Acronyms
Acronym for Health Benefit Exchange
What is HBX?
The period of time a person is eligible for Medicaid services.
What is a Certification Period?
Acronym for Supplemental Security Income
What is SSI?
It's a managed care organization - a health insurance provider.
What is an MCO?
Acronym for Medical Assistance
What is MA?
Acronym for Advanced Premium Tax Credit
What is APTC?
A short-term medical care program, which allows a consumer to receive Medicaid without providing necessary verification(s).
What is Presumptive Eligibility?
Acronym for Maryland Children’s Health Program
What is MCHP?
The health insurance exchange created in Maryland as required by the ACA.
What is the Maryland Health Benefit Exchange?
Acronym for Social Security Number
What is SSN?
Acronym for Federal Poverty Level
What is FPL?
The availability of coverage for incurred medical expenses covered under the state plan for a period not to exceed 3 months before the month of application.
What is Retroactive Coverage?
Acronym for Code of Maryland Regulations
What is COMAR?
A family member other than the parent who applies for insurance for a child for whom they are caring.
Who is a caretaker relative?
Acronym for Cost Sharing Reduction
What is CSR?
Acronym for Special Enrollment Period
What is SEP?
The process of renewing Medicaid eligibility, also known as reapplying, recertification, or renewal.
What is a Redetermination?
Acronym for Qualified Health Plan
What is QHP?
The organization responsible for reviewing the use of medical services to determine medical necessity and lengths of stay according to professional standards.
What is a Utilization Control Agent?
Acronym for Primary Care Physician
What is PCP?
Acronym for Certificate Turn-A-Round Document
What is CTAD?
A redetermination scheduled for any date prior to the original redetermination date.
What is an Unscheduled Redetermination?
Acronym for End Stage Renal Disease
What is ESRD?
Telligen is the utilization control agent for the state of Maryland. They determine if a medical service received was of an emergent nature for our undocumented and ineligible alien population.
Who is Telligen?
Acronym for Public Assistance Reporting System
What is PARIS?