A/EEG

Ambulatory Electroencephalogram

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

ACA

Affordable Care Act of 2010

ACD

Augmentative Communication Device

ACH

Automated Clearinghouse

ACIP

Advisory Committee on Immunization Practices

ADA

American Dental Association

ADL

Activity 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

API

Atypical Provider Identifier

APRN

Advanced Practice Registered 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

AWP

Average Wholesale Price

BCCS

Breast and Cervical Cancer Services

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

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

CBA

Community-Based Alternatives (Program)

CBC

Complete Blood Count

CBO

Community Based Organization

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

CHC

Comprehensive Health Centers

CHIP

Children’s Health Insurance Program

CIHCP

County Indigent Health Care Program

CLASS

Community Living Assistance and Support Services

CLIA

Clinical Laboratory Improvement Amendments

CLPPP

Childhood Lead Poisoning Prevention Program

CMS

Centers for Medicare & Medicaid Services

CMT

Chiropractic Manipulative Treatment

CNM

Certified Nurse-Midwife

CNS

Clinical Nurse Specialist

COP

Condition of Participation

COPD

Chronic Obstructive Pulmonary Disease

CORF

Comprehensive Outpatient Rehabilitation Facility

COTA

Certified Occupational Therapist Assistant

CPAP

Continuous Positive Airway Pressure

CPM

Continuous Passive Motion

CPR

Cardiopulmonary Resuscitation

CPT

Current Procedural Terminology

CRCP

Certified Respiratory Care Practitioner

CRF

Chronic Renal Failure

CRNA

Certified Registered Nurse Anesthetist

CSF

Colony Stimulating Factor

CSHCN

Children with Special Health Care Needs (Services Program)

CSI

Claim Status Inquiry

CT

Computed Tomography

dB

Decibel

DBS

Division for Blind Services

DC

Doctor of Chiropractic Medicine

DCN

Dorsal Column Neurostimulator

DDS

Doctor of Dental Surgery

DEA

Drug Enforcement Agency

DEFRA

Deficit Reduction Act (of 1984)

DFPS

Department of Family and Protective Services

DMD

Doctor of Medical Dentistry

DME

Durable Medical Equipment

DMERC

Durable Medical Equipment Regional Carrier

DNA

Deoxyribonucleic Acid

DO

Doctor of Osteopathy

DOB

Date of Birth

DOC

Dynamic Orthotic Cranioplasty

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

Diagnostic and Statistical Manual of Mental Disorders

DTaP

Diptheria and Tetanus Toxoids and Acellular Pertussis Vaccine

E/M

Evaluation and Management (Services)

EBLL

Elevated Blood Lead Level

ECC

Early Childhood Caries

ECF

Extended Care Facility

ECG

Electrocardiogram

ECI

Early Childhood Intervention

ECMO

Extracorporeal Membrane Oxygenation

ECT

Electroconvulsive Therapy

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

EKG

Electrocardiogram

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

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

ERA

Estrogen Receptor Assay

ERCP

Endoscopic Retrograde Cholangiopancreatography

eSP™

eScreener Plus

ESRD

End Stage Renal Disease

FDA

(United States) Food and Drug Administration

FES

Functional Electrical Stimulation

FFP

Federal Financial Participation

FFS

Fee-for-Service

FFY

Federal Fiscal Year

FIUT

Fetal Intrauterine Transfusion

FOC

Frontal Occipital Circumference

FPL

Federal Poverty Level

FPP

Family Planning Program

FQHC

Federally Qualified Health Center

FQS

Federally Qualified Satellite

FY

Fiscal Year

FYE

Fiscal Year End

GAA

Alpha-Glucosidase

G-CSF

Granulocyte Colony Stimulating Factors

GM-CSF

Granulocyte-Macrophage Colony Stimulating Factor

GME

Graduate Medical Education

GNS

Gastric Neurostimulation

GYN

Gynecology/Gynecological

HASC

Hospital-based Ambulatory Surgical Center

H.B.

House Bill

HBOT

Hyperbaric Oxygen Therapy

HBsAG

Hepatitis B Surface Antigen

HBV

Hepatitis B Virus

HCPCS

Healthcare Common Procedure Coding System

HCS

Home and Community-Based Services

HDL

High Density Lipoproteins

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

HIPP

Health Insurance Premium Payment

HIV

Human Immunodeficiency Virus

HLD

Handicapping Labio-Lingual Deviations

HNPCC

Hereditary Non-Polyposis Colorectal Cancer

HPV

Human Papillomavirus

HRC

Texas Human Resource Code

HRSA

Health and Human Services Health Resources and Services Administration

HSC

Texas Health and Safety Code

HTW

Healthy Texas Women

IADL

Instrumental Activity of Daily Living

ICD-9-CM

International Classification of Diseases, Ninth Revision, Clinical Modification

ICD-10-CM

International Classification of Diseases, Tenth Revision, Clinical Modification

ICD-10-PCS

International Classification of Diseases, Tenth Revision, Procedure Coding System

ICF

Intermediate Care Facility (see also SNF and ECF)

ICF-IID

Intermediate Care Facility for Individuals with Intellectual Disabilities

ICHP

Institute for Child Health Policy

ICN

Internal Control Number (in 24-digit Medicaid ICN)

ID

Identification

IDCU/TB

Infectious Disease Control Unit Tuberculosis Program

IDD

Intellectual or Developmental Disability

IDEA

Individuals with Disabilities Education Act

ID/RC

Intellectual Disability/Related Condition

IEP

Individualized Education Program

IFSP

Individualized Family Service Plan

IM

Intramuscular

IMD

Institution for Mental Diseases

ImmTrac2

Immunization Tracking system

IOL

Intraocular Lens

IPD

Intermittent Peritoneal Dialysis

IPIA

Improper Payments Information Act (of 2002)

IPPB

Intermittent Positive-Pressure Breathing

IPV

Intrapulmonary Percussive Ventilation

IRF

Inpatient Rehabilitation Facility

IRS

Internal Revenue Service

ISD

Independent School District

ISP

Internet Service Provider

IUD

Intrauterine Device

IV

Intravenous

JCIH

Joint Committee on Infant Hearing

KUB

Kidneys, Ureters, Bladder

LAIV

Live, Attenuated Influenza Vaccine

LASIK

Laser-Assisted in Situ Keratomileusis

LCDC

Licensed Chemical Dependency Counselor

LCSW

Licensed Clinical Social Worker

LDL

Low Density Lipoprotein

LEA

Local Education Agency

LIDDA

Local Intellectual or Developmental Disability Authorities

LLC

Limited Liability Company

LMFT

Licensed Marriage and Family Therapist

LMP

Last Menstrual Period

LOS

Length of Stay

LPA

Licensed Psychological Associate

LPC

Licensed Professional Counselor

LPN

Licensed Practical Nurse

LPTA

Licensed Physical Therapist Assistant

LTC

Long Term Care

LTCH

Long Term Care Hospital

LVEF

Left-Ventricle Ejection Fraction

LVN

Licensed Vocational Nurse

LVRS

Lung Volume Reduction Surgery

MAC

Medical Access Card

MAO

Medical Assistance Only

MAST

Multiple Radioallergosorbent Test

MBCC

Medicaid for Breast and Cervical Cancer

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

MRA

Magnetic Resonance Angiography

MRAN

Medicare Remittance Advice Notice

MREP

Medicare Remit Easy Print

MRI

Magnetic Resonance Imaging

MRSA

Methicillin Resistant Staphylococcus Aureus

MRT

Magnetic Resonance Technology

MSAFP

Maternal Serum Alpha-Fetoprotein

MSC

Maternity Service Clinic

MSRP

Manufacturer’s Suggested Retail Price

MTP

Medical Transportation Program

MUA

Medically Underserved Area

MUP

Medically Underserved Population

NBCCEDP

National Breast and Cervical Cancer Early Detection Program

NBS

Newborn Screen (Neonatal Screen)

NCCI

National Correct Coding Initiative

NCVIA

National Childhood Vaccine Injury Act

NDC

National Drug Code

NETT

National Emphysema Treatment Trial

NF

Nursing Facility

NG

Nasogastric

NMDP

National Marrow Donor Program

NMES

Neuromuscular Electrical Stimulation

NP

Nurse Practitioner

NPI

National Provider Identifier

NPPES

National Plan and Provider Enumeration System

NPR

Notice of Program Reimbursement

NSAID

Nonsteriodal Anti-inflammatory Drugs

NUCC

National Uniform Claim Committee

OAE

Otoacoustic Emissions

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 Inspector General

OMB

Office of Management and Budget

OMT

Osteopathic Manipulation Treatment

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, Occupational Therapist

OTC

Over the Counter

PA

Physician Assistant

PaCO2

Partial Pressure of Carbon Dioxide

PACT

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

PAN

Prior Authorization Number

PaO2

Partial Pressure of Oxygen

PASRR (formerly PASARR)

Preadmission Screening and Annual Resident Review

PC

Personal Computer

PCCM

Primary Care Case Management (Program)

PCN

Patient Control Number

PCS

Personal Care Services

PDA

Personal Digital Assistant

PDF

Portable Document Format

PDL

Preferred Drug List

PDN

Private Duty Nursing

PE

Presumptive Eligibility

PENS

Percutaneous Electrical Nerve Stimulator

PERM

Payment Error Rate Measurement

PET

Positron Emission Tomography

PHC

Primary Home Care

PhD

Doctor of Philosophy

PIC

Provider Information Change

PIF

Provider Information Form

PIP

Personal Injury Protection

PKU

Phenylketonuria

P.L.

Public Law

PLP

Provisionally Licensed Psychologist

POC

Plan of Care

POS

Place of Service

PPO

Preferred Provider Organization

PPS

Prospective Payment System

PRK

Photorefractive Keratectomy

PRN

Pro Re Nata (As Needed)

PRO

Peer Review Organization

PT

Physical Therapy, Physical Therapist

PVC

Premature Ventricular Contractions

QA

Quality Assurance

QC

Quality Control

QCC

Qualified Credentialed Counselor

QMB

Qualified Medicare Beneficiary

R&S

Remittance and Status Report

RAST

Radioallergosorbent Test

RBRVS

Resource-Based Relative Value Scale

RDC

Renal Dialysis Center

RDI

Respiratory Disturbance Index

RGO

Reciprocating Gait Orthoses

RHC

Rural Health Clinic

RN

Registered Nurse

RR

Reference Range

RSDI

Retirement Survivors Disability Insurance

RSV

Respiratory Syncytial Virus

RV

Residual Volume

RVU

Relative Value Unit

SA

Service Area

S.B.

Senate Bill

SC

Subcutaneous

SCI

Spinal Cord Injury

SCHIP

State Children’s Health Insurance Program

SDA

Standard Dollar Amount

SHARS

School Health and Related Services

SID

Surface Identification

SIMV

Synchronized Intermittent Mandatory Ventilation

SLIAG

State Legalization Impact Assistance Grant

SLP

Speech-Language Pathology

SMPA

Special Medical Prior Authorization

SNF

Skilled Nursing Facility (see also ICF and ECF)

SNS

Sacral Nerve Stimulator

SOC

Start of Care (concerning Home Health Services claims)

SQ

Subcutaneous

SRT

Speech Reception Threshold

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

SVT

Supraventricular Tachycardia

TAC

Texas Administrative Code

TANF

Temporary Assistance for Needy Families

TB

Tuberculosis

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

THKAO

Thoracic-Hip-Knee-Ankle Orthoses

THSteps

Texas Health Steps

TID

Tooth Identification Number

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

TNF

Tumor Necrosis Factor

TOB

Type of Bill

TOS

Type of Service

TP

Type Program

TPL

Third Party Liability

TPN

Total Parenteral Nutrition

TPR

Third Party Resource

TSBDE

Texas State Board of Dental Examiners

TTY

Teletypewriter

TURP

Transurethral Resection of the Prostate

TVFC

Texas Vaccines for Children (Program)

TWC

Texas Workforce Commission

TxHmL

Texas Home Living

UCB

University of California at Berkeley

UM

Utilization Management

UNOS

United Network for Organ Sharing

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 Statement

VNS

Vagal Nerve Stimulator

VPN

Virtual Private Network

VRE

Vancomycin-Resistant Enterococci

VSU

Vital Statistics Unit

WAIS-R

Wechsler Adult Intelligence Scale–Revised

WIC

Women, Infants, and Children (Program)