Glossary of Medicaid Terms

AAA – Area Agencies on Aging
ABA – Applied Behavior Analysis Therapy
ACF – Adult Care Facility
ADA – Americans with Disabilities Act
ADLs – Activities of Daily Living
ADRC – Aging and Disability Resource Centers
A&D Waiver – Aged & Disabled Waiver
ANE – Abuse, Neglect, and Exploitation
APS – Adult Protective Services
ATTC – Attendant Care Services
BDDS – Bureau of Developmental Disabilities Services
BDS – Bureau of Disabilities Services
BMAN – Behavior Management Services
CBO – Community-Based Organization
CCC – Case Conference Committee
CHIP – Children’s Health Insurance Program
CHOICE – Community and Home Options to Institutional Care for the Elderly and Disabled
CIH – Community Integration and Habilitation Waiver
CIL – Center for Independent Living
CM – Case Manager
CMHC – Community Mental Health Center
CMS – Centers for Medicare & Medicaid Services
CMO – Case Management Organization
CPS – Child Protective Services
CRF/DD – Community Residential Facility for the Developmentally Disabled
CRM – Customer Relationship Management System
CSHCS – Children’s Special Health Care Services
DA – Division of Aging
DBR – Document-Based Review
DCS – Department of Child Services
DD – Developmental Disability
DDRS – Division of Disability and Rehabilitative Services
DFR – Division of Family Resources
DME – Durable Medical Equipment
DMHA – Division of Mental Health and Addiction
D-SNP – Dual Eligible Special Needs Plan
DSP – Direct Support Professional
EB – Enrollment Broker
EDW – Enterprise Data Warehouse
EHD – Exempted Hospital Discharge
EPSDT – Early Periodic Screening, Diagnosis, and Treatment
EVV – Electronic Visit Verification
FAPE – Free and Appropriate Public Education
FPL – Federal Poverty Level
FSW – Family Supports Waiver
FSSA – Family and Social Services Administration
HAB – Habilitation
HCBS – Home and Community-Based Services
HHA – Home Health Agency / Home Health Aide
HIP – Healthy Indiana Plan
HIPAA – Health Insurance Portability and Accountability Act
HRC – Human Rights Committee
HHW – Hoosier Healthwise
H&W Waiver – Health & Wellness Waiver
IADLs – Instrumental Activities of Daily Living
IAC – Indiana Administrative Code
IC – Indiana Code / Informed Choice
ICF/IID – Intermediate Care Facility for Individuals with Intellectual Disabilities
ID – Intellectual Disability
IDD – Intellectual and Developmental Disabilities
IDEA – Individuals with Disabilities Education Act
IDEIA – Individuals with Disabilities Education Improvement Act
IEP – Individualized Education Plan
IHCP – Indiana Health Coverage Programs
ILCs – Independent Living Centers
IR – Incident Report
IRT – interRAI Tool
ISDH – Indiana State Department of Health
ISP – Individualized Service Plan
IST – Individualized Support Team
JCAHO – The Joint Commission on the Accreditation of Healthcare Organizations
LCAR – Level of Care Assessor Representative
LCSW – Licensed Clinical Social Worker
LOC – Level of Care
LOS – Length of Stay
LPI – Legacy Provider Identification
LTSS – Long-Term Services and Supports
MAO – Medicare Advantage Organizations
MAR – Medication Administration Record
MCE – Managed Care Entity
MDS – Minimum Data Set
MFP – Money Follows the Person
MH – Mental Health
MI – Mental Illness
MLTSS – Managed Long-Term Services and Supports
MMIS – Medicaid Management Information System
NF – Nursing Facility
NH – Nursing Home
NFLOC – Nursing Facility Level of Care
NOA – Notice of Action
NPI – National Provider Identifier
OBRA – Omnibus Budget Reconciliation Act
OT – Occupational Therapy / Therapist
PAC – Participant Assistance and Care
PACE – Program of All-Inclusive Care for the Elderly
PAS – Preadmission Screening
PASRR – Preadmission Screening and Resident Review
PCA – Personal Care Assistant
PCISP – Person-Centered Individualized Support Plan
PCP – Primary Care Physician
PDN – Private Duty Nursing
PERS – Personal Emergency Response System
PHI – Protected Health Information
POC – Plan of Care
PT – Physical Therapy
RC – Related Condition
RID – Recipient Identification Number
ROI – Release of Information
RR – Resident Review
SC – Status Change
SFC – Structured Family Caregiving
SGL – Supervised Group Living
SHIP – State Health Insurance Assistance Program
SMI – Serious Mental Illness
SNAP – Supplemental Nutrition Assistance Program
SNF – Skilled Nursing Facility
SS – Specialized Services
SSDI – Social Security Disability Insurance
SSI – Supplemental Security Income
ST – Speech Therapy
STC – Short-Term Care
TANF – Temporary Assistance for Needy Families
TBI – Traumatic Brain Injury
WIC – Women, Infants, and Children Program

Additional Terminology