Acronyms


South Carolina Medicaid acronyms



Browse the glossary using this index

Special | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | ALL

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A

ACA

Affordable Care Act

ADA

America Dental Association

AFDC

AG

ASO

Administrative Services Organization

B

BCBS

C

CARC

Claim Adjustment Reason Codes

CCN

CCR

Change Control Record

CLTC

Community Long-Term Care

CMS

Centers for Medicare & Medicaid Services

COB

Coordination of Benefits

CPT

CSO

Care Coordination Services Organization

D

DDSN

Department of Disabilities and Special Needs

DEERS

Defense Eligibility and Enrollment Reporting System

DHEC

DHHS

DME

Durable Medical Equipment

DMH

Department of Mental Health

DOB

Date of Birth

DOS

Date of Service

DSS

Department of Social Services

DVR

Department of Vocational Rehabilitation

E

ECF

Edit Correction Form

EDI

EFT

Electronic Funds Transfer

EMPS

Employee Performance Management System

EOB

EOMB

Explanation of Medicare Benefits

ER

Emergency Room

ERA

ESRD

End Stage Renal Disease

F

FAQs

Frequently Asked Questions

FFS

FOIA

FTP

G

GAPS

H

HCK

HIIRF

Health Insurance Information Referral Form

HIPAA

HIPP

Health Insurance Premium Payment Program

HMO

I

IPC

Integrated Personal Care

ISP

Internet Service Provider

IVRS

Interactive Voice Response System

L

LIF

LMS

M

MARS

MCCS

Medicaid Claims Control System

MCO

Managed Care Organization

MEDS

Medicaid Eligibility Determination System

MHN

Medical Homes Network

MIVS

MMIS

Medicaid Management Information System

N

NPI

O

OC

Other Coverage

OIG

Office of Inspector General

OSS

P

P/RSPCE

Preventive and Rehabilitative Services for Primary Care Enhancement

PA

Prior Authorization

PACE

Program of All Inclusive Care for the Elderly (PACE) program

PCCM

Primary Care Case Management

PCP

PEP

Physician Enhanced Program

PHI

PMPM

Per-Member-Per-Month

POS

Point of Sale

PSC

Provider Service Center

Q

QI

Qualifying Individual

QMB

Qualified Medicare Beneficiary

R

RA

RARC

Remittance Advice Reason Codes

REF

Reasonable Effort

S

SAO

State Auditor’s Office

SCDHHS

SCHA

South Carolina Hospital Association

SCHCC

South Carolina Healthy Connections Choices

SCHIP

SCMSA

South Carolina Medicaid Service Area

SCMWBCST

South Carolina Medicaid Web Based Claims Submission Tool

SLMB

Special Low Income Medicare Beneficiary

SSA

Social Security Administration

SSI

Supplemental Security Income

SURS

Surveillance and Utilization Review System

T

TAD

Turn Around Document

TEFRA

TPA

TPL

U

URL

V

VA

Veteran’s Administration

VR

Void/Replacement

W

WIC

WMCC

Medically Complex Children’s Waiver Program

WT


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