ACRONYMS & ABBREVIATIONS

MEDI-CAL MAY 2011 LOCAL ASSISTANCE ESTIMATE for FISCAL YEARS 2010-11 and 2011-12 ACRONYMS & ABBREVIATIONS Fiscal Forecasting and Data Management Branc...

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MEDI-CAL MAY 2011 LOCAL ASSISTANCE ESTIMATE for

FISCAL YEARS 2010-11 and 2011-12

ACRONYMS & ABBREVIATIONS Fiscal Forecasting and Data Management Branch State Department of Health Care Services 1501 Capitol Avenue, Suite 6069 Sacramento, CA 95814 (916) 552-8550

EDMUND G. BROWN JR. Governor State of California

Diana Dooley Secretary California Health and Human Services Agency

Toby Douglas Director Department of Health Care Services

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Department of Health Care Services

May 2011 Medi-Cal Estimate

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ACRONYMS AND ABBREVIATIONS A A&I AAC AAP AB ABD ACA ACL ACMS ACS ACSL ACSs/Enh. ACWDL ADHC ADRC AEVS AFDC AFLP AH AHF AI/AN ALWPP AMP AOO APD APS ARRA ASPPP AV AWP

Audits and Investigations Division Average Acquisition Cost Adoption Assistance Program Assembly Bill Aged, Blind & Disabled Affordable Care Act Adjudicated Claim Line Automated Collection Management System Additional Contract Service Adjudicated Claim Service Line Additional Contract Services/Enhancements All-County Welfare Directors Letter Adult Day Health Care Aging and Disability Resource Connection Automated Eligibility Verification System Aid to Families with Dependent Children Adolescent and Family Life Program Acute Hospitals AIDS Health Care Foundation (aka Positive Healthcare Services) American Indian/Alaska Native Assisted Living Waiver Pilot Project Average Manufacturer Price Assumption of Operations Advance Planning Document Adult Protective Services American Recovery and Reinvestment Act of 2009 Adolescent Sibling Pregnancy Prevention Program Administrative Vendor Average Wholesale Price

B BA BBA BCCTP BIC BIH BIPA BTR BSA BY

Base Adjustment Balanced Budget Act of 1997 Breast and Cervical Cancer Treatment Program Benefits Identification Card Black Infant Health Benefits Improvement and Protection Act of 2000 California Bridge to Reform Demonstration Bureau of State Audits Budget Year

C CA CA-EV/CMS CAHF Cal-COBRA CalWIN

County Administration California Eligibility Verification/Claims Management System California Association of Health Facilities California Consolidated Omnibus Budget Reconciliation Act CalWORKS Information Network

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Department of Health Care Services

May 2011 Medi-Cal Estimate

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CalWORKs CA-MMIS CANHR CBRC CCFC CCAH CCM CCR CCS CCT CCSAS CDA CDADP CDDS CDL CDMH CD-MMIS CDOF CDP CDPH CDSS CEI CESD CHCF CHDP CHIPRA CI CIN C-IV CLPP CMAC CMAS CMC CMIPS CMS CMS Net CMSB CMSP CNI CO COBRA COHS COLA CPE CPI CPSP CPT CRCS CSBG CTPS CVSO CWD CWDP

California Work Opportunity and Responsibility to Kids California Medicaid Management Information System California Advocates for Nursing Home Reform Cost-Based Reimbursement Clinic California Children and Families Commission (Proposition 10) Central Coast Alliance for Health Coordinated Care Management California Code of Regulations California Children’s Services California Community Transitions California Child Support Automation System California Department of Aging California Department of Alcohol and Drug Programs California Department of Developmental Services Contract Drug List California Department of Mental Health California Dental Medicaid Management Information System California Department of Finance Capital Debt Projects California Department of Public Health California Department of Social Services Center for Elders Independence Community Elder Care of San Diego California Health Care Foundation Child Health and Disability Prevention Children’s Health Insurance Program Reauthorization Act of 2009 Coverage Initiative (Health Care Coverage Initiative) Client Identification Number Consortium IV Childhood Lead Poisoning Prevention California Medical Assistance Commission California Multiple Award Schedule Computer Media Claims Case Management Information and Payroll System Centers for Medicare and Medicaid Services (formerly Health Care Financing Administration) Children’s Medical Services Network Children’s Medical Services Branch County Medical Services Program California Necessities Index Change Order Consolidated Omnibus Budget Reconciliation Act County Organized Health System Cost of Living Adjustment Certified Public Expenditure Consumer Price Index Comprehensive Perinatal Services Program Current Procedural Terminology Cost Reimbursement and Comparison Schedule County Services Block Grant Cigarette and Tobacco Products Surtax (Proposition 99) County Veterans Services Officer County Welfare Department California Working Disabled Program

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Department of Health Care Services

May 2011 Medi-Cal Estimate

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CWS/CMS CY

Child Welfare Services/Case Management Services Current Year

D DAH DC DHCS DHHS DME DMO DOS DPH DP-NF DRA DRTS DSH DSHP DSRIP DUR DY

Direct Access to Housing Developmental Center California Department of Health Care Services Department of Health and Human Services Durable Medical Equipment Disease Management Organizations Date of Service Designated Public Hospital Distinct Part-Nursing Facility Deficit Reduction Act of 2005 Drug Rebate Tracking System Disproportionate Share Hospitals Designated State Health Program Delivery System Reform Incentive Pool Drug Utilization Review Demonstration Year

E EAC EDS EDU EHR EMBER EPC EPSDT EQROA ES ESR ESSP e-TAR EW

Estimated Acquisition Cost Electronic Data Systems Encounter Data Unit Electronic Health Records Enhanced Medi-Cal Budget Estimate Redesign Erroneous Payment Collection Early and Periodic Screening, Diagnosis and Treatment Estimated Quarterly Rebate Offset Amount Eligibility Specialist Enrollment Service Representative Emergency Services and Supplemental Payments (Fund) Electronic Treatment Authorization Request Eligibility Worker

F FAME FDA FDB FFP FFS FI FMAP FMP FOAG Family PACT FPL FQHC FS

Fiscal Intermediary Access to Medi-Cal Eligibility Food and Drug Administration First Data Bank Federal Financial Participation Fee-for-Service Fiscal Intermediary Federal Medical Assistance Percentage Family Mosaic Project Field Office Automation Group Family Planning, Access, Care and Treatment Federal Poverty Level Federally Qualified Health Center Free Standing

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Department of Health Care Services

May 2011 Medi-Cal Estimate

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FSR FUL FY

Feasibility Study Report Federal Upper Limit Fiscal Year

G GDB GHPP GMC GME

Genetic Disease Branch Genetically Handicapped Persons Program Geographic Managed Care Graduate Medical Education

H HCBSW HCCI HCERA HCFA HCO HCPCS HCSF HFP HHSDC HICL HIE HIPAA HIPP HITECH HIT IAPD HIT PAPD HMO HQARF HPSM HQARF HR H&S

Home and Community Based Services Waiver Health Care Coverage Initiative Health Care and Education Reconciliation Act of 2010 Health Care Financing Administration (now Centers for Medicare and Medicaid Services) Health Care Options Healthcare Common Procedures Coding System Health Care Support Fund Healthy Families Program Health and Human Services Data Center Hierarchical Ingredient Code Listing Health Information Exchange Health Insurance Portability and Accountability Act of 1996 Health Insurance Premium Payment Health Information Technology for Economic and Clinical Health Health Information Technology Plan and the Implementation Advanced Planning Document Health Information Technology Planning – Advanced Planning Document Health Maintenance Organization Hospital Quality Assurance Revenue Fund Health Plan of San Mateo Hospital Quality Assurance Revenue Fund House Resolution Health and Safety

I I&E IA IAPD ICF-DD IEVS IFB IGT IHC IHMC IHO IHS IHSS IMD

Information & Education Interagency Agreement Implementation Advanced Planning Document Intermediate Care Facility - Developmentally Disabled Income and Eligibility Verification System Invitation for Bid Intergovernmental Transfer Indian Health Clinic In-Home Medical Care In-Home Operations Indian Health Services In-Home Supportive Services Institutions for Mental Diseases

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Department of Health Care Services

May 2011 Medi-Cal Estimate

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INS INP IOD IPO IPOC IPW IRCA ISAWS IVR IV&V

Immigration and Naturalization Service Individual Nurse Provider Image on Demand Independence Plus Option Independent Project Oversight Consultant Independence Plus Waiver Immigration Reform and Control Act Interim Statewide Automated Welfare System Interactive Voice Response Independent Verification and Validation

K KinGAP KT/PT

Kinship Guardianship Assistance Payment Kidney Transplant/Pancreas Transplant

L LAJH LAN/WAN LDC LEA LEADER LEC LGA LI LIHP LIS List LOC LT-AB LT-ATD LTC LTCI LT-OAS

Los Angeles Jewish Homes Local Area Network/Wide Area Network Lanterman Developmental Center Local Education Agency Los Angeles Eligibility Automated Determination Evaluation and Reporting System Local Educational Consortium Local Governmental Agency Local Initiative Low Income Health Program Low Income Subsidy List of Contract Drugs (Medi-Cal Drug Formulary) Level of Care Medically Needy Long-Term Care - Blind Medically Needy Long-Term Care - Disabled Long-Term Care Center for Long-Term Care Integration Medically Needy Long-Term Care - Aged

M MAA MAC MAGIC MAIC MA/SNP MAXSTAR MCE MCM MCO MEBIL MEDS MEI MESH MFP MHP

Medi-Cal Administrative Activities Maximum Acquisition Cost Merced Automated Global Information Control Maximum Allowable Ingredient Cost Medical Advantage/Special Needs Program Maximus’ proprietary case management software Medicaid Coverage Expansion Medical Case Management Managed Care Organization Medi-Cal Eligibility Information Letter Medi-Cal Eligibility Data System Medicare Economic Index Medi-Cal Extra-Net for Statewide Health Care Money Follows the Person Mental Health Plan

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Department of Health Care Services

May 2011 Medi-Cal Estimate

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MH/UCD MI-ADULT MI-CHILD MIP MIPA MIPPA MIS/DSS MITA MLRC MMA MMCD MN MN-AB MN-AFDC MN-ATD MN-OAS MOA MOE MRMIB MSRP MSSP MTP

Medi-Cal Hospital/Uninsured Care Demonstration Medically Indigent Adult Medically Indigent Child Male Involvement Program Medi-Cal Inpatient Payment Adjustment Medicare Improvement for Patients and Providers Act Management Information System and Decision Support System Medicaid Information Technology Architecture Multi-Level Retirement Community The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Medicare Modernization Act) Medi-Cal Managed Care Division Medically Needy Medically Needy - Blind Medically Needy - Families Medically Needy - Disabled Medically Needy - Aged Memorandum of Agreement Maintenance of Effort Managed Risk Medical Insurance Board Manufacturer Suggested Retail Price Multipurpose Senior Services Program Manual Transformation Program

N NDC NDPH NEMT NF NF-A NF-B NF/AH NLDC NOA NPP NPRM

National Drug Code Non-Designated Public Hospital Non-Emergency Medical Transportation Nursing Facility Nursing Facility - Level A Nursing Facility - Level B Nursing Facility/Acute Hospital No Longer Disabled Children Notice of Action Notice of Privacy Practices Notice of Proposed Rule Making

O OA OBRA OCS OHC OIG OIL OMDS OO OSI OTC OTROS

Other Administration Omnibus Budget Reconciliation Act Optional Contractual Service Other Health Coverage Office of the Inspector General Operating Instruction Letter Office of Medi-Cal Dental Services Object Oriented Office of System Integration Over-the-Counter Office of Technology Review, Oversight and Security

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Department of Health Care Services

May 2011 Medi-Cal Estimate

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P PA-AB PA-AFDC PA-ATD PACE PAN PA-OAS PARIS PASARR PBM PC PCAB PCCM PCES PCG PCSP PE PERM PFSW PHC PHMS PHP PIA PIER P.L. PMPM POE POS PPACA PPC PPI PPS Prop. 99 PRUCOL PRWORA PSD PSF PTN

SSI/SSP Cash Grant - Blind CalWORKs or Foster Care Cash Grant SSI/SSP Cash Grant - Disabled Program of All-Inclusive Care for the Elderly Payment Action Notice SSSI/SSP Cash Grant – Aged Public Assistance Reporting and Information Systems Preadmission Screening and Annual Resident Review Pharmacy Benefit Manager Policy Change Proposed County Administrative Budget Primary Care Case Management Paid Claims and Encounters Standardization Prenatal Care Guidance Personal Care Services Program Presumptive Eligibility Payment Error Rate Measurement Patient Financial Services Worker Partnership HealthPlan of California Public Health Monitoring System Prepaid Health Plan Prison Industry Authority Post Implementation Evaluation Report Public Law Per Member Per Month Perinatal Outreach and Education Point of Service Patient Protection and Affordable Care Act of 2010 Pediatric Palliative Care Proton Pump Inhibitor Prospective Payment System Proposition 99 (Cigarette and Tobacco Products Surtax) Permanently Residing (in the United States) Under Color of Law Personal Responsibility and Work Opportunity Reconciliation Act of 1996 Payment Systems Division Prior Settlement Fund Provider Telecommunications Network

Q QAF QI QI-1 QI-2 QIF QMB QoL QROA QSR

Quality Assurance Fee Qualifying Individual Qualifying Individual - Program 1 Qualifying Individual - Program 2 Quality Improvement Assessment Fee Qualified Medicare Beneficiary Quality of Life Quarterly Rebate Offset Amount Quarterly Status Report

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Department of Health Care Services

May 2011 Medi-Cal Estimate

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RAD RAIS REF_NO RCFE RFP RHC RMA ROP RPU RRP

Remittance Advice Detail Rebate Accounting and Information System Reference Number Residential Care Facilities for the Elderly Request for Proposal Rural Health Clinic Refugee Medical Assistance Reasonable Opportunity Period Rebate Per Unit Refugee Resettlement Program

S SAVE SAWS SB SBI SBRHA SCAN SCHIP SCO SDN SDS SF CLSW SFIS SFY SG SHMO SIR System SLAMSP SLMB SMA SMAA SMI SNCP SNF SNT SOC SOS SOSF SOW SPA SPCP SPDs SPE SPM SPPCS SPR SRH SRL SSA SSI/SSP STI

Systematic Alien Verification Entitlement Statewide Automated Welfare System Senate Bill Substance Abuse and Brief Intervention Santa Barbara Regional Health Authority Senior Care Action Network State Children’s Health Insurance Program State Controller’s Office System Development Notice Self-Directed Services San Francisco Community-Living Support Waiver Statewide Fingerprint Imaging System State Fiscal Year Systems Group Social Health Maintenance Organization Special Incident Reporting System South Los Angeles Medical Services Preservation Specified Low-Income Medicare Beneficiary Schedule of Maximum Allowances School-Based Medi-Cal Administrative Activities Serious Mental Illness Safety Net Care Pool Skilled Nursing Facility Special Needs Trust Share of Cost Scope of Services State Operated Small Facility Scope of Work State Plan Amendment Selective Provider Contracting Program Seniors and Persons with Disabilities Single Point of Entry Statewide Project Management State Plan Personal Care Services Special Project Report Small Rural Hospitals Supplemental Report Language Social Security Administration Supplemental Security Income/State Supplementary Payment Sexually Transmitted Infection

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Department of Health Care Services

May 2011 Medi-Cal Estimate

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STO SURGE SURS

State Treasurer’s Office Service Utilization Review Guidance and Evaluation Surveillance and Utilization Review Subsystem

T TANF TAR TBL TCM TCR TIC TMC TPL TTG

Temporary Assistance for Needy Families Treatment Authorization Request Trailer Bill Language Targeted Case Management Therapeutic Category Review Transitional Inpatient Care Transitional Medi-Cal Third Party Liability Toll-Free Telephone Group

U UBL UCSD UPL UPN

Upper Billing Limitation University of California, San Diego Upper Payment Limit Universal Product Number

V VFC VGT

Vaccines for Children Program Voluntary Governmental Transfer

W WAC WCDS W&I WIC WPCS WRIM WSP

Wholesale Acquisition Cost Welfare Client Data System Welfare and Institutions Women, Infants and Children Waiver Personal Care Services Welfare Reform and Infrastructure Modifications Wholesale Sale Price

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