A/EEG

Ambulatory Electroencephalogram

A/R

Accounts Receivable

AAC

Augmentative and Alternative Communication

AAFP

American Academy of Family Physicians

AAP

American Academy of Pediatrics

AAPD

American Academy of Pediatric Dentistry

ABMG

American Board of Medical Geneticists

ABR

Auditory Brainstem Response

ACD

Augmentative Communication Device

ACH

Automated Clearinghouse

ACIP

Advisory Committee on Immunization Practices

ACOG

American College of Obstetricians and Gynecologists

ACT

Assertive Community Treatment

ADA

American Dental Association

ADL

Activities of Daily Living

AFP

Abdominal Flat Plates

AHA

American Heart Association

AHI

Apnea/Hypopnea Index

AI

Auditory Impairment

AIDS

Acquired Immunodeficiency Syndrome

AIS

Automated Inquiry System

ALS

Advanced Life Support

AMA

American Medical Association

ANSI

American National Standards Institute

AP

Anterior-posterior

API

Atypical Provider Identifier

APN

Advanced Practice Nurse

ARD

Admission, Review, and Dismissal

ASA

American Society of Anesthesiologists

ASC

Ambulatory Surgical Center

ASHA

American Speech-Language-Hearing Association

ASL

American Sign Language

ASP

Average Sales Price

ATM

Automated Teller Machine

AWP

Average Wholesale Price

BCG

Bacillus Calmette-Guérin

BCVDDP

Blind Children's Vocational Discovery and Development Program

BHO

Behavioral Health Organization

BICROS

Bilateral Contralateral Routing of Offside Signal

BIDS

Border Infectious Disease Surveillance

BiPAP

Bi-level Positive Airway Pressure

BLL

Blood Lead Level

BLS

Basic Life Support

BMI

Body Mass Index

BMT

Bone Marrow Transplantation

BNE

Board of Nurse Examiners

BON

(Texas) Board of Nursing

BPH

Benign Prostatic Hyperplasia

BRC

Bureau of Radiation Control

BUN

Blood Urea Nitrogen

BVIC

Blind and Visually Impaired Children

BVS

Bureau of Vital Statistics

C21

Compass21

CAH

Critical Access Hospital

CAPD

Continuous Ambulatory Peritoneal Dialysis

CARE

Client Assessment, Review, and Evaluation

CAT

Caries-risk Assessment Tool

CBA

Community-Based Alternatives (Program)

CCIP

Comprehensive Care Inpatient Psychiatric (Unit)

CCP

Comprehensive Care Program

CCPD

Continuous Cycling Peritoneal Dialysis

CDC

Centers for Disease Control and Prevention

CDT

Current Dental Terminology

CDTF

Chemical Dependency Treatment Facility

CFR

Code of Federal Regulations

CHAMPUS

Civilian Health and Medical Program of the Uniformed Services

CHC

Comprehensive Health Centers

CHIP

Children's Health Insurance Program

CHS

Community Health Services

CIHCP

County Indigent Health Care Program

CLASS

Community Living Assistance and Support Services

CLD

Chronic Lung Disease

CLIA

Clinical Laboratory Improvement Amendments

CLPPP

Childhood Lead Poisoning Prevention Program

CMHC

Community Mental Health Center

CMS

Centers for Medicare & Medicaid Services

CMV

Cytomegalovirus

CNM

Certified Nurse-Midwife

CNS

Clinical Nurse Specialist

COP

Condition of Parole

COPD

Chronic Obstructive Pulmonary Disease

CORF

Comprehensive Outpatient Rehabilitation Facility

CPAP

Continuous Positive Airway Pressure

CPE

Certification of Public Expenditures

CPM

Continuous Passive Motion

CPR

Cardiopulmonary Resuscitation

CPT

Current Procedural Terminology

CPW

Children and Pregnant Women (Program)

CRCP

Certified Respiratory Care Practitioner

CRD

Chronic Renal Disease

CRNA

Certified Registered Nurse Anesthetist

CROS

Contralateral Routing of Offside Signal

CSHCN

Children with Special Health Care Needs (Services Program)

CSI

Claim Status Inquiry

CT

Computed Tomography

CUI

Clinic Unique Identifier

DADS

Department of Aging and Disability Services

DARS

Department of Assistive and Rehabilitative Services

dB

Decibel

DBS

Division for Blind Services

DC

Doctor of Chiropractic Medicine

DDS

Doctor of Dental Surgery

DEA

Drug Enforcement Agency

DEFRA

Deficit Reduction Act of 1984

DFPS

Department of Family and Protective Services

DHHS

(United States) Department of Health and Human Services (cf. HHS)

DMARD

Disease-Modifying Anti-Rheumatic Drugs

DMD

Doctor of Medical Dentistry

DME

Durable Medical Equipment

DMEH

Durable Medical Equipment-Home Health Services

DMERC

Durable Medical Equipment Regional Carrier

DNA

Deoxyribonucleic acid

DO

Doctor of Osteopathy

DOB

Date of Birth

DOC

Dynamic Orthotic Cranioplasty

DOPT

Directly Observed Preventive Therapy

DOS

Date of Service

DOT

Directly Observed Therapy

DPC

Diagnostic Procedure Code

DPM

Doctor of Podiatric Medicine

DRG

Diagnosis-Related Group

DSHS

(Texas) Department of State Health Services

DSM-IV

Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition

DU

Demographic Update (form)

E/M

Evaluation and Management (Services)

ECC

Early Childhood Caries

ECF

Extended Care Facility

ECG

Electrocardiogram

ECI

Early Childhood Intervention

ECMO

Extracorporeal Membrane Oxygenation

EDC

Estimated Date of Confinement

EDD

Expected Date of Delivery

EDI

Electronic Data Interchange

EEG

Electroencephalogram

EFT

Electronic Funds Transfer

EGD

Esophagogastroduodenoscopy

EIN

Employer Identification Number

EIP

Emerging Infections Program

EKG

Electrocardiogram

ELC

Epidemiology and Laboratory Capacity

EMG

Electromyography

EMR

Electronic Medical Record

EMS

Emergency Medical Services

EMT

Emergency Medical Technician

ENT

Ear, Nose, and Throat

EOB

Explanation of Benefits

EOG

Electro-Oculogram

EOMB

Explanation of Medicare Benefits

EOPS

Explanation of Pending Status

EPO

Erythropoietin Alfa

EPSDT

Early and Periodic Screening, Diagnosis, and Treatment

ER

Emergency Room

ER&S

Electronic Remittance and Status Report

ERCP

Endoscopic Retrograde Cholangiopancreatography

eSP™

eScreener Plus

ESRD

End Stage Renal Disease

FDA

(United States) Food and Drug Administration

FEV

Forced Expiratory Volume

FFP

Federal Financial Participation

FFY

Federal Fiscal Year

FIUT

Fetal Intrauterine Transfusion

FMAP

Federal Medical Assistance Percentage

FNP

Family Nurse Practitioner

FOC

Frontal Occipital Circumference

FPL

Federal Poverty Level

FQHC

Federally Qualified Health Center

FQS

Federally Qualified Satellite

FSR

Financial Status Report

FTA

Fluorescent Treponemal Antibody Absorbed

FTS

Full Time Student

FY

Fiscal Year

FYE

Fiscal Year End

GAF

Global Assessment of Functioning

GAO

General Accounting Office

G-CSF

Granulocyte-colony Stimulating Factors

GED

Gastrointestinal Endoscopy

GM-CSF

Granulocyte-Macrophage Colony Stimulating Factor

GME

Graduate Medical Education

GYN

Gynecology/Gynecological

HASC

Hospital-based Ambulatory Surgical Center

H.B.

House Bill

HBOT

Hyperbaric Oxygen Therapy

HBV

Hepatitis B Virus

HCFA

Health Care Financing Administration

HCPCS

Healthcare Common Procedure Coding System

HCS

Home and Community-Based Services

HDL

High Density Lipoproteins

HEENT

Head, Eyes, Ears, Nose, and Throat

HepA

Hepatitis A

HepB

Hepatitis B

HFCWCS

High-Frequency Chest Wall Compression System

HHA

Home Health Aide

HHS

(United States Department of) Health and Human Services

HHSC

(Texas) Health and Human Services Commission

HIC

Health Insurance Claim (Number)

HIPAA

Health Insurance Portability and Accountability Act

HIPPS

Health Insurance Premium Payment System

HIV

Human Immunodeficiency Virus

HLD

Handicapping Labio-Lingual Deviations

HMO

Health Maintenance Organization

HOTV

A type of eye test chart that uses the letters H, O, T, and V

HPRT

Hypoxanthine-guanine phosphoribosyltransferase

HPV

Human Papillomavirus

HRC

Texas Human Resource Code

HSC

Texas Health and Safety Code

HTLV

Human T-cell lymphotrophic virus

ICD-9-CM

International Classification of Diseases, Ninth Revision, Clinical Modification

ICF

Intermediate Care Facility (see also SNF and ECF)

ICF-MR

Intermediate Care Facility for the Mentally Retarded

ICHP

Institute for Child Health Policy

ICM

Integrated Care Management

ICN

Internal Control Number (in 24-digit Medicaid ICN)

ID

Identification

IDCU/TB

Infectious Disease Control Unit Tuberculosis Program

IDEA

Individuals with Disabilities Education Act

IEP

Individualized Education Plan

IFSP

Individualized Family Service Plan

IM

Intramuscular

IMD

Institution for Mental Diseases

ImmTrac

Immunization Tracking system

IOL

Intraocular Lens

IPD

Intermittent Peritoneal Dialysis

IPPB

Intermittent Positive-Pressure Breathing

IPV

Intrapulmonary Percussive Ventilation

IRF

Inpatient Rehabilitation Facility

IRS

Internal Revenue Service

ISD

Independent School District

ITP

Idiopathic Thrombocytopenia

IUD

Intrauterine Device

IV

Intravenous

JCIH

Joint Committee on Infant Hearing

KUB

Kidneys, Ureters, Bladder

LASIK

Laser-Assisted in Situ Keratomileusis

LCDC

Licensed Chemical Dependency Counselor

LCSW

Licensed Clinical Social Worker

LDL

Low Density Lipoprotein

LEA

Local Education Agency

LEP

Limited English Proficiency

LLC

Limited Liability Company

LMFT

Licensed Marriage and Family Therapist

LMP

Last Menstrual Period

LOCM

Low Osmolar Contrast Material

LOS

Length of Stay

LPC

Licensed Professional Counselor

LPTA

Licensed Physical Therapist Assistant

LTBI

Latent Tuberculosis Infection

LTC

Long Term Care

LTCH

Long Term Care Hospital

LVN/LPN

Licensed Vocational Nurse/Licensed Practical Nurse

MAO

Medical Assistance Only

MCH

Maternal and Child Health

MCLS

Mucocutaneous Lymph Node Syndrome

MCO

Managed Care Organization

MCP

Monthly Capitation Payment

MD

Doctor of Medicine

MDCP

Medically Dependent Children Program

MFADS

Medicaid Fraud and Abuse Detection System

MFCU

Medicaid Fraud Control Unit

MH

Mental Health

MMPI

Minnesota Multiphasic Personality Inventory

MMWR

Morbidity and Mortality Weekly Report

MNC

Medically Needy Clearinghouse

MNP

Medically Needy Program

MPI

Medicaid Program Integrity

MQMB

Medicaid Qualified Medicare Beneficiary

MR

Mental Retardation

MR

Mentally Retarded

MRA

Magnetic Resonance Angiography

MRAN

Medicare Remittance Advice Notice

MRDA

Mental Retardation Diagnosis Assessment

MREP

Medicare Remit Easy Print

MRI

Magnetic Resonance Imaging

MRLA

Mental Retardation Local Authority

MRSA

Methicillin Resistant Staphylococcus Aureus

MRT

Magnetic Resonance Technology

MSC

Maternity Service Clinic

MSRP

Manufacturer's Suggested Retail Price

MTP

Medical Transportation Program

MUA

Medically Underserved Area

MUP

Medically Underserved Population

NBS

Newborn Screen (Neonatal Screen)

NCQA

National Committee for Quality Assurance

NCVIA

National Childhood Vaccine Injury Act

NEC

Not Elsewhere Classified

NF

Nursing Facility

NG

Nasogastric

NICU

Neonatal Intensive Care Unit

NMDP

National Marrow Donor Program

NOS

Not Otherwise Specified

NP

Nurse Practitioner

NPI

National Provider Identifier

NPR

Notice of Program Reimbursement

NSAID

Nonsteriodal Anti-inflammatory Drugs

NUCC

National Uniform Claim Committee

OAE

Otoacoustic Emissions

OAG

Office of the Attorney General

OB

Obstetrics

OB-GYN

Obstetric and Gynecology

OBRA

Omnibus Budget Reconciliation Act

OCR

Office of Civil Rights

OD

Doctor of Optometry

OI

Other Insurance

OIG

Office of the Inspector General

OMT

Osteopathic Manipulation Treatment

OPO

Organ Procurement Organization

OPT/SP

Outpatient Physical Therapy/Speech Pathology

OPTN

Organ Procurement and Transportation Network

ORF

Outpatient Rehabilitation Facility

OSHA

Occupational Safety and Health Administration

OT

Occupational Therapy

OTC

Over the Counter

PA

Physician Assistant

PACT

Program for Amplification for Children of Texas (Hearing Aids/Services)

PAN

Prior Authorization Number

PASARR

Preadmission (MH/MR) Screening and Annual Resident Review

PC

Personal Computer

PCCM

Primary Care Case Management (Program)

PCN

Patient Control Number

PDA

Personal Digital Assistant

PDF

Portable Document Format

PDN

Private Duty Nursing

PE

Presumptive Eligibility

PENS

Percutaneous Electrical Nerve Stimulator

PEP

Positive Expiratory Pressure

PHC

Primary Home Care

PIC

Provider Information Change

PIF

Provider Information Form

PIP

Personal Injury Protection

PKU

Phenylketonuria

P.L.

Public Law

PNP

Pediatric Nurse Practitioner

POC

Plan of Care

POS

Place of Service

PPD

Purified Protein Derivative

PPMP

Physician Performed Microscopy Procedure (CLIA-Certified)

PPO

Preferred Provider Organization

PPS

Prospective Payment System

PRK

Photorefractive Keratectomy

PRN

Pro Re Nata (As Needed)

PT

Physical Therapy

PTA

Percutaneous Transluminal Angioplasty

QA

Quality Assurance

QC

Quality Control

QCC

Qualified Credentialed Counselor

QMB

Qualified Medicare Beneficiary

R&S

Remittance and Status report

RBRVS

Resource-Based Relative Value Scale

RDC

Renal Dialysis Center

RDI

Respiratory Disturbance Index

RDS

Respiratory Distress Syndrome

REM

Rapid Eye Movement

RFP

Request For Proposal

RGO

Reciprocating Gait Orthoses

RHC

Rural Health Clinic

RIMS

Referral Identification Monitoring System

RN

Registered Nurse

RPR

Rapid Plasma Reagin

RR

Reference Range

RSDI

Retirement Survivors Disability Insurance

RSV

Respiratory Syncytial Virus

RVU

Relative Value Unit

SA

Service Area

SADMERC

Statistical Analysis DME Regional Carrier

SAR

State Action Request

SARS

Severe Acute Respiratory Syndrome

S.B.

Senate Bill

SCID

Severe Combined Immunodeficiency

SDA

Standard Dollar Amount

SED

Serious Emotional Disturbance

SFY

State Fiscal Year (September 1 - August 31)

SHARS

School Health and Related Services

SID

Surface Identification

SIDS

Sudden Infant Death Syndrome

SIMV

Synchronized intermittent mandatory ventilation

SLIAG

State Legalization Impact Assistance Grant

SLP

Speech-Language Pathology

SNF

Skilled Nursing Facility (see also ICF and ECF)

SOC

Start of Care (concerning Home Health Services claims)

SPMI

Severe and Persistent Mental Illness

SQ/SC

Subcutaneous

SSA

Social Security Administration

SSI

Supplemental Security Income (Program)

SSL

Secure Socket Layer

SSN

Social Security Number

ST

Speech Therapy

STAR

State of Texas Access Reform (Program)

STD

Sexually Transmitted Disease

SUR

Surveillance/Utilization Review

TAA

Texas Access Alliance

TAC

Texas Administrative Code

TANF

Temporary Assistance for Needy Families

TB

Tuberculosis

TCADA

Texas Commission on Alcohol and Drug Abuse

TCU

Temperature Control Unit

TDCI

Texas Drug Code Index

TDD

Telecommunications Device for the Deaf

TEA

Texas Education Agency

TEFRA

Tax Equity and Fiscal Responsibility Act (of 1982)

TEHDI

Texas Early Hearing Detection and Intervention

TENS

Transcutaneous Electrical Nerve Stimulator

TESS

Texas Eligibility Screening System

THKAO

Thoracic-Hip-Knee-Ankle Orthoses

THSteps

Texas Health Steps

THSteps-CCP

Texas Health Steps-Comprehensive Care Program

TID

Tooth Identification Number

TIFB

Telecommunications Infrastructure Fund Board

TIN

Tax Identification Number

TMHP

Texas Medicaid & Healthcare Partnership

TMPPM

Texas Medicaid Provider Procedures Manual

TMRM

Texas Medicaid Reimbursement Methodology

TMRP

Texas Medical Review Program

TNA

Texas Nurses Association

TNF

Tumor Necrosis Factor

TOB

Type of Bill

TORCH

Toxoplasmosis, Other agents, Rubella, Cytomegalo virus, Herpes simplex (congenital perinatal infection)

TOS

Type of Service

TP

Type Program

TPI

Texas Provider Identifier

TPN

Total Parenteral Nutrition

TP-PA

Treponema pallidum Particle Agglutination

TPR

Third Party Resources

TRAM

Transverse Rectus Abdominis Myocutaneous

TSBDE

Texas State Board of Dental Examiners

TURP

Transurethral Resection of the Prostate

TVFC

Texas Vaccines for Children (Program)

TxDOT

Texas Department of Transportation

UB-04

Uniform Billing-04 (CMS-1450)

UCB

University of California at Berkeley

UM

Utilization Management

UNOS

United Network for Organ Sharing

UPIN

Universal Provider Identification Number or Unique Physician Identification Number

UR

Utilization Review

USC

United States Code

USDA

United States Department of Agriculture

VA

Veteran's Administration

VAERS

Vaccine Adverse Events Reporting System

VDP

Vendor Drug Program

VDRL

Venereal Disease Research Laboratory

VIS

Vaccine Information System or Vaccine Information Statement

VPN

Virtual Private Network

VRE

Vancomycin-resistant Enterococci

WAIS-R

Wechsler Adult Intelligence Scale-Revised

WHP

Women's Health Program

WIC

Women, Infants, and Children

YAG

Yttrium Aluminum Garnet