List of Abbreviations | Vermont Health Connect

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ACA — Affordable Care Act
ACCS — Assistive Community Care Services, Vermont
ACO — Accountable care organization
ADA – Americans with Disabilities Act
ADA — American Dental Association
ADAP — Division of Alcohol and Drug Abuse Programs, Vermont
ADPC — Application and Document Processing Center, Vermont
AOEP — Annual Open Enrollment Period
AHS — Agency of Human Services, Vermont
AIDS — Acquired immunodeficiency syndrome
AMA — American Medical Association
ANFC — Aid to needy families with children
AOE — Agency of Education, Vermont
APA —Administrative Procedures Act
APTC — Advance Premium Tax Credit
ASD — Adult Services Division, Vermont
ATC – Access to care
AV — Actuarial value

BCBSVT — Blue Cross and Blue Shield of Vermont
BCCT — Breast and Cervical Cancer Treatment Program
BPS — Benefits programs specialist

CAC — Certified application counselor
CCIIO — Center for Consumer Information & Insurance Oversight, federal
CHT — Community Health Team
CIS — Children's Integrated Services
CMN — Certificate of Medical Necessity
CMS — Centers for Medicare & Medicaid Services, federal
COA — Council on Aging
COB — Coordination of benefits
COBRA — Consolidated Omnibus Budget Reconciliation Act
COLA — Cost-of-living adjustment
CPI — Center for Program Integrity, federal
CSHN — Children with special health needs
CSR — Cost sharing reductions
CURB — Clinical Utilization Review Board, Vermont

DAIL— Department of Aging and Independent Living, Vermont
DCF — Department for Children and Families, Vermont
DCHC — Disabled Children’s Home Care, Vermont
DDS — Disability Determination Services, Vermont
DFR — Department of Financial Regulation, Vermont
DHS — Department of Homeland Security, federal
DMH — Department of Mental Health, Vermont
DO — District office, Vermont
DOA — Date of application
DOB — Date of birth
DOC — Department of Corrections, Vermont
DOH — Department of Health, Vermont (see VDH)
DR. D — Dr. Dynasaur
DSH — Disproportionate Share Hospital
DUR — Drug Utilization Review Board, Vermont
DVHA — Department of Vermont Health Access

EA — Emergency Assistance
EAVS — Electronic asset verification system
EBT — Electronic Benefits Transfer
EFT — Electronic funds transfer
EHB — Essential health benefits
EHR — Electronic health record
EITC — Earned Income Tax Credit
EMS – Emergency Medical Services
EOMB — Explanation of Medicare (or Medicaid) benefits
EP — Essential person
EPSDT — Early and Periodic Screening, Diagnosis & Treatment
ER — Emergency room
ERC — Enhanced Residential Care
ESD — Economic Services Division, Vermont
ESI — Employer-sponsored insurance
ESRD — End-stage renal disease
EVS — Eligibility verification system

FA — Fiscal agent
FADS — Fraud abuse & detection system
FDA — Food & Drug Administration
FEHB — Federal Employee Health Benefits
FEIN — Federal Employer Identification Number
FFE — Federally-facilitated Exchange
FFP — Federal financial participation
FFS — Fee-for-service
FH — Fair Hearing
FICA — Federal Insurance Contribution Act
FMAP — Federal medical assistance percentage
FPL — Federal poverty level
FPO — Family planning option
FQHC — Federally Qualified Health Centers

GA — General Assistance
GAO — Government Accountability Office, federal
GC — Global Commitment to Health
GCR — Global Commitment Register, Vermont
GF — General fund
GMC — Green Mountain Care
GMCB — Green Mountain Care Board, Vermont
GME — Graduate medical education

HAEEU — Health Access Eligibility and Enrollment Unit
HBE — Health benefit exchange
HCBS —Home and community-based services (also called long-term care)
HCERA — Health Care & Education Reconciliation Act of 2010
HHA — Home health agency
HHS — Health and Human Services, federal
HIE — Health information exchange
HIPAA — Health Insurance Portability & Accountability Act
HIPP — Health Insurance Premium Payment Program
HIT — Health information technology
HITECH —HIT for economic & clinical health
HIV — Human immunodeficiency virus
HIX — Health insurance exchange
HRA — Health reimbursement account
HRSA — Health Resources and Services Administration, federal
HSA — Health savings account
HSB — Human Services Board, Vermont
HSS — Healthcare services specialist
HVP — Healthy Vermonters Program

ICD — International Classification of Diseases
ICF/IID — Intermediate Care Facility for Individuals with Intellectual Disabilities
ICM — Integrated care management
ICU — Intensive care unit
IE & E — Integrated Eligibility and Enrollment program
IEVS — Income and Eligibility Verification System
IRS — Internal Revenue Service
ISRA — Information security risk assessment
IV & V —Independent validation & verification
IVS — Intervention services

LIHEAP— Low-Income Home Energy Assistance Program
LIS — Low-income subsidy or limited-income subsidy
LIT — Local Interagency Team, Vermont
LTC — Long-term care (also called home and community-based services)

MA — Medicare Advantage – Medicare Part C
MABD — Medicaid for the Aged, Blind and Disabled
MAC — Maximum Allowable Cost
MAGI — Modified adjusted gross income
MAPCP — Multi-Payer Advanced Primary Care Practice
MAT —Medication assisted treatment
MBI – Medicare beneficiary identifier
MCE — Managed Care Entity
MCH — Maternal and child health
MCO — Managed care organization
MCP — Managed care plan
MEAC — Medicaid and Exchange Advisory Committee, Vermont
MEC — Minimum essential coverage
MEQC — Medicaid Eligibility Quality Control (a federal audit of Vermont’s Medicaid program)
MFRAU — Medicaid Fraud & Residential Abuse Unit, Vermont
MID — Medicaid beneficiary identification number (also called unique identification number)
MIC — Medicaid Integrity Contractor
MIG — Medicaid integrity group, federal
MIP — Medicaid Integrity Program
MIPPA – Medicare Improvement for Patients and Providers Act
MITA — Medicaid Information Technology Architecture
MMA — Medicare Modernization Act
MMIS — Medicaid Management Information System
MNF — Medical necessity form
MOE — Maintenance of Effort
MOOP — Maximum out-of-pocket (also called out-of-pocket maximum)
MSP — Medicare Savings Programs
MTM — Medication therapy management
MVP — MVP Health Care
MWPD – Medicaid for Working People with Disabilities

NAIC — National Association of Insurance Commissioners
NAMI — National Association for Mental Illness
NCQA — National Committee for Quality Assurance
NEDD — Northeast Delta Dental
NEMT — Non-Emergency Medical Transportation

OASDI — Old Age, Survivors and Disability Insurance (also called Social Security)
OCS — Office of Child Support, Vermont
OCSE — Office of Child Support Enforcement, federal
OEO — Office of Economic Opportunity, Vermont
OEP — Open Enrollment Period
OHRA — Oral health risk assessment
OOPM — Out-of-pocket maximum (also called maximum out-of-pocket)
OTC — Over the counter
OV — Office visit

PACE — Programs of All-Inclusive Care for the Elderly
PACE – Policy and communication evaluation
PARIS — Public Assistance Reporting Information System
PBA — Pharmacy benefits administrator
PBM — Pharmacy benefits manager
PC Plus — VT Primary Care Plus
PCCM — Primary Care Case Management
PCMH — Patient-centered medical home
PCP — Primary care provider
PDL — Preferred drug list
PDP — Prescription drug plan
PEP — Principal earner parent
PERM — Payment Error Rate Measurement, (a federal audit program)
PHI — Protected health information
PHO — Physician hospital organization
PI — Program integrity
PII — Personally identifiable information
PIL — Protected income level
PIP — Performance Improvement Project, Vermont
PMPM — Per member per month
PNMI — Private Non-Medical Institution, Vermont
PPACA — Patient Protection & Affordable Care Act
PPPM — Per patient per month
PRO — Peer review organization
PRWORA — Personal Responsibility & Work Opportunity Reconciliation Act
PSE — Post-secondary education
PTC — Premium tax credit

QC — Quality control
QHP — Qualified health plan
QI — Qualified individual
QMB — Qualified Medicare Beneficiary
QSEHRA – Qualified Small Employer Health Reimbursement Arrangement
QDWI — Qualified Disabled Working Individual

RA — Remittance advice
RBC — Risk based capital
RFI — Request for information
RFP — Request for proposals
RR — Railroad retirement
RU — Reach Up program

SAMHSA — Substance Abuse and Mental Health Services Administration, federal
SBC — Summary of benefits and coverage
SBE —State-Based Exchange
SCHIP — State Children's Health Insurance Program
SDX — State data exchange system
SEP — Special Enrollment Period
SERFF — System for Electronic Rate & Form Filing
SHIP – State Health Insurance Program, Vermont
SHOP — Small Business Health Options Program
SILC — Statewide Independent Living Council, Vermont
SLMB — Specified Low-Income Medicare Beneficiary
SMDL — State Medicaid Director’s Letter
SMM — State Medicaid manual
SNAP — Supplemental Nutrition Assistance Program
SNF — Skilled nursing facility
SPA — State plan amendment
SPAP —State Pharmaceutical Assistance Program
SPR — Safeguard Procedures Report
SSA — Social Security Administration
SSA — State Self-Assessment
SSBG — Social Services Block Grant, Vermont and federal
SSDI – Social Security Disability Insurance
SSI — Supplemental Security Income
SSN — Social Security number

TANF — Temporary Assistance for Needy Families program (Reach Up in Vermont)
TBI — Traumatic brain injury
TIN — Taxpayer Identification Number
TM — Transitional Medicaid
TPA — Third party administrator
TPL — Third party liability

UC — Unemployment Compensation
UI — Unemployment insurance
UIB — Unemployment insurance benefits
UID — Unique identification number

VA — Veterans Administration
VABVI — Vermont Association for the Blind and Visually Impaired
VAHHA — Vermont Assembly of Home Health Agencies
VAHHS — Vermont Association of Hospital & Health Systems
VCCI — Vermont Chronic Care Initiative
VCIL — Vermont Center for Independent Living
VCSA — Vermont Cost-Sharing Assistance (also called Vermont Cost-Sharing Reduction)
VCSR—Vermont Cost-Sharing Reduction (also called Vermont Cost-Sharing Assistance)
VDH — Vermont Department of Health
VDOL — Vermont Department of Labor
VHC — Vermont Health Connect
VIP — Vermont Independence Project
VISION — Vermont’s Integrated Solution for Information and Organizational Needs
VLA — Vermont Legal Aid
VMAP — Vermont Medication Assistance Program
VMS — Vermont Medical Society
VNA — Visiting Nurses Association
VNGM — Vermont Next Generation Medicaid
VPA — Vermont Premium Assistance
VPHARM —Vermont Pharmacy Benefits Program
VPQHC — Vermont Program for Quality in Health Care
VR — Vocational Rehabilitation, Vermont
VSA — Vermont Statutes Annotated
VSDS — Vermont State Dental Society
VSEA — Vermont State Employees Association
VTM — Vermont Medicaid (as primary health coverage)

WIC — Women, Infants & Children