Attachment Acronyms
Attachment ??? – Acronyms
ABI / Acquired Brain InjuryABI LTC / Acquired Brain Injury Long Term Care
AC / Access Control
ACA / Affordable Care Act
ADA / Americans with Disabilities Act
ADA / American Dental Association
ADFS / Active Directory Federation Services
ADO / Annual Disclosure of Ownership
AEVS / Automated Eligibility Verification System
APD / Advance Planning Document
APIs / Application Programming Interfaces
AR / Architecture Review
AR / Accounts Receivable
A/R / Accounts Receivable
ARB / Architecture Review Board
AT / Action Transmittal
ATP / Automated Test Panel
BAA / Business Associates Agreement
BCCTP / Breast and Cervical Cancer Treatment Plan
BCP / Business Continuity Plan
BHDID / Department for Behavioral Health, Developmental and Intellectual Disabilities
BOP / Bureau of Prisons
BPM / Business Process Models
BPR / Business Process Re-engineering
CAP / Corrective Action Plan
CBT / Computer-Based Training
CCB / Change Control Board
CCI / Correct Coding Initiative
CD / Compact Disc
CDC / Centers for Disease Control
CDO / Consumer Directed Option
CDT / Current Dental Terminology
CFR / Code of Federal Regulations
CHFS / Cabinet for Health and Family Services
CIA / Certified Internal Auditor
CISA / Certified Information Systems Auditor
CISM / Certified Information Systems Manager
CISSP / Certified Information Systems Security Professional
CLIA / Clinical Laboratory Improvement Amendments
CMS / Centers for Medicare and Medicaid Services
COs / Change Orders
COB / Coordination of Benefits
COBC / Coordination of Benefits Contractor
COO / Concept of Operations
COS / Category of Service
COT / Commonwealth Office of Technology
COTS / Commercial Off the Shelf
CPA / Certified Public Accountant
CPM / Critical Path Method
CRDP / Concurrent Retirement and Disability Pay
CRM / Customer Relations Management
CPT / Current Procedural Terminology
CPU / Central Processing Unit
CTI / Computer Telephone Integration
CSCI / Computer Software Configuration Items
DBA / Database Administrator
DCBS / Department for Community Based Services
DDE / Direct Data Entry
DDI / Design, Development & Implementation
DDR / Detailed Design Review
DED / Data Element Dictionary
DEA / Drug Enforcement Administration
DEHPG / Disabled & Elderly Health Programs Group
DESI / Drug Efficacy Study Implementation
DHS / Department of Human Services
DM / Document Management System
DME / Durable Medical Equipment
DMMA / Division of Medicaid and Medical Assistance
DMS / Kentucky Department of Medicaid Services
DMZ / In computer security, a DMZ (sometimes referred to as a perimeter networking) is a physical or logical sub-network that contains and exposes an organization's external-facing services to a larger un-trusted network, usually the Internet. The purpose of a DMZ is to add an additional layer of security to an organization's local area network (LAN). The name is derived from the term "demilitarized zone", an area between nation states in which military action is not permitted. (Wikipedia)
DOB / Date of Birth
DOI / Department of Insurance
DRD / Detailed Requirements Document
DRP / Disaster Recovery Plan
DRG / Diagnosis-Related Group
DRP / Designated Record Set (from Security and Privacy)
DRS / Designated Record Set
DSD / Detailed System Design
DSS / Decision Support System/Data Warehouse
DUR / Drug Utilization Review (DUR)
DVD / Digital Video Disk
DW / Data Warehouse
E&E / Enrollment & Eligibility
EAC / Estimated Acquisition Cost
EDI / Electronic Data Interchange
EEO / Equal Employment Opportunity
EFT / Electronic Funds Transfer
EHR / Electronic Health Record
ELC / Exchange Life Cycle
ELT / Extraction, Loading, and Transformation
EOB / Explanation of Benefits
EOMBs / Explanations of Medicaid Benefits
ePHI / Electronic Protected Health Information
EPSDT / Early Periodic Screening, Diagnosis and Treatment Services
ERD / Entity Relationship Diagram
ESB / Enterprise Service Bus
EST / Eastern Standard Time
ETL / Extraction, Transformation and Loading
EVS / Electronic Verification System
F3 / BIOS File Extension
F&A / Fraud and Abuse
FA / Fiscal Agent
FAC / Finance and Administration Cabinet
FAD / Fraud and Abuse Detection
FDA / Food and Drug Administration
FDDR / Final Detailed Design Review
FEIN / Federal Employer Identification Number
FFP / Federal Financial Participation
FFS / Fee-For-Service
FIFO / First In First Out
FMAP / Federal Medical Assistance Percentages
FPL / Federal Poverty Level
FQHC / Federally Qualified Health Center
FTP / File Transfer Protocol
FUL / Federal Upper Limit
GAAP / Generally Accepted Accounting Principles (GAAP).
GIAC / Global Information Assurance Certification
GIS / Geographic Information System
GCN / Generic Code
GUI / Graphical User Interface
HBE / Health Benefit Exchange
HCBS / Home and Community Based Waiver Services
HCPCS / Healthcare Common Procedure Coding System
HEDIS / Healthcare Effectiveness Data and Information Set
HHS / Health and Human Services
HIE / Health Information Exchange
HIPAA / Health Insurance Portability and Accountability Act
HIPP / Health Insurance Premium Payment
HIT / Health Information Technology
HITECH / Health Information Technology for Economic and Clinical Health Act
HP / Hewlett-Packard Enterprise Services
HPES / Hewlett-Packard Enterprise Services
HWCI / Hardware Configuration Item
IA / Identification and Authentication
IA / Impact Analysis
IAPD / Implementation Advanced Planning Document
iC / Interchange
ICD / Interface Control Document
ICD-9/10 / International Classification of Diseases, 10th Revision
ICFs/MR / Intermediate Care Facilities for individuals with Mental Retardation
IDD / Interface Detail Design
IDE / Integrated Development Environment
IEC / International Electro-technical Commission
IMM / Information Memoranda
IP / Internet Protocol
IRM / Inventory Resource Management System
IRS / Internal Revenue Service
ISO / International Organization for Standardization
IT / Information Technology
ITF / Integrated Test Facility
ITIL / Information Technology Infrastructure Library
IVR / Interactive Voice Response
IV&V / Independent Verification & Validation
JAD / Joint Application Design
KAAAP / Kentucky Access, Accuracy and Accountability Project
KAMES / Kentucky Automated Management Eligibility Systems
KAR / Kentucky Administrative Regulations
KCHIP / Kentucky Children’s Health Insurance Plan
KEUPS / Kentucky Enterprise User Provisioning System
KHIE / Kentucky Health Information Exchange
KOOL / Kentucky Online Offender Lookup
KPI / Key Performance Indicator
KRS / Kentucky Revised Statutes
KY / Kentucky
KYMMIS / Kentucky Medicaid Management Information System
LIS / Low Income Subsidy
LOC / Level of Care
LMS / Learning Management System
LTC / Long Term Care
MAC / Maximum Allowable Cost
MAPIR / Medical Assistance Provider Incentive Repository
MAR / Management and Administrative Reporting
MAO / Department of Human Services (DHS), SDX, Medical Assistance Only
MCA / CRB24 Ability to adhere to national imaging standards, as defined by CHFS, to ensure image quality. All imaged documents must be stored for a period specified by CHFS. Destruction of the source document will occur in compliance with Commonwealth and Federal Record Retention Laws, 42 CFR 431, 45 CFR Part 74 and 2-6-212, and MCA.
MCO / Managed Care Organization
MDM / Master Data Management
MECT / Medicaid Enterprise Certification Toolkit
MED / Medicare Exclusion Database
Medicaid Works / Program for people with disabilities who work. Under this program, workers with disabilities who earn less than 250 percent of the Federal poverty level can pay a monthly premium and buy into the Medicaid program.
MEMS / Medicaid Enterprise Management System
MFP / Money Follows the Person
MITA / Medicaid Information Technology Architecture
MMA / Medicare Modernization Act
MMIS / Medicaid Management Information System
MMLs / MITA Maturity Levels
MOUs / Memoranda of Understanding
MQC / Medicaid Quality Control
MS / Microsoft
MSIS / Medicaid Statistical Information System
MWD / Medicaid for Workers with Disabilities
NAIC / National Association of Insurance Commissioners
NDC / National Drug Code
NEMT / Non-Emergency Medical Transportation
NHII / National Health Infrastructure Initiative
NHIN / Nationwide Health Information Network
NIEM / National Information Exchange Model
NIST / National Institute of Standards and Technology
NPI / National Provider Identifier
NPPES / National Plan and Provider Enumerator System
NUCC / National Uniform Claim Committee
OAG / Office of Attorney General
OIG / Office of Inspector General
OATS / Office of Administrative and Technology Services
ODBC / Open Database Connectivity
OSCAR / Online Survey Certification and Reporting
O&M / Operations and Maintenance
OHP / Office of Health Policy
OPM / Office of Personnel Management
OPS / Operations
ORR / Operational Readiness Review
ORT / Operational Readiness Testing
OTC / Over The Counter
PA / Prior Authorization
PAHP / Prepaid Ambulatory Health Plan
PBA / Pharmacy Benefit Administrator
PBR / Project Baseline Review
PBM / Pharmacy Benefit Manager
PCCM / Primary Care Case Manager
PCs / Personal Computers
PCP / Primary Care Physician
PD / Project Director
PDS / Person Directed Services
PDF / Portable Document Format
PDR / Preliminary Design Review
PE / Presumptive Eligibility
PERM / Payment Error Rate Measurement
PHI / Protected Health Information
PII / Personally Identifiable Information
PI / Program Integrity
PIHP / Prepaid Inpatient Health Plan
PIN / Provider Identification Number (from Immunization Registry)
PLC / Project Life Cycle
PM / Project Manager
PMB / Plan Maintenance and Billing
PMBOK / Project Management Body of Knowledge
PMI / Project Management Institute
PMO / Project Management Office
PMP / Project Management Professional
PMPM / Per Member Per Month
POC / Plan of Care
PORR / Pre-Operational Readiness Review
POS / Point of Sale
ProDUR / Prospective Drug Utilization Review
PSR / Project Status Report
QA / Quality Assurance
QC / Quality Control
QHP / Qualified Health Plan
QI1 / Qualifying Individual
QIO / Quality Improvement Organization
QMB / Qualified Medicare Beneficiary
QMP / Quality Management Plan
RA / Remittance Advice
RE / Rules Engine
RFP / Request for Proposal
RHC / Rural Health Clinic
RHIO / Regional Health Information Organizations
RSD / Requirements Specification Document
RTM / Requirements Traceability Matrix
RTP / Return to Provider letter
SADD / System Architecture and Design Documents
SAML / Security Assertion Mark-Up Language
SCHIP / State Children’s Health Insurance Programs
SCL / Support for Community Living
SDLC / System Development Life Cycle
SCOM / Microsoft System Center Operations Manager
SDX / State Data Exchange
SHOP / Small Business Health Options Program
SLA / Service Level Agreement
SLMB / Specified Low-income Medicare Beneficiary
SME / Subject Matter Expert
SMHP / State Medicaid Health Information Technology Plan
SMM / State Medicaid Manual
SNAP / Supplemental Nutrition Assistance Program
SOA / Service Oriented Architecture
SOW / Scope of Work
SPI / Seriously and Persistently Ill
SPI / Schedule Performance Index
SS-A / State Self-Assessment
SQL / Structured Query Language
SSN / Social Security Number
SSO / Single Sign-On
SUR / Surveillance and Utilization Review Module
SV / Schedule Variance
TANF / Temporary Assistance for Needy Families
TCN / Transaction Control Number
TIFF / Tagged Image File Format
TTD / Telecommunication Device for the Deaf
TTY / Text Telephone
TPL / Third Party Liability
UAT / User Acceptance Testing
UI / User Interface
UM / Utilization Management
UPS / Uninterruptible Power Source
WAC / Wholesale Acquisition Cost
WBS / Work Breakdown Structure
WCAG / Web Content Accessibility Guidelines
WRAP / Ability to automatically calculate and pay on a claim by claim basis WRAP Payments.