Administration Social Survey Disability Insurance Supplemental Security Income Social security Number 7 SSRI STAP SUR SURS Sw SVC Selective Serotonin reuptake inhibitor Summer Therapeutic Activities Program Surveillance and Utilization Review Surveillance and Utilization Review System South west Service TAAG TANF TAT TB TCA THC Tid Ther. TMACT TPL TSS TTY Tx. Transition Age Advisory Group Temporary Assistance to Needy families Turnaround Time tuberculosis Tricyclic antidepressants marijuana three times per day Therapeutic Tool for Measurement of Assertive Community Treatment Third party Liability Therapeutic Staff Support Text telephone and typewriter Treatment UDS UM UPIN UR Urinary Drug Screen Utilization Management Unique Physician Identification Number Utilization Review VBH VO VM Value Behavioral Health ValueOptions Voicemail w/ w/o W/U WNL With Without Work up Within normal limits YTD Year to Date 8