The following terms will have the meanings defined below whenever used in any part of the data release, including the data sets and their accompanying documentation. For any questions regarding definitions, please contact us at
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AABD: Aid
ACA: Affordable Care Act
AIDS: Acquired Immunodeficiency Syndrome
CCE: Care Coordination Entity
CHIP: Children Health Insurance Plans
CMS: Centers for Medicare and Medicaid Services. Also known as Federal CMS.
CPT: Current
DRG: Diagnosis Related Groups
DSCC: Division of Specialized Care for Children
DSH:Disproportionate Share Hospital
EIS: Eligibility Information Systems
EPSDT: Early and Periodic, Screening
ER: Emergency Room
FFS:Fee for Service
FPL: Federal Poverty Level
FQHC: Federally Qualified Health Center
FCM: Family
HCBS: Home and Community-Based Services Waivers
HCFA: healthcare Financing Administration
HCPCS: Healthcare Common Procedure Coding System
HFS:HealthCare and Family Services
HIPAA: Health Insurance Portability and Accountability Act
HIV: Human Immunodeficiency Virus
HMO: Health Maintenance Organization
HBWD: Health Benefits for Workers with Disabilites
IBCCP: Illinois Breast and Cervical Cancer Program
ICEB: Illinois Client Enrollment Broker
ICFs/MR: Intermediate Care Facilities for the Mentally Retarded
IGT: Inter-Governmental Transfer
IHC: Illinois Health Connect
LTAC: long term
LTC: long term Acute Care (Hospital)
LTCH: long term (Acute) Care Hospital
MCO: Managed Care Organization
MFTD: Medically Fragile, Technology Dependent (children)
MFP:Money Follows the Person
MHVA: Medicaid High Volume Adjustment
MI: Mental Illness
MISA: Mental Illness and Substance Abuse
MPE: Medicaid Presumptive Eligibility
MR/DD: Mentally Retarded/Developmentally Disabled
NDC:National Drug Code
NIPS: Non-institutional providers
NPI: National Provider Identifier
OTC:Over the Counter (drug)
PE: Presumptive Eligibility
POA:Present on Admission
PCCM: Primary care case management
PCP: Primary care provider
PMPM: Per Member per Month
QI-1: Qualified Individual-1
QMB: Qualified Medicare Beneficiary
RHC: Rural Health Center
RRA: Refugee and Repatriation Assistance
RRP: Refugee Resettlement Program
SASS: Screening, Assessment and Support Services
SLF: Supportive living facility
SLIB: Specified Low-Income Medicare Beneficiaries
SMI: Serious Mental Illness
SPA: State Plan Amendment
SPD: Seniors
TANF: Temporary Aid to Needy Families
TMA: Transitional Medical Assistance
WHCP: Women's healthcare Provider