Cov Ntaub Ntawv Qhia thiab Saib Xyuas Webinar Series Glossary
For questions and suggested additions, please email MCDSS@dhcs.ca.gov.
Rov qab mus rau cov ntaub ntawv webinar
Glossary of Terms and Abbreviations
| Cov ntawv luv | Txhais |
|---|---|
| ADV | Kev Mus Saib Hniav Txhua Xyoo |
| ASC | Pawg Neeg Saib Xyuas Cov Qauv Txheej Txheem |
| APCD-CDL | Txhua tus neeg uas ua ntawv thov Database Common Data Layout |
| APL | Application Program Interface |
| APL | Txhua Daim Ntawv Npaj |
| BH | Kev Noj Qab Haus Huv |
| BHIN | Daim Ntawv Qhia Txog Tus Cwj Pwm Kev Noj Qab Haus Huv |
| BMA | Base Model Nruab Nrab |
| CAP | Kho Kev Npaj Ua Haujlwm |
| CART | Ua tiav, raug, tsim nyog, raws sijhawm |
| CBAS | Community Based Adult Services |
| CCM | Complex Care Management |
| CDT | Tam sim no Dental Terminology |
| CGs | Phau Ntawv Qhia |
| CIN | Client Index Number |
| CalMHSA | California Mental Health Services Authority |
| CLR | Kaw Loop Referral |
| CMs | Cov Thawj Tswj Kev Cog Lus |
| CMS | Chaw rau Medicare & Medicaid Services |
| CoC | Kev saib xyuas txuas ntxiv |
| CPE | Certified Public Expenditure |
| CPT | Cov txheej txheem tam sim no |
| DAD | Data Analytics Division |
| DCU | Cov ntaub ntawv khaws cia |
| DMC | Kev Kho Hniav Tswj Kev Kho Hniav |
| DMC-ODS | Tshuaj Medi-Cal Organized Delivery Systems |
| DRMT | Data Reasonability Measure Threshold |
| D-SNP | Dual-Special Needs Plan |
| DQRU | Data Quality Reporting Unit |
| ECM/CS | Txhim Kho Kev Tswj Xyuas / Kev Txhawb Zej Zog |
| ECP | Sib ntsib ua tiav feem pua |
| ed | Sib ntsib cov ntaub ntawv |
| EDI | Electronic Data Interchange |
| EDIM | Enterprise Data thiab Information Management Division |
| EDIP | Encounter Data Improvement Program |
| EDGPA | Ntsib Cov Ntaub Ntawv Qib Point Nruab Nrab |
| EDSRF | Sib ntsib Cov Ntaub Ntawv Xa Daim Ntawv Pom Zoo |
| EDQI | Ntsib Cov Ntaub Ntawv Kev Txhim Kho Zoo |
| EDQG | Ntsib Cov Ntaub Ntawv Qib Qib |
| EPM | Enterprise Performance Monitoring |
| EVR | Encounter Validation teb |
| FPACT | Family Planning, Access, Care and Treatment |
| FQHC | Federally Qualified Health Center |
| GMA | GME Qauv Nruab Nrab |
| GME | Tag Nrho Cov Nqi Kho Mob |
| HCAI | Kev Pabcuam Kev Noj Qab Haus Huv thiab Cov Ntaub Ntawv |
| HCP | Tus kws kho mob |
| 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 | Cov Lus Qhia Ua Haujlwm |
| IHC | Indian Health Center |
| IHSS | Kev Pabcuam Hauv Tsev |
| IPA | Independent Physician Associations |
| LMR | Longitudinal Member Record |
| LTC | Kev Kho Mob Ntev |
| JSON | Java Script Object Notation |
| MCP | Managed Care Plan |
| MCPAR CI | Managed Care Program Txhua Xyoo Qhia Txog Cov Teeb Meem Tseem Ceeb |
| MCPD/PCPA | Managed Care Program Data / Primary Care Provider Assignment |
| MCPs | Medi-Cal Managed Care Providers |
| MCAS | Managed Care Accountability Set |
| MCD | Medi-Cal Kev Kho Hniav |
| MCPD | Managed Care Provider Directory |
| MCQMD | Tswj Kev Saib Xyuas Zoo thiab Saib Xyuas Kev Ua Haujlwm |
| MDC | Cov ntaub ntawv txhua hli |
| MEDS | Medi-Cal Kev Tsim Nyog Cov Ntaub Ntawv Cov Ntaub Ntawv |
| MERs | Kev Thov Kev Cai Kho Mob |
| MHP | Kev Npaj Kev Puas Siab Puas Ntsws |
| MLTSS | Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa |
| MMC | Medicaid Managed Care |
| MIS/DSS | Management Information System/Decision Support System |
| MSRP | MCQMD Site Review Portal |
| MUA | Cov cheeb tsam tsis muaj kev kho mob |
| NACT | Network Adequacy Certification Tool |
| NCPDP | National Council for Prescription Drug Programs |
| NDC | National Drug Codes |
| NPI | National Provider Identifier |
| NPE | National Plan & Provider Enumeration System |
| OBA | Cov txiaj ntsig raws li kev soj ntsuam |
| PACES | Post-Adjudicated Claim thiab Encounter System |
| PACE | Cov Kev Pabcuam Rau Txhua Tus Saib Xyuas Rau Cov Neeg Laus |
| PCP | Tus Kws Kho Mob Ntiag Tug |
| PADs | Tus kws kho mob muab tshuaj |
| Npaj Cov Ntaub Ntawv Pub | |
| PDRD | Program Data Reporting Division |
| PDSRF | Kev tsim cov ntaub ntawv xa rov qab daim foos |
| PGDSRF | Daim Ntawv Thov Kev Pabcuam Cov Ntaub Ntawv Xa Rov Qab |
| PHM KPI | Population Health Management Key Performance Indicators |
| PNR | Tus Muab Kev Pabcuam Network Report |
| QIMR | Daim Ntawv Qhia Txog Kev Ua Haujlwm Peb Hlis |
| QMED | Kev ntsuas zoo rau cov ntaub ntawv ntsib |
| QMPR | Daim Ntawv Qhia Txog Kev Ua Haujlwm Peb Hlis |
| QMRT | Peb Lub Hlis Saib Xyuas Teb Cov Lus Teb Template |
| RDT | Rate Development Template |
| RHC | Lub Tsev Kho Mob Hauv Nroog |
| RSST | Risk Stratification Segmentation thiab Tiering |
| SCAN | Senior Care Action Network |
| SCO | State Controller’s Office |
| SDC | Semi-Annual Data Checks |
| SDOs | Standard Development Organizations |
| SDMC | luv Doyle Medi-Cal |
| SFTP | Secure File Transfer Protocol |
| SRF | Daim Ntawv Thov Kev Sib Koom Tes |
| SNCs | Safety Net Clinics |
| SOGI | Kev Taw Qhia Kev Sib Deev / Kev Qhia Txog Poj Niam Txiv Neej |
| SUME | Kev Tsim Nyog Ntxiv |
| TADT | Timely Access Data Tool |
| TSC | Telephonic Service Center |
| T-MSIS | Hloov kho Medicaid Cov Ntaub Ntawv Txheeb Xyuas Cov Ntaub Ntawv |
| TC | Kev ntsuas ntsuas |
| TXL-CH | Tshuaj fluoride rau menyuam yaus |
| TPL | Third Party Administrator |
| UC-CART | Uniqueness,Consistency,Completeness,Accuracy,Reasonableness,Timeliness |
| VRF | Validation Response File |
| WCM | Tus Qauv Me Nyuam Tag Nrho |
| WIC | Poj Niam, Me Nyuam thiab Me Nyuam |
| XSD | XML Schema Definition |