ADLs

Activities of Daily Living

AAHP

American Association of Health Plans

ASO

Administrative Services Only

ALOS

Average Length of Stay

BCBS

Blue Cross Blue Shield

CAP/C

Community Alternatives Program for Children

CAP-MR/DD

Community Alternative Placement Program for Children and Adults with Mental Retardation or Developmental Disabilities

CHC

Community Health Center

DEC

Developmental Evaluation Centers

DOI

Department of Insurance

DRG

Diagnostic Related Groups

DME

Durable Medical Equipment

EOC

Evidence of Coverage

EPSDT

Early and Periodic Screening, Diagnosis and Treatment

ERISA

Employee Retirement Income Security Act

EOB

Explanation of Benefits

FDA

Food and Drug Administration

FFS

Fee-for-Service

HCFA

Health Care Financing Administration

HIPAA

Health Insurance Portability and Accountability Act

HMO

health maintenance organization

HEDIS

Health Plan Employer and Data Information Set

IDEA

Individuals with Disabilities Education Act

IPA

Independent Practice Association

IDS

Integrated Delivery System

IDN

Integrated Delivery Network

JCAHO

Joint Commission on Accreditation of Healthcare Organizations

LOS

Length of Stay

LTC

Long-term Care

MCO

Managed Care Organization

MEWA

Multiple Employer Welfare Arrangement

NAIC

National Association of Insurance Commissioners

NC DHHS

North Carolina Department of Health and Human Services

NCQA

National Committee for Quality Assurance

NP

Nurse Practitioner

OB-GYN

Obstetrician-Gynecologist

OTC

Over the Counter

PA

Physician Assistant

PCP

Primary Care Provider

PPO

Preferred Provider Organization

PCCM

Primary Care case management

PMPM

Per Member Per Month

PSA

Prostrate Specific Antigen

UCR

Usual, Customary and Reasonable Charges

URO

Utilization Review Organizations

US DHHS

US Department of Health and Human Services