AHCCCS Related Acronyms

• A
• A&AA - Aging and Adult Administration
• A/R - Applicant/Recipient
• AAA - Area Agency on Aging
• AAA - Arizona Agency on Aging
• AAC - Arizona Administrative Code: State regulations established pursuant to relevant statutes. For purposes of this solicitation, the relevant sections of the AAC are referred to throughout this document as "AHCCCS Rules."
• AAR - Arizona Administrative Register
• ABD - Aged, Blind or Disabled
• ABIL - Arizona Bridge to Independent Living
• ACE - AHCCCS Customer Eligibility: A computer system that determines eligibility for ALTCS, SSI MAO, KidsCare and other AHCCCS programs.
• ACH - Automated Clearing House
• ACIA - Arizona Commission on Indian Affairs
• ACN - Application Control Number
• ACOIHC - Advisory Council on Indian Health Care
• ACOM - AHCCCS Contractors Operation Manual
• ACTS - Automated Change Tracking System
• ACW - Attendant Care Worker
• ADES - Arizona Department of Economic Security
• ADHS - Arizona Department of Health Services
• AEC - Annual Enrollment Choice
• AEIC - Advance Earned Income Credit
• AFDC - Aid For Families with Dependent Children: A federal assistance program under Title IV-A of the Social Security Act. Replaced by the Temporary Assistance to Needy Families (TANF) program.
• AF-R - CA related Medical Assistance
• AG - Attorney General
• AHCCCS - Arizona Health Care Cost Containment System
• AHCCCSA - Arizona Health Care Cost Containment System Administration
• AHI - AHCCCS Health Insurance
• AHIP - American Indian Health Program
• AI - American Indian
• AI/AN or AIAN - American Indian/Alaskan Native
• AIHP - American Indian Health Program
• AIR - All-Inclusive Rate (also called OMB Rate)
• AKA - Also Known As
• ALTCS - Arizona Long Term Care System: The Arizona Long Term Care System), a program under AHCCCSA that delivers long term, acute and behavioral health care services to eligible members, as authorized by ARS § 36-2931 et seq., encompassing long term care and alternative service delivery for AHCCCS Recipients and/or AHCCCS eligible Recipients i.e., developmentally disabled, elderly and physically disabled.
• AMADC - Automated Medical Assessment Date Capture
• AMB - AHCCCS Medical Benefits
• AMIE - Arizona Medical Information Exchange
• AMPM - AHCCCS Medical Policy Manual
• AN - Alaska Native
• AP - Assistance Payments
• APIS - Assistance Payment Information System
• APS - Adult Protective Services
• ARHQ - Agency for Research and Healthcare Quality
• ARMS - Arizona Random Moment Sampling
• ARS - Arizona Revised Statutes
• ASH - Arizona State Hospital
• ASR - Appropriations Status Report
• AZTECS - Arizona Technical Eligibility Computer System: A computer system designed for DES to track eligibility for eligible recipients.
• B
• BBA - Balanced Budget Act of 1997
• BCCTP - Breast and Cervical Canter Treatment Program
• BEER - Beneficiary and Earnings Data Exchange
• BENDEX - Beneficiary and Earnings Data Exchange is a tape source from SSA, identifying Medicare Part A and B beneficiaries.
• BHS - Behavioral Health Services (a division within the Arizona Department of Health Services)
• BIA/GA - Bureau of Indian Affairs, General Assistance
• BIA - U.S. Bureau of Indian Affairs
• BIC - Beneficiary Identification Code
• BMS - Bureau of Member Services
• BOE - Bureau of Eligibility
• BR - By Report
• BW - Base Wage
• C
• CA - Cash Assistance/Temporary Assistance for Needy Families (TANF) (Prior to 8/1/97 referred to as Aid to Families with Dependent Children (AFDC))
• CAH - Critical Access Hospital
• CAN - Claim Account Number
• CATS - Client Assessment Tracking System
• CB - C.O.B.R.A. Medical Assistance
• CC - Communications Center
• CCI - Correct Coding Initiative
• CCM - County to County Move
• CCTS - Client Contact Tracking System
• CDC - U.S. Centers for Disease Control and Prevention
• CDIB or CIB - Certificate of Degree of Indian Blood
• CFR - Code of Federal Regulations
• CHEP - Cuban Haitian Entrant Program
• CHILDS - Children's Information Library Data Source
• CHIP – Children’s Health Insurance Program (KidsCare)
• CHR - Community Health Representative
• CHS - Contract Health Services
• CIB - Certificate of Indian Blood
• CMDP - Comprehensive Medical and Dental Program
• CMS - Center for Medicare and Medicaid Services, a federal agency under the Department of Health and Human Services
• CMV - Current Market Value
• CO - Central Office
• COE - Cost of Employment
• COLA - Cost of Living Adjustment
• CPS - Child Protective Services
• CRIT - Colorado River Indian Tribes
• CRS - Children’s Rehabilitative Services
• CRSA - Children’s Rehabilitative Services Administration
• CSMIA - Community Spouse Monthly Income Allowance
• CSN - Client States None
• CSRA - Community Spouse Resource Assessment
• CSRD - Community Spouse Resource Deduction
• CSV - Cash Surrender Value
• CY - Calendar Year
• D
• DAC - Disabled Adult/Children
• DBF - AHCCCS Division of Business and Finance
• DBHS - Division of Behavioral Health Services (a division within the Arizona Department of Health Services)
• DBME - Division of Benefits and Medical Eligibility (a division within the Department of Economic Security)
• DCSE - Division of Child Support Enforcement (a division within the Department of Economic Security)
• DCYF - Division for Children, Youth, and Families (a division within the Department of Economic Security)
• DD - Developmentally Disabled
• DDD - Division of Developmental Disabilities (a division with the Department of Economic Security)
• DDSA - Disability Determination Services Administration (a division within the Department of Economic Security)
• DES - Department of Economic Security
• DFSM - AHCCCS Division of Fee-for-Service Management
• DHCM - AHCCCS Division of Health Care Management
• DHHS - Department of Health and Human Services
• DHS - Department of Health Services
• DIB - Disability Insurance Benefits
• DME - Durable Medical Equipment
• DMS - AHCCCS Division of Member Services
• DO - Physician Osteopath
• DOA – Department of Administration
• DRA - Deficit Reduction Act of 2005
• DWW - Disabled Widow/Widower
• E
• EA - Emergency Assistance
• EAP - Energy Assistance Programs
• ECAP - Energy Crisis Assistance Program
• ED - Surgery/Emergency Department
• EDD - Expected Date of Delivery
• EDI - Electronic Data Interchange
• EEI - Expenses Exceed Income
• EHNAC - Electronic Healthcare Network Accreditation Commission
• EITC - Earned Income Tax Credit
• EMPOWER - Employing and Moving People Off Welfare and Encouraging Responsibility
• EO - Executive Order
• EOB - Explanation of Benefits: A form included with a check from the insurance carrier which explains the benefits that were paid and/or charges that were rejected.
• EOM - End of Month
• EOMB - Executive Office of Management and Budget
• EPSDT - Early and Periodic Screening Diagnosis and Treatment
• EQRO - External Quality Review Organizations
• ER - Emergency Room
• ERA - Electronic Remittance Advice
• ERIR - Eligibility Review, Investigation & Recovery
• ESRD - End Stage Renal Disease
• EUD - Eligibility/Enrollment Update Document
• EW - Eligibility Worker
• EYO - End of Year
• F
• FAA - Family Assistance Administration (an administration under DES/DBME)
• FBR - Federal Benefit Rate
• FC - Foster Care
• FDIH - Fort Defiance Indian Hospital
• FEHBA - Federal Employees Health Benefit Act of 1959
• FESP - Federal Emergency Services Program
• FFS - Fee-For-Service
• FMV - Fair Market Value
• FOLD - FAA On-Line Documents
• FPL - Federal Poverty Limit
• FPS - Family Planning Services
• FQHC - Federally Qualified Healthcare Centers
• FS - Food Stamps (renamed Supplemental Nutritional Assistance Program in 2008)
• FTP - File Transport Protocol
• FTW - Freedom to Work
• G
• GA - General Assistance
• GEP - General Enrollment Period
• GIMC - Gallup Indian Medical Center
• GRHCC - Gila River Health Care Corporation (dba Hu Hu Kam Hospital)
• GSA - Geographic Service Area
• GSL - Guaranteed Student Loan
• GUIDE - General Unemployment Insurance Development Effort (the system that maintains Arizona Unemployment data)
• H
• HCBS - Home and Community Based Services
• HCE - Health Care Excel Quality Quest, Inc.
• HHCC - Hopi Health Care Center
• HHS - U.S. Department of Health and Human Services
• HI - Hospital Insurance
• HIC - Health Insurance Claim Number
• HIFA - Health Insurance Flexibility and Accountability Act
• HIPAA - Health Insurance Portability and Accountability Act of 1996
• HIT - Health Information Technology
• HMS - Health Management Systems
• HP - Health Plan
• HSAG - Health Services Advisory Group, Inc.
• HUD - Housing and Urban Development
• I
• IC - Industrial Commission
• IEP - Initial Enrollment Period
• IFB - Invitation for Bid
• IGA - Intergovernmental Agreement
• IHCIA - Indian Health Care Improvement Act of 1976
• IHS - U.S. Indian Health Service
• INS - Immigration and Naturalization Service
• IP - In-patient
• IPV - Intentional Program Violation
• IRS - Internal Revenue Service
• IRWE - Impairment Related Work Expense
• ISM - In-kind Support and Maintenance
• ITCA - Inter Tribal Council of Arizona, Inc.
• ITU or I/T/U - Indian Health Service, Tribally Operated 638 Facilities, Urban Indian Health Clinics
• IV-A - Refers to programs under Title IV-A of the Social Security Act (example: Cash Assistance/Temporary Assistance to Needy Families (TANF))
• IV-D - Refers to programs under Title IV-D of the Social Security Act (example: Child/medical Support and Establishment of Paternity)
• IV-E - Refers to programs under Title IV-E of the Social Security Act (example: Foster Care and Adoption Subsidy)
• IVR - Interactive Voice Response
• J
• JOBS - Job Opportunities and Basic Skills Program
• JTPA - Job Training Partnership Act
• K
• KC – KidsCare
• KCN - KidsCare Case Number
• KEDS - KidsCare Eligibility Determination System
• KID - KidsCare Individual Number
• L
• LIC-FAC - Licensed Facility
• LIEAP - Low Income Energy Assistance Program
• LPG - Legal Permanent Guardian
• LPR - Lawful Permanent Resident
• LTC - Long Term Care
• M
• M/C - Medicare Claim Number
• MA - Medical Assistance
• MAO - Medical Assistance Only
• MCO - Managed Care Operation
• MCR - Member Change Report
• MD - Medical Doctor/Physician
• MEDICS - Medical Eligibility Determination and Information Control System
• MI/MN - Medically Indigent/Medically Needy
• MMA - Medicare Prescription Drug Improvement and Modernization Act of 2003
• MMMNA - Minimum Monthly Maintenance Needs Allowance
• MSU - Member Services Unit
• N
• N/A - Not Applicable
• NA - Depending on context: 1) Native American, or 2) Nutrition Assistance Program (formerly known as Food Stamps)
• NAC - Native American Connections
• NACA - Native Americans for Community Action, Inc.
• NACHCI - Native American Community Health Center, Inc. (dba Native Health)
• NAIHS - Navajo Area Indian Health Service
• NAO - Navajo Area IHS Office
• NCHICA - North Carolina Healthcare Information and Communications Alliance
• NCPDP - National Council for Prescription Drugs Programs
• NCR - No Carbon Required
• NCUIH - National Council of Urban Indian Health
• NCVHS - National Committee on Vital and Health Statistics
• NEW - Native Employment Works
• NF - Nursing Facility
• NICOA - National Indian Council on Aging
• NIH - National Institutes of Health
• NIHB - National Indian Health Board
• NOA - Notice of Action
• NOAA - Notice of Adverse Action
• NOH - Notice of Hearing
• NPI - National Provider Identification
• NPPES - National Plan and Provider Enumeration System
• NUBC - National Uniform Billing Committee
• O
• OAH - Office of Administrative Hearings
• OALS - Office of Administrative Legal Services
• OASDI - Old Age Survivor Disability Income
• OCE - Outpatient Claim Editor
• OJT - On the Job Training
• OLS - Office of Legal Support
• OMB - Office of Management and Budget (used in phrase OMB Rate; see AIR)
• OMH - U.S. Office of Minority Health
• OP - Outpatient
• OPE - Office of Program Evaluation
• OPE/QCA - Office of Program Evaluation/Quality Control Assurance
• OPFS - Outpatient Hospital Fee Schedule
• OPI - Office of Program Integrity
• OPPS - Outpatient Prospective Payment System
• OSI - Office of Special Investigations
• P
• PA - Prior Authorization
• PACeHR - Purchasing & Assistance Collaborative for Electronic Health Records
• PAIHS - Phoenix Area Indian Health Service
• PAO - Phoenix Area IHS Office
• PAS - Pre-Admission Screening
• PAT - Provider Affiliation Transmission
• PBC - Patient Benefits Coordinators
• PBO - Patient Business Office; or possibly Public Benefits Outreach (ITCA program)
• PC - Program Contractor
• PCCR - Program Contractor Change Request
• PHS - Public Health Service
• PI - Primary Informant
• PIC - Phoenix Indian Center, Inc.
• PIMC - Phoenix Indian Medical Center
• PMMIS - Pre-paid Medical Management Information System
• PMV - Presumed Maximum Value
• PNA - Personal Needs Allowance
• PPC - Prior Period Coverage
• PSA - Program Support Administration
• PSE - Public Service Employment
• Q
• QI - Qualified Individual; or possibly Quality Improvement
• QI-1 - Qualified Individual - 1
• QI-2 - Qualified Individual - 2
• QM/UM - Quality Management/Utilization Management
• QMB - Qualified Medicare Beneficiary
• QTS - QDWI Tracking System
• R
• RAU - Research and Analysis Unit
• RBHA - Regional Behavioral Health Authority
• RC - RIBICOFF Children Medical Assistance Category
• RCA - Refugee Cash Assistance
• RFH - Request for Hearing
• RFP - Request for Proposal
• RFQ - Request for a Quote
• RPMS - Resource and Patient Management System
• RR - Railroad Retirement
• RRB - Railroad Retirement Benefits
• RRP - Refugee Resettlement Program
• RSVP - Retirement Survivors Disability Insurance
• S
• SAIL - Senior Adult Independent Living
• SAMHSA - U.S. Substance Abuse and Mental Health Services Administration
• SAVE - Systematic Alien Verification for Entitlements
• SBU - SSI Budget Unit
• SC - S.O.B.R.A. Child Medical Assistance Category
• SCHIP - State Children’s Health Insurance Program (KidsCare)
• SCORE - Service Core Of Retired Executive
• SEOP - Supplementary Education Opportunity Grants
• SEP - Special Enrollment Period
• SESP - State Emergency Services Program
• SGA - Substantial Gainful Activity
• SHARE - Service to Help Arizona's with Relief on Energy
• SHIP - State Health Insurance Assistance Program
• SLMB - Specified Low-Income Medicare Beneficiary
• SMI - Supplementary Medical Insurance: Medicare Part B which helps pay for services other than hospital (Part A) services.
• SMIB - Supplementary Medical Insurance Benefit
• SNAP - Supplemental Nutrition Assistance Program (previously known as Food Stamps)
• SNF - Skilled Nursing Facility
• SNIP - Strategic National Implementation Process
• SOBRA - Sixth Omnibus Budget Reconciliation Act
• SOC - Share of Cost
• SS-5 - Application for a Social Security Number
• SSA - U.S. Social Security Administration
• SSD - Social Security Disability
• SSDI - Social Security Disability Insurance
• SSI - Supplemental Security Income
• SSI MAO - Supplemental Security Income Medical Assistance Only
• SSIG - State Student Incentive Grants
• SSN - Social Security Number
• SSR - Social Security Retirement
• STT - Special Treatment Trusts
• SU - Service Unit
• SUA - Standard Utility Allowance
• SVES - State Verification and Exchange System
• SW - S.O.B.R.A Woman Medical Assistance Only Category
• SYSM - System Mail
• T
• T1 - First Extension (Transitional Medical Assistance)
• T2 - Second Extension (Transitional Medical Assistance)
• T3 - Third Extension (Transitional Medical Assistance)
• T4 - Fourth Extension (Transitional Medical Assistance)
• TAIHS - Tucson Area Indian Health Service
• TAO - Tucson Area IHS Office
• TAPP - Tribal Assistance to Needy Families, refers to CA (Cash Assistance)
• TCRHCC - Tuba City Regional Health Care Corporation
• TCS - Transactions and Code Sets
• TIC - Tucson Indian Center, Inc.
• TIG - Technical Interface Guidelines
• TITLE XIX - The section of the Social Security Act which describes the Medicaid program's coverage for eligible persons, (i.e., medically indigent).
• TITLE XVI - The section of the Social Security Act that provides eligibility requirements for the SSI Cash program.
• TITLE XVIII - The section of Social Security Act that describes the Federal Medicare program's coverage for eligible persons (i.e., aged, blind and disabled).
• TITLE XX - An amendment to the Social Security Act that requires the establishment of a comprehensive plan and the coordination of social services through community involvement.
• TITLE XXI - The section (or Title) of the Social Security Act that authorizes the State Children's Health Insurance Program known as KidsCare in Arizona
• TMA - Transitional Medical Assistance
• TOPS - Technical Operations Production Support
• TPEP - Two Parent Employment Program
• TPL - Third-Party Liability
• TRBHA - Tribal Regional Behavioral Health Authority
• TRE - Training Related Expenses
• TRL - Tribal Relations Liaison
• TTAG - Tribal Technical Advisory Group (to the Centers for Medicare and Medicaid Services)
• TWEP - Tribal Work Experience Program
• U
• UB - Uniform Billing
• UI - Unemployment Insurance
• UIHP - Urban Indian Health Program
• UP - Unemployed Parents
• USC - United States Code
• USC - United States Code
• USCIS - United States Citizenship and Immigration Services (part of Homeland Security)
• UTMA - Universal Transfers to Minors Act
• V
• VA - U.S. Department of Veterans Affairs
• VD - Ventilator Dependent
• VISTA - Volunteers In Service To America
• VR - Vocational Rehabilitation
• VTR - Value of the One-Third Reductio
• W
• WIA - Workforce Investment Act
• WIC - Women Infants and Children (nutritional program)
• WIHCC - Winslow Indian Health Care Center
• X
• Y
• Z