A | B | C | D | E | F | G | H | I | L | M | N | O | P | Q | R | S | T | U | V | X
AC: Alternative Care
ADA: American Dental Association
ADD-ADHD: Attention deficit disorder with hyperactivity
ADL: Activities of daily living
ALS: Advanced life support
APRN: Advanced practice registered nurse
ARMHS: Adult Rehabilitative Mental Health Services
ASC: Ambulatory surgical center
AWP: Average wholesale price
BLS: Basic life support
BRU: Benefit Recovery Unit
C & TC: Child and Teen Checkups (see EPSDT)
CAC: Community Alternative Care
CADI: Community Access for Disability Inclusion
CAF: Combined Application Form
CAPD: Continuous Ambulatory Peritoneal Dialysis
CASSP: Child Adolescent Service System Program
CBP: County-based purchasing
CCDTF: Consolidated Chemical Dependency Treatment Fund
CCPD: Continuous cycling peritoneal dialysis
CD: Chemical dependency
CDT: Current Dental Terminology
CFR: Code of Federal Regulation
CLIA: Clinical Laboratory Improvement Amendment
CM: Case manager
CMA: Case manager associate
CMH: Children’s mental health
CMHC: Community Mental Health Center
CMS: Centers for Medicare & Medicaid Services
CNM: Certified Nurse Midwife
CNP: Certified Neonatal Nurse Practitioner
CNS: Clinical Nurse Specialist
CNS-MH: Clinical Nurse Specialist – Mental Health
COB: Coordination of benefits (other insurance)
COBRA: Consolidated Omnibus Budget Reconciliation Act
CORF: Comprehensive Outpatient Rehabilitation Facility
CPHN: Certified Public Health Nurse CPT Current Procedural Terminology
CRNA: Certified Registered Nurse Anesthetist
CRRT: Continuous Renal Replacement Therapy
CTSS: Children’s Therapeutic Support Services
CY: Calendar year (January 1 through December 31)
DAW: Dispense as written (brand necessary)
DD: Developmental disability
DD/RC: Developmental disability or related condition
DESI: Drug efficacy study implementation
DFC: Drug Formulary Committee
DHS: (Minnesota) Department of Human Services
DME: Durable medical equipment
DMERC: Durable medical equipment regional carrier
DOB: Date of birth
DOS: Date of service
DPA: Disproportionate population adjustment
DRG: Diagnosis-Related Group
DT&H: Day Training and Habilitation
DUR: Drug Utilization Review board
Dx: Diagnosis code
EAAC: Estimated actual acquisition cost
ED: Emotional disturbance
EDI: Electronic Data Interchange
EFT: Electronic funds transfer
E & M: Evaluation and Management
EIN: Employee identification number
EOB: Explanation of benefits
EOMB: Explanation of medical benefits
EPO: Epoetin
EPSDT: Early and Periodic Screening, Diagnosis and Treatment (see Child and Teen Checkups)
ESRD: End-Stage Renal Disease
EVS: Eligibility Verification System
EW: Elderly Waiver
FCSS: Family Community Support Services
FECA: Federal Employees’ Compensation Act
FFS: Fee-for-service
FL: Form locator (used in MHCP claim filing)
FQHC: Federally Qualified Health Center
FY: Fiscal year (State FY July 1 – June 30)
GAMC: General Assistance Medical Care
HBMHS: Home-based mental health services
HCBS: Home and Community-Based Services
HCDPP: Health Care Designated Providers Program
HCPCS: Healthcare Common Procedural Coding System
HHA: Home Health Agency or Home Health Aide
HIPAA: Health Insurance Portability & Accountability Act
HMO: Health Maintenance Organization
HBMHS: Home-based mental health services
HCBS: Home and Community-Based Services
HCDPP: Health Care Designated Providers Program
HCPCS: Healthcare Common Procedural Coding System
HHA: Home Health Agency or Home Health Aide
HIPAA: Health Insurance Portability & Accountability Act
HMO: Health Maintenance Organization
IBP: Individual behavior plan
ICD: International Classification of Diseases
ICF-DD: Intermediate Care Facility for the Developmentally Disabled
ICSP: Individual Community Support Plan
IEP: Individual Education Plan
IFSP: Individualized Family Service Plan
IMD: Institution for Mental Disease
IPD: Intermittent peritoneal dialysis
ITP: Individual Treatment Plan
LICSW: Licensed Independent Clinical Social Worker
LMFT: Licensed Marriage and Family Therapist
LPN: Licensed Practical Nurse
LP: Licensed Psychologist
LPP: Licensed Psychological Practitioner
LTC: Long-term care
MA: Medical Assistance
MAC: Maximum allowable cost
MFCU: Medicaid Fraud Control Unit
MCP: Monthly capitation payment
MDH: Minnesota Department of Health
MFIP: Minnesota Family Investment Program
MH: Mental health
MHBA: Mental Health Behavioral Aide
MHCA: Minnesota Comprehensive Health Association
MHCP: Minnesota Health Care Programs
MH-TCM: Mental Health Targeted Case Management
MI: Mental illness
MIA: Counts Medicare inpatient adjudication counts (days)
MLB: MinnesotaCare limited benefit
MMIS: Medicaid Management Information System
MMR: Measles/Mumps/Rubella
MN-ITS: (pronounced "minutes") The DHS HIPAA-compliant billing system for electronically submitted
MHCP: claims and other transactions
MOD: Modifier (abbreviation)
MPAF: Minnesota Pregnancy Assessment Form
MPAI: Medicaid Provider Audits and Investigations
MRI: Magnetic Resonance Imaging
MSHO: Minnesota Senior Health Optio
NCPDP: National Council for Prescription Drug Programs
NDC: National Drug Code
NF: Nursing facility
NPI: National provider identifier
NSF: National standard format
OJT: On the job training
OPPS: Outpatient prospective payment system
OT: Occupational Therapist
OTA: Occupational Therapist Assistant
PA: Prior Authorization PAS Preadmission screening
PCA: Personal Care Assistant
PCN: Paper Claim Control Number (formerly TCN)
PCPO: Personal care provider organization
PDF: Portable document format
PDN: Private Duty Nurse
PDP: Prescription Drug Program
PHN: Public Health Nurse
PHNC: Public Health Nursing Clinic
PMAP: Prepaid Medical Assistance Program
PMHCP: Prepaid Minnesota Health Care Programs
PMI: Person Master Index
POS: Point of sale or place of service
PPHP: Prepaid Health Plan
PPMP: Provider performed microscopy procedures
PT: Physical Therapist
PTA: Physical Therapist Assistant
QI: Qualifying Individual
QMB: Qualified Medicare Beneficiary
QWD: Qualified Working Disabled individual
RA: Remittance advice
RHC: Rural Health Clinic
RN: Registered Nurse
RSC: Relocation Service Coordination
RSN: Reason code
RTC: Regional Treatment Center
Rx: Prescription
SA: Service Agreement
SED: Severe emotional disturbance
SIRS: Surveillance & Integrity Review Section
SLMB: Service Limited Medicare Beneficiary
SLP: Speech-Language Pathologist
SMO: Second medical opinion
SNF: Skilled nursing facility
SPMI: Serious and persistent mental illness
SSA: Social Security Administration
TBI-NB: Traumatic Brain Injury - Neurobehavioral Hospital
TBI-NF: Traumatic Brain Injury - Nursing Facility
TBIW: Traumatic Brain Injury Waiver
TD: Tetanus and diphtheria
TEFRA: Tax Equity and Fiscal Responsibility Act
TPL: Third party liability
TPN: Total parenteral nutritional
TSFC: Therapeutic support of foster care
UB-92: Universal biller claim form
UCR: Usual, customary and reasonable
UMPI: Unique Minnesota Provider Identifier, the “NPI” for MHCP-enrolled atypical providers
VA/DD-TCM: Vulnerable adults and adults with developmental disabilities targeted case management benefit
X12: HIPAA-compliant electronic format to submit and receive batch transactions between providers or clearinghouses and health care payers. Requires X12-compliant software and submission and retrieval of batch transactions via MN–ITS batch
