ADV
| Annual Dental Visit
|
|---|
ASC
| Accredited Standards Committee
|
|---|
APCD-CDL
| All Player Claims Database Common Data Layout
|
|---|
APL
| Application Program Interface
|
|---|
APL
| All Plan Letter
|
|---|
BH
| Behavioral Health
|
|---|
BHIN
| Behavioral Health Information Notice
|
|---|
BMA
| Base Model Average
|
|---|
CAP
| Corrective Action Plan
|
|---|
C.A.R.T.
| Completeness,
Accuracy, Reasonability, Timeliness
|
|---|
CBAS
| Community Based Adult Services
|
|---|
CCM
| Complex Care Management
|
|---|
CDT
| Current Dental Terminology
|
|---|
CGs
| Companion Guides
|
|---|
CIN
| Client Index Number
|
|---|
CalMHSA
| California Mental Health Services Authority
|
|---|
CLR
| Closed Loop Referral
|
|---|
CMs
| Contract Managers
|
|---|
CMS
| Centers for Medicare & Medicaid Services
|
|---|
CoC
| Continuity of Care
|
|---|
CPE
| Certified Public Expenditure
|
|---|
CPT
| Current Procedural Terminology
|
|---|
DAD
| Data Analytics Division
|
|---|
DCU
| Data Collection Unit
|
|---|
DMC
| Dental Managed Care Plans
|
|---|
DMC-ODS
| Drug Medi-Cal Organized Delivery Systems
|
|---|
DRMT
| Data Reasonability Measure Threshold
|
|---|
D-SNP
| Dual-Special Needs Plan
|
|---|
DQRU
| Data Quality Reporting Unit
|
|---|
ECM/CS
| Enhanced Care Management / Community Supports
|
|---|
ECP
| Encounter Completeness Percentage
|
|---|
ED
| Encounter Data
|
|---|
EDI
| Electronic Data Interchange
|
|---|
EDIM
| Enterprise Data and Information Management Division
|
|---|
EDIP
| Encounter
Data Improvement Program
|
|---|
EDGPA
| Encounter Data Grade Point Average
|
|---|
EDSRF
| Encounter Data Submission Reconciliation Form
|
|---|
EDQI
| Encounter Data Quality Improvement
|
|---|
EDQG
| Encounter Data Quality Grade
|
|---|
EPM
| Enterprise Performance Monitoring
|
|---|
EVR
| Encounter Validation Response
|
|---|
FPACT
| Family Planning, Access, Care and Treatment
|
|---|
FQHC
| Federally Qualified Health Center
|
|---|
GMA
| GME Model Average
|
|---|
GME
| Gross Medical Expense
|
|---|
HCAI
| Health Care Access and Information
|
|---|
HCP
| Health Care Provider
|
|---|
HCPCS
| Healthcare Common Procedure Coding System
|
|---|
HIPAA
| Health Insurance Portability and Accountability Act
|
|---|
HIMD
| Health Information Management Division
|
|---|
HPSA
| Health
Professional Shortage Areas
|
|---|
IBHPs
| Integrated Behavioral Health Plans
|
|---|
IGs
| Implementation Guides
|
|---|
IHC
| Indian Health Center
|
|---|
IHSS
| In-Home Supportive Services
|
|---|
IPA
| Independent
Physician Associations
|
|---|
LMR
| Longitudinal Member Record
|
|---|
LTC
| Long Term Care
|
|---|
JSON
| Java Script Object Notation
|
|---|
MCP
| Managed Care Plan
|
|---|
MCPAR CI
| Managed Care Program Annual Report Critical Incidents
|
|---|
MCPD/PCPA
| Managed Care Program Data / Primary Care Provider Assignment
|
|---|
MCPs
| Medi-Cal Managed Care Providers
|
|---|
MCAS
| Managed
Care Accountability Set
|
|---|
MCD
| Medi-Cal
Dental
|
|---|
MCPD
| Managed
Care Provider Directory |
|---|
MCQMD
| Managed Care Quality and Monitoring Division
|
|---|
MDC
| Monthly Data Checks
|
|---|
MEDS
| Medi-Cal Eligibility Data System
|
|---|
MERs
| Medical Exemption Requests
|
|---|
MHP
| Mental Health Plan
|
|---|
MLTSS
| Managed Long Term Services and Supports
|
|---|
MMC
| Medicaid Managed Care
|
|---|
MIS/DSS
| Management Information System / Decision Support System
|
|---|
MSRP
| MCQMD
Site Review Portal
|
|---|
MUA
| Medically
Underserved Areas
|
|---|
NACT
| Network Adequacy Certification Tool
|
|---|
NCPDP
| The National Council for Prescription Drug Programs
|
|---|
NDC
| National
Drug Codes
|
|---|
NPI
| National Provider Identifier
|
|---|
NPPES
| National Plan & Provider Enumeration System
|
|---|
OBA
| Outcomes
Based Assessment
|
|---|
PACES
| Post-Adjudicated Claim and Encounter System
|
|---|
PACE
| Programs for All Inclusive Care for the Elderly
|
|---|
PCP
| Primary
Care Physician
|
|---|
PADs
| Physician Administered Drugs
|
|---|
PDF
| Plan
Data Feed
|
|---|
PDRD
| Program Data Reporting Division
|
|---|
PDSRF
| Production Data Submission Reconciliation Form
|
|---|
PGDSRF
| Program Data Submission Reconciliation Form
|
|---|
PHM KPI
| Population Health Management Key Performance Indicators
|
|---|
PNR
| Provider Network Report
|
|---|
QIMR
| Quarterly Implementation Monitoring Report
|
|---|
QMED
| Quality Measures for Encounter Data
|
|---|
QMPR
| Quarterly Monitoring Performance Report
|
|---|
QMRT
| Quarterly Monitoring Response Template
|
|---|
RDT
| Rate Development Template
|
|---|
RHC
| Rural Health Clinic
|
|---|
RSST
| Risk Stratification Segmentation and Tiering
|
|---|
SCAN
| Senior Care Action Network
|
|---|
SCO
| State Controller's Office
|
|---|
SDC
| Semi-Annual Data Checks
|
|---|
SDOs
| Standard Development Organizations
|
|---|
SDMC
| Short Doyle Medi-Cal
|
|---|
SFTP
| Secure File Transfer Protocol
|
|---|
SRF
| Submission Reconciliation Form
|
|---|
SNCs
| Safety
Net Clinics
|
|---|
SOGI
| Sexual Orientation/Gender Identification
|
|---|
SUME
| Supplemental Eligibility
|
|---|
TADT
| Timely Access Data Tool
|
|---|
TSC
| Telephonic
Service Center
|
|---|
T-MSIS
| Transformed
Medicaid Statistical Information System
|
|---|
TC
| Testing Criteria
|
|---|
TFL-CH
| Topical
Fluoride for Children
|
|---|
TPL
| Third
Party Administrator
|
|---|
UC-CART
| Uniqueness,Consistency,Completeness,Accuracy,Reasonableness,Timeliness
|
|---|
VRF
| Validation Response File
|
|---|
WCM
| Whole Child Model
|
|---|
WIC
| Women, Infants and Children
|
|---|
XSD
| XML Schema Definition
|
|---|
