Medicaid Moving Ahead in Uncertain Times: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2017 and 2018

Acronym Glossary

AAC – Actual Acquisition Cost

ACA – Affordable Care Act

ACO – accountable care organization

ASO – Administrative Services Organization

APCD – all-payer claims database

APM – alternative payment model

BH – behavioral health

CDC – The Centers for Disease Control and Prevention

CFC – Community First Choice

CHIP – Children’s Health Insurance Program

CHIPRA – Children’s Health Insurance Program Reauthorization Act of 2009

CMS – The Centers for Medicare and Medicaid Services

CON – Certificate of Need

CSHCNs – children with special health care needs

DBM – dental benefit manager

D-SNP – Medicare Dual Eligible Special Needs Plans

DSRIP – Delivery System Reform Incentive Program

DUR – drug utilization review

EAC – Estimated Acquisition Cost

ED – emergency department

EPSDT – Early and Periodic Screening, Diagnostic, and Treatment

FAD – Financial Alignment Demonstration

FDA – Food and Drug Administration

FFS – fee-for-service

FFY – federal fiscal year

FIDE-SNP – Fully Integrated Dual Eligible Special Needs Plans

FPL – federal poverty level

FQHC – federally qualified health center

FY – state fiscal year

GED – general educational development or diploma

HSA – health savings account

HCBS – home and community-based services

HEDIS – Healthcare Effectiveness Data and Information Set

HIT – health information technology

ICF-ID – intermediate care facilities for individuals with intellectual disabilities

ID/DD – intellectual and developmental disabilities

IEP – individualized education program

IMD – institutions for mental diseases

LTSS – long-term services and supports

MAGI – modified adjusted gross income

MAT – medication-assisted treatment

MCO – managed care organization

MED – morphine equivalent dose

MFP – Money Follows the Person (federal grant program)

MH – mental health

MLTSS – managed long-term services and supports

MLR – medical loss ratio

MME – morphine milligram equivalent

MMIS – Medicaid Management Information System

NADAC – National Average Drug Acquisition Costs

NCQA – National Committee for Quality Assurance

NEMT – non-emergency medical transportation

NF – nursing facility

OT – occupational therapy

P4P – pay for performance

PA – prior authorization

PACE – Programs of All-Inclusive Care for the Elderly

PCCM – primary care case management

PCMH – patient-centered medical home

PDL – preferred drug list

PDMP – Prescription Drug Monitoring Program

PHP – prepaid health plan

PIP – performance improvement projects

PMPM – per-member per-month

PT – physical therapy

RHC – rural health center

SED – serious emotional disturbance

SIM – State Innovation Models federal grant program

SMI – serious mental illness

SNAP – Supplemental Nutrition Assistance Program

SPA – State Plan Amendment

SSI – supplemental security income

SUD – substance use disorder

TPL – third party liability

VBP – value-based purchasing

WIC – Special Supplemental Nutrition Program for Women, Infants, and Children

Methods Appendix

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