ACA - Affordable Care Act. Also known as the Patient Protection and Affordable Care Act (PPACA), health care reform (HCR) and Obamacare, it is the comprehensive healthcare reform law enacted in March 2010. ACO - Accountable Care Organization. A population health management organization characterized by a payment and care delivery model that ties provider reimbursements to quality metrics and reductions in the total cost of care for an assigned population of patients. ACSC or ACS - Ambulatory Care Sensitive Conditions or Ambulatory Care Sensitive AOD (SUD or AOD) - Substance Use Disorder or Alcohol and Other Drug AR - Accounts Receivable

BAA - Business Associate Agreement BH - Behavioral Health BHCC - Behavioral Health Care Collaboratives BHO - Behavioral Health Organization BIP - Balancing Incentive Plan BMI - Body Mass Index

CAHPS - Consumer Assessment of Healthcare Providers & Systems CAQH - Council for Affordable Quality Health CAS - Coordinated Assessment System CBO - Community Based Organization CCBHC - Certified Community Behavioral Health Clinic CDS - Clnical Decision Support CEHRT or EHR - Certified EHR Technology CFCM - Conflict Free Case Management CFTSS - Children and Family Treatment and Support Services CHC - Community Health Center CMHC - Community Mental Health Center CMMI - Center for Medicare and Medicaid Innovation. A branch of CMS that develops new payment and service delivery models. CMS - Center for Medicare and Medicaid Services. Federal agency that governs Medicare, Medicaid, and CHIP. CPOE - Computerized Provider Order Entry CPT - Current Procedural Terminology. Billing coding set developed by the American Medical Association. CQI - Continuous Quality Improvement CQM - Clinical Quality Measures CTAC - Community Technical Assistance Center

DDP2 - Developmental Disabilities Profile - 2 DEA - Drug Enforcement Agency DISCO - Developmental Disabilities Individual Support and Care Coordination Organization. A managed care intermediary concept developed by NY state. This concept has largely been replaced by OPWDD's Care Coordinating Organizations DSM-V - Diagnostic Statistical Manual, Version 5 DSRIP - Delivery System Reform Incentive Payment (DSRIP) Program. A NY statewide program to improve quality and patient experience while delivering more efficient, affordable care.

EBP - Evidence-Based Practice eCQMS - Electronic Clinical Quality Measures ED or ER - Emergency Department or Emergency Room EDI - External Data Interchange EHR / EMR - Electronic Health Record / Electronic Medical Record. Electronic medical information and other data relating to a patient’s health. Records often include information about a patient’s demographics, insurance coverage, medical history, medications, progress notes, services received, laboratory results, immunizations, and allergies. EPSDT - Early and Periodic Screening, Diagnostic, and Treatment. A benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. eQARR - Electronic Quality Assurance Reporting Requirements. DOH system for annual reporting of managed care performance. eRx - e-prescription or e-prescribing

FFS - Fee-for-Service. Payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. FIDA - Fully Integrated Duals Advantage. The technical name for the CMS demonstration program to integrate managed care for individuals with both Medicare and Medicaid coverage. FIDA-IDD - Fully Integrated Duals Advantage for individuals with developmental disabilities FQHC - Federally Qualified Health Center

HARP - Health and Recovery Plan. NY specialty managed care organizations that cover specialty behavioral health services for select populations with intensive behavioral health needs. HCBS - Medicaid Home and Community-Based Services HCPCS - Healthcare Common Procedure Coding System. Another Health Care Code Set (Acronym pronounced “hick picks”) HEDIS - Healthcare Effectiveness Data and Information Set HHTS - Health Home Tracking System HIE - Health Information Exchange HIT - Health Information Technology HITECH - Health Information Technology for Economic and Clinical Health Act HMO - Health Maintenance Organization HUB - Care coordination, centralized information and referral.

ICD-10 - International Statistical Classification of Diseases, Version 10. Code set developed by the World Health Organization. ICDS - Integrated Care Delivery System IDT - Interdisciplinary Team IOP - Intensive Outpatient Program ISPM - Individualized Service Planning Model

LGU - Local Governmental Unit LOC - Level of Care LOCADTR - Level of Care for Alcohol and Drug Treatment Referral LTC - Long-Term Care LTSS - Long-Term Services and Supports

MAPP - Medicaid Analytics Performance Platform MBHO - Managed Behavioral Health Organizations MCO / MCP - Managed Care Organization / Managed Care Plan. Health insurance plan that offers health services to its members, and offers financial incentives for patients to use the providers who belong to the plan. Examples include: HMOs and PPOs. MCTAC - Managed Care Technical Assistance Center MLR - Medical Loss Ratio MLTC - Managed Long-Term Care MMIS - Medicaid Management Information System MRT - New York Medicaid Redesign Team MSC - Medicaid Service Coordination / Coordinator MU - Meaningful Use

NCQA - National Committee for Quality Assurance. A national quality measurement and accreditation organization. NPI - National Provider Identifier NYeC - New York eHealth Collaborative

OLP - Other Licensed Provider ONC - Office of National Coordinator for Health Information Technology OTP - Opioid Treatment Program

PA - Prior Authorization PAHP - Prepaid Ambulatory Health Plan PCCM - Primary Care Case Management PCMH - Patient-Centered Medical Home. A model of care intended to put patients at the forefront of care. PH - Partial Hospitalization PHP - Partner's Health Plan. The single managed care plan for New York’s FIDA-IDD. PHRs - Personal Health Records PIHP - Prepaid Inpatient Health Plan. A type of managed care arrangement that provides prepaid capitation payments to managed care entities that arrange for inpatient hospital care. PMPM - Per Member Per Month PPO - Preferred Provider Organization. A managed care organization that has a more limited provider network; services obtained from outside the network are not covered or feature higher cost-sharing levels. PPS - Performing Provider System PROS - Personalized Recovery Oriented Services

QE - Qualified Entity

RCM - Revenue Cycle Management RFA-RFQ-RFP - Request for Application, Qualifications, Proposal RHC - Rural Health Clinic RHIO - Regional Health Information Organization. Facilitate exchange of health-related information among multiple stakeholders. RPC - Regional BH Planning Consortium

SDE - State Designated Entity SED - Seriously Emotionally Disturbed SHIN-NY - Statewide Health Information Network of New York SNP - Special Needs Plan SPA - State Plan Amendment SPMI or SMI - Seriously and Persistently Mentally Ill or Seriously Mentally Ill SUD or AOD - Substance Use Disorder or Alcohol and Other Drug

Tx - Treatment

UB-04 - Uniform Bill, Version 4. Claim form, also known as the CMS-1450 form UM - Utilization Management UR / UM - Utilization Review / Utilization Management URAC - Utilization Review Accreditation Commission

VBP - Value-Based Payment

ACA - Affordable Care Act. Also known as the Patient Protection and Affordable Care Act (PPACA), health care reform (HCR) and Obamacare, it is the comprehensive healthcare reform law enacted in March 2010. ACO - Accountable Care Organization. A population health management organization characterized by a payment and care delivery model that ties provider reimbursements to quality metrics and reductions in the total cost of care for an assigned population of patients. ACSC or ACS - Ambulatory Care Sensitive Conditions or Ambulatory Care Sensitive AOD (SUD or AOD) - Substance Use Disorder or Alcohol and Other Drug AR - Accounts Receivable

BAA - Business Associate Agreement BH - Behavioral Health BHCC - Behavioral Health Care Collaboratives BHO - Behavioral Health Organization BIP - Balancing Incentive Plan BMI - Body Mass Index

CAHPS - Consumer Assessment of Healthcare Providers & Systems CAQH - Council for Affordable Quality Health CAS - Coordinated Assessment System CBO - Community Based Organization CCBHC - Certified Community Behavioral Health Clinic CDS - Clnical Decision Support CEHRT or EHR - Certified EHR Technology CFCM - Conflict Free Case Management CFTSS - Children and Family Treatment and Support Services CHC - Community Health Center CMHC - Community Mental Health Center CMMI - Center for Medicare and Medicaid Innovation. A branch of CMS that develops new payment and service delivery models. CMS - Center for Medicare and Medicaid Services. Federal agency that governs Medicare, Medicaid, and CHIP. CPOE - Computerized Provider Order Entry CPT - Current Procedural Terminology. Billing coding set developed by the American Medical Association. CQI - Continuous Quality Improvement CQM - Clinical Quality Measures CTAC - Community Technical Assistance Center

DDP2 - Developmental Disabilities Profile - 2 DEA - Drug Enforcement Agency DISCO - Developmental Disabilities Individual Support and Care Coordination Organization. A managed care intermediary concept developed by NY state. This concept has largely been replaced by OPWDD's Care Coordinating Organizations DSM-V - Diagnostic Statistical Manual, Version 5 DSRIP - Delivery System Reform Incentive Payment (DSRIP) Program. A NY statewide program to improve quality and patient experience while delivering more efficient, affordable care.

EBP - Evidence-Based Practice eCQMS - Electronic Clinical Quality Measures ED or ER - Emergency Department or Emergency Room EDI - External Data Interchange EHR / EMR - Electronic Health Record / Electronic Medical Record. Electronic medical information and other data relating to a patient’s health. Records often include information about a patient’s demographics, insurance coverage, medical history, medications, progress notes, services received, laboratory results, immunizations, and allergies. EPSDT - Early and Periodic Screening, Diagnostic, and Treatment. A benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. eQARR - Electronic Quality Assurance Reporting Requirements. DOH system for annual reporting of managed care performance. eRx - e-prescription or e-prescribing

FFS - Fee-for-Service. Payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. FIDA - Fully Integrated Duals Advantage. The technical name for the CMS demonstration program to integrate managed care for individuals with both Medicare and Medicaid coverage. FIDA-IDD - Fully Integrated Duals Advantage for individuals with developmental disabilities FQHC - Federally Qualified Health Center

HARP - Health and Recovery Plan. NY specialty managed care organizations that cover specialty behavioral health services for select populations with intensive behavioral health needs. HCBS - Medicaid Home and Community-Based Services HCPCS - Healthcare Common Procedure Coding System. Another Health Care Code Set (Acronym pronounced “hick picks”) HEDIS - Healthcare Effectiveness Data and Information Set HHTS - Health Home Tracking System HIE - Health Information Exchange HIT - Health Information Technology HITECH - Health Information Technology for Economic and Clinical Health Act HMO - Health Maintenance Organization HUB - Care coordination, centralized information and referral.

ICD-10 - International Statistical Classification of Diseases, Version 10. Code set developed by the World Health Organization. ICDS - Integrated Care Delivery System IDT - Interdisciplinary Team IOP - Intensive Outpatient Program ISPM - Individualized Service Planning Model

LGU - Local Governmental Unit LOC - Level of Care LOCADTR - Level of Care for Alcohol and Drug Treatment Referral LTC - Long-Term Care LTSS - Long-Term Services and Supports

MAPP - Medicaid Analytics Performance Platform MBHO - Managed Behavioral Health Organizations MCO / MCP - Managed Care Organization / Managed Care Plan. Health insurance plan that offers health services to its members, and offers financial incentives for patients to use the providers who belong to the plan. Examples include: HMOs and PPOs. MCTAC - Managed Care Technical Assistance Center MLR - Medical Loss Ratio MLTC - Managed Long-Term Care MMIS - Medicaid Management Information System MRT - New York Medicaid Redesign Team MSC - Medicaid Service Coordination / Coordinator MU - Meaningful Use

NCQA - National Committee for Quality Assurance. A national quality measurement and accreditation organization. NPI - National Provider Identifier NYeC - New York eHealth Collaborative

OLP - Other Licensed Provider ONC - Office of National Coordinator for Health Information Technology OTP - Opioid Treatment Program

PA - Prior Authorization PAHP - Prepaid Ambulatory Health Plan PCCM - Primary Care Case Management PCMH - Patient-Centered Medical Home. A model of care intended to put patients at the forefront of care. PH - Partial Hospitalization PHP - Partner's Health Plan. The single managed care plan for New York’s FIDA-IDD. PHRs - Personal Health Records PIHP - Prepaid Inpatient Health Plan. A type of managed care arrangement that provides prepaid capitation payments to managed care entities that arrange for inpatient hospital care. PMPM - Per Member Per Month PPO - Preferred Provider Organization. A managed care organization that has a more limited provider network; services obtained from outside the network are not covered or feature higher cost-sharing levels. PPS - Performing Provider System PROS - Personalized Recovery Oriented Services

QE - Qualified Entity

RCM - Revenue Cycle Management RFA-RFQ-RFP - Request for Application, Qualifications, Proposal RHC - Rural Health Clinic RHIO - Regional Health Information Organization. Facilitate exchange of health-related information among multiple stakeholders. RPC - Regional BH Planning Consortium

SDE - State Designated Entity SED - Seriously Emotionally Disturbed SHIN-NY - Statewide Health Information Network of New York SNP - Special Needs Plan SPA - State Plan Amendment SPMI or SMI - Seriously and Persistently Mentally Ill or Seriously Mentally Ill SUD or AOD - Substance Use Disorder or Alcohol and Other Drug

Tx - Treatment

UB-04 - Uniform Bill, Version 4. Claim form, also known as the CMS-1450 form UM - Utilization Management UR / UM - Utilization Review / Utilization Management URAC - Utilization Review Accreditation Commission

VBP - Value-Based Payment