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Glossary of Acronyms, Abbreviations and Terms for Recipients

The following is a listing of acronyms and abbreviations that one may encounter while interacting with the Health Care Authority. This listing is only intended to be used as a resource, and may not be a comprehensive list of all terms.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

A
A
ABA	Applied Behavior Analysis
ABP	Affordable Benefit Plan
ACA	Affordable Care Act
ACO	Accountable Community Organization
ACS	ACS State Healthcare, formerly Affiliated Computer Services, Inc., The New Mexico Medicaid Fiscal Agent.
ACT	Assertive Community Treatment
ADA	Americans with Disabilities Act
ADL	Activity of Daily Living
ADRC	NM Aging & Long Term Services Department’s Aging and Disability Resource Center
AFDC	Aid to Families with Dependent Children (now TANF )
ARTC	Accredited Residential Treatment Center
ASD	Administrative Services Division
ASO	Administrative Services Organization
AVRS	Automated Voice Response System
B
B
BCBS	Blue Cross Blue Shield
BENDEX	Beneficiary and Earnings Data Exchange
Be Well NM	NM’s Health Insurance Exchange
BH	Behavioral Health
BHC	Behavioral Health Collaborative
BHO	Behavioral Health Organization
BHPC	Behavioral Health Planning Council
BHSC	Behavioral Health Steering Committee
BHSD	NM Human Services Department’s Behavioral Health Services Division
BIA	United States Bureau of Indian Affairs
BMS	Behavioral Management Service
BW	Bench Warrant
C
C
CAA	Community Action Agency
CBHTR	Consortium for Behavioral Health Training and Research
CCSS	Comprehensive Community Support Services
Centennial Care	NM Medicaid’s Managed Care Program
CET	Cognitive Enhancement Therapy
CFPSW	Certified Family Peer Support Worker
CFR	Code of Federal Regulations
CHIP	Children’s Health Insurance Program
CLNM	Care Link New Mexico
CMHC	Community Mental Health Center
CMS	Centers for Medicare & Medicaid Services
CNA	Comprehensive Needs Assessment
COE	Category of Eligibility
COLA	Cost of Living Allowance
Collaborative	NM Behavioral Health Purchasing Collaborative
CoLTS	Coordination of Long Term Services
Conduent	NM Medicaid’s Fiscal Agent
County Office	NM Human Services Department County Field Offices
CP	Custodial Parent
CPS	NM Children, Youth and Families Department’s Child Protective Services
CPSW	Certified Peer Support Worker
CS	Child Support
CSA	Core Service Agencies
CSAT	Center for Substance Abuse Treatment
CSBG	Community Service Block Grant
CSED	Child Support Enforcement Division
CSHO	Child Support Hearing Officer
CSLA	Child Support Legal Assistant
CSMIA	Community Spouse Maintenance Income Allowance
CTC	Crisis Triage Center
CYFD	Children, Youth and Families Department
D
D
D&E	Disabled and Elderly Waiver
DD	Developmental Disabilities
DHHS	United States Department of Health and Human Services
DME	Durable Medical Equipment
DOB	Date of Birth
DOH	NM Department of Health
DOH-CMS	NM Department of Health – Children’s Medical Services
DWS	NM Department of Workforce Solutions
DUR	Drug Utilization Review
E
E
EBT	Electronic Benefit Card
ECT	Electro Convulsive Therapy
EDIE	Emergency Department Information Exchange
EFT	Electronic Fund Transfers
EHR	Electronic Health Record
EITC	Earned Income Tax Credit
EOB	Explanation of Benefits
EOMB	Explanation of Medicare Benefits
EPSDT	Early and Periodic Screening, Diagnosis, and Treatment
F
F
FDPIR	United States Department of Agriculture Food Distribution Program on Indian Reservations
FFP	Federal Financial Participation
FFS	Fee For Service (not under managed care)
FHB	Fair Hearings Bureau
FIT	NM Department of Health’s Family, Infant, Toddler program
FNS	United States Department of Agriculture’s Food and Nutrition Service
FPL	Federal Poverty Level guidelines
FQHC	Federally Qualified Health Center
G
G
GA	General Assistance
GH	Group Home
H
H
HCBW	Home & Community Based Waivers
HIPAA	Health Insurance Portability and Accountability Act of 1996
HRSA	Health Resources and Services Administration
HSD	NM Human Services Department
HUMAD	Help Us Make a Decision form
I
I
iCare	Intensive Case management, Recovery and Employment program
ICF	Intermediate Care Facility
ICF/IIS	Intermediate Care Facility/Individuals with Intellectual Disabilities
IEP	Individual Education Plan
IHS	United States Indian Health Services
IOP	Intensive Outpatient Program
IPRA	NM Inspection of Public Records Act
IRU	Incapacity Review Unit
ISD	NM Human Services Department’s Income Support Division
ISP	Individual Service Plan
ITD	NM Human Services Department’s Information Technology Division
J
J
No entries
K
K
No entries
L
L
LIHEAP	Low Income Home Energy Assistance Program
LOC	Level of Care
LTC	Long Term Care
M
M
MAC	Medicaid Advisory Committee
MAD	NM Human Services Department’s Medical Assistance Division
MAGI	Modified Adjusted Growth Income
MAT	Medication Assisted Treatment
MCO	Managed Care Organization
MEPP	Motion to Establish a Payment Plan
MF	Medically Fragile
MH	Mental Health
MHBG	Mental Health Block Grant
MHC	Molina Health Care
MMOD	Motion for Modification
MSBS	Medicaid School-Based Services
MST	Multi-Systematic Therapy
N
N
NCP	Non-Custodial Parent
NF	Nursing Facility
NFLOC	Nursing Facility Level of Care
NMAC	New Mexico Administrative Code
NMBIRC	NM Brain Injury Resource Center
NMCAL	NM Crisis and Access Line
NMCBBHP	New Mexico Credentialing Board for Behavioral Health Professionals
NMHIX	NM Health Insurance Exchange
NMICSS	New Mexico Independent Consumer Support System
NMNOC	New Mexico Network of Care
NMWorks	New Mexico Works Program for cash assistance (also known as TANF)
NOCA	Notice of Case Action
NPP	Notice of Privacy Practices
O
O
OASDI	Old Age, Survivors, and Disability Insurance
OCR	Office of Civil Rights
OGC	NM Human Services Department’s Office of General Counsel
OHR	NM Human Services Department’s Office of Human Resources
OIG	NM Human Services Department”s Office of Inspector General
OOS	NM Human Services Department”s Office of the Secretary
OPRE	Office of Peer Recovery and Engagement
OTP	Opiate Treatment Provider
P
P
PA	Prior Authorization
PACE	Program of All-Inclusive Care for the Elderly
PASRR	Pre-Admission Screening and Resident Review
PCMH	Patient Centered Medical Home
PCN	Primary Care Network
PCO	Personal Care Option
PCP	Primary Care Physician
PE	Presumptive Eligibility
PED	Presumptive Eligibility Determiner
PHP	Presbyterian Health Plan
PHS	Presbyterian Healthcare Services
PTOT	Physical Therapy/Occupational Therapy
Q
Q
QD	Qualified Disabled Working Individual
QI	Qualified Individuals
QMB	Qualified Medicare Beneficiary
R
R
RRP	Refugee Resettlement Program
RTC	Residential Treatment Center
S
S
SABG	Substance Abuse Block Grant
SAMHSA	Substance Abuse and Mental Health Services Administration
SBHC	School-Based Health Center/MCO Pilot Project
SDCB	Self-Directed Community Benefit
SDU	State Disbursement Unit
SED	Serious Emotional Disturbance
SLIMB	Specified Low Income Medicare Beneficiary
SMI	Serious Mental Illness
SNAP	Supplemental Nutrition Assistance Program
SNF	Skilled Nursing Facility
SOTA	State Opiate Treatment Authority
SPA	State Plan Amendment
SSA	United States Social Security Administration
SSDI	Social Security Disability Insurance (Federal)
SSI	Supplemental Security Income
SSN	Social Security Number
STI	Sexually Transmitted Infection
STD	Sexually Transmitted Disease
SUD	Substance Use Disorder
T
T
TANF	Temporary Assistance for Needy Families
TBI	Traumatic Brain Injury
TEFAP	The Emergency Food Assistance Program
TPA	Third Party Assessor
TPL	Third Party Liability
TFC	Treatment for Foster Care
TLS	Transitional Living Service
U
U
UHC	UnitedHealthcare
UIFSA	Uniform Interstate Family Support Act
UR	Utilization Review
USDA	United States Department of Agriculture
V
V
VAS	Value-Added Services
W
W
WDI	Working Disabled Individual Program
WWH	Wage Withholding
X
X
No entries
Y
Y
YesNM	Your Eligibility System NM (on-line benefit application system)
Z
Z
No entries