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Important Message: To get health insurance, you must sign up during an enrollment period. Vermont Health Connect has a Special Enrollment Period open now through October 1, and uninsured Vermonters can enroll in a qualified health plan during this time. Under the American Rescue Plan Act, Vermonters can get more financial help when they enroll through Vermont Health Connect. Vermonters who have insurance directly through Blue Cross and Blue Shield of Vermont or MVP Health Care® can transfer their plan to Vermont Health Connect now to get premium tax credits.  Vermonters who are eligible for Medicaid can enroll at any time.

List of Abbreviations

A | B | C | D | E | F | G | H | I | L | M | N | O | P | Q | R | S | U | V | W |

A

  • 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

B

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

C

  • 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

D

  • 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

E

  • 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

F

  • 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

G

  • 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

H

  • 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

I

  • 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

L

  • 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)

M

  • 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

N

  • 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

O

  • 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

P

  • 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

Q

  • 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

R

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

S

  • 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

T

  • 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

U

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

V

  • 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)

W

  • WIC — Women, Infants & Children