Human Service Acronyms
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AAA – Area Agencies on Aging
- There are 13 planning and service areas in Illinois known as AAA’s, one for each region of the state. 12 NPO’s and the other is a state government – the city of Chicago. Area Agencies have the primary task of planning and coordinating services and programs for older people in their respective areas. They are a department within the Department of Aging.
ACA –Affordable Care Act
- The federal health insurance law passed in 2010 – commonly known as “Obamacare”
ACE – Accountable Care Entity
- The fourth type of MCE – set to be rolled out July 1st, 2014. ACE’s are coordinated networks of providers offering Medicaid services and it will initially enroll children and their family members, with an option to enroll “newly eligible” adults under ACA. Each ACE will have a minimum of primary care, specialty care, hospitals, and behavioral healthcare.
ACL – Administration for Community Living
- A Center for Independent Living (CIL) is a nonprofit agency that assists people with all types of disabilities. CIL’s are consumer-controlled.
ADRC – Aging Disability Resource Center (Network)
- “ADRC’s are coordinated point of entry or NWD of access to LTSS and include aging and disability network stakeholders.
BCBA – Board Certified Behavior Analyst
- National certification by the Behavior Analyst Certification Board to provide ABA or behavior therapy to a variety of populations. Eligibility includes education (Master’s Degree), on-the-job training, national competency testing and continuing education. BCBAs are approved to provide Behavior Intervention and Support services under the current developmental disability Medicaid Waivers. Some states have begun to implement state licensing of BCBAs.
BFR – Budgeting for Results
- A data-driven initiative in Illinois that ties the allocation of funds to specific performance measures.
BIP – Balancing Incentive Program
- The BIP provides financial incentives to States to increase access to non-institutionally based long-term services and supports (LTSS).
CCAP – Child Care Assistance Programs
- DHS’ Child Care Assistance Program provides low-income, working families with access to quality, affordable child care that allows them to continue working and contributes to the healthy, emotional and social development of the child. Families are required to cost-share on a sliding scale based on family size, income and number of children in care.
CCMS – Child Care Management Systems
- The state of Illinois helps income-eligible families pay for the child care services needed to work or attend school, training and other work-related activities. If you think you may qualify, please submit an application to a Child Care Resource and Referral (CCR&R) agency or child care center/home who is contracted with DHS to provide child care subsidies.
CCR&R – Child Care Resources and Referrals
- Child Care Resource and Referral of Midwestern Illinois is a not-for-profit 501(c)3 social service agency. The agency is a part of a statewide network of child care resource and referral agencies funded by the Illinois Department of Human Services, as well as a part of the Child Care Aware National Network of Child Care Resource and Referral Agencies. Our office serves the Illinois counties of Henderson, Henry, Knox, McDonough, Mercer, Rock Island, and Warren. Our focus is on locating child care that is tailored to meet the needs of each family, helping families determine if they qualify for assistance in paying for child care, providing training for those who work with children, recruiting additional child care providers and providing relevant consultations in child care programs. The agency is also proud to advocate on behalf of children, families and early care and education professionals.
CCE – Coordinated Care Entity
- CCE’s are provider based networks and are a form of MCE’s and are primarily for seniors and persons with disabilities and children with complex medical needs. They enroll no more than 1,000 individuals per CCE.
CCMN – Children with Complex Medical Needs
- CCMN’s are a type of CCE that focuses on children with complex issues.
CCU – Care Coordination Units
- Local agencies where care coordinators are primarily based.
CCW – Child Care Worker
- Credential recognized by the Illinois Department of Children and Family Services (DCFS) for a person who has completed education (High School or equivalent), background checks, and training requirements. CCWs work in Children’s Group Homes licensed by DCFS and funded by the Illinois Department of Human Services (DHS) under the current Children’s Residential Medicaid Waiver.
CFCM – Conflict Free Case Management
- The model of case management that ensures there is no conflict of interest between the case manager and the individuals he/she serves – ensures that case managers are not benefiting from the advice they are giving. This is an aspect of the BIP.
CIL – Center for Independent Living
- CILs are non-profit, non-residential, advocacy and service organizations governed and operated by people with disabilities.
CMS – Centers for Medicare and Medicaid Services
- CMS is the federal entity within HHS responsible for overseeing Medicaid and Medicare.
COGFA – Commission on Government Forecasts and Accountability
- COGFA provides the Legislature with research and information regarding state and national economies, revenue projections and operations of Illinois Government.
CRV – Centralized Repository Vault
- A centralized online location where documents commonly required of service providers who contract with state agencies including DHS, DCFS, HFS, and DPH can be uploaded and stored, thus eliminating redundancy in contracting, reporting, monitoring, and auditing processes.
DCFS – Department of Children and Family Services
- An Illinois department charged with administering certain human services – primarily child abuse and neglect cases.
DD – Developmental Disability
- This is a diverse group of severe chronic conditions that are due to mental and/or physical impairments.
DHS – Department of Human Services
- An Illinois department charged with administering certain human services – including food assistance.
DOA – Department on Aging
- An Illinois department charged with administering certain human services – primarily services for seniors.
DON – Determination of Need
- The DON score is a measurement used to determine the level of need for services for individuals with disabilities. A higher DON score corresponds with a greater need for assistance with everyday tasks.
DPH – Department of Public Health
- An Illinois department charged with administering certain human services – primarily health promotion and disease prevention.
DRS – Department of Rehab Services
- An Illinois department charged with administering certain human services – primarily serving people with disabilities.
DSP – Direct Support Person
- Credential recognized by Illinois Department of Human Services for a person who has completed education (High School or equivalent), background checks, 120 hours of classroom and on-the-job competency based training requirements. DSPs work in a variety of programs under the current developmental disability Medicaid Waivers to provide active treatment and supports to persons with developmental disabilities. DSPs are entered on the Illinois DHS Direct Support Person Registry after completion of all training requirements.
DSHP – Designated State Health Programs
- Illinois also seeks to fund DSHPs through the 1115 waiver demonstration. These DSHPs include state health services provided by a variety of agencies, including the Department of Juvenile Justice (DJJ), the Division of Alcoholism and Substance Abuse (DASA), and the Illinois State Board of Education (ISBE). The DSHPs will enable greater investment by Illinois in its behavioral healthcare system through the initiatives in this waiver as well as through a complementary set of SPAs that the State will submit for approval. These funds will be used to fill critical gaps in current behavioral health services and strengthen the delivery and effectiveness of these services.
EPSDT – Early and Periodic Screening, Diagnostic, and Treatment
- EPSDT provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. It is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services.
FFM – Federally Facilitated Marketplace
- The federal healthcare exchange
FFS – Fee for Service
- A model of payment where services are paid for individually by individuals. Care Coordination will replace FFS with capitated forms of payment.
FMAP – Federal Medical Assistance Percentage
- Basis for federal government Medicaid allocations to individual states.
GATA – Grant Accountability and Transparency Act
- Passed in July 2014, this Act overhauls the state grant-making process in Illinois through increased transparency and oversight and by streamlining grant application requirements.
GATU – Grant Accountability and Transparency Unit
- The entity responsible for the state’s rule-making, implementation, and monitoring process in compliance with GATA.
GOHIT – Governor’s Office of Health Innovation and Transformation
- Illinois created the Office of Health Innovation and Transformation to replace the existing Office of Health Information Technology and is charged with carrying out innovations and projects created by the Alliance for Health
GOMB – Governor’s Office of Management and Budget
- The office responsible for preparing the annual state budget and advising the Governor on revenue availability and allocation and resources.
HCBS – Home and Community Based Services
- HBCS are the alternative to facility based services – seniors and people with complex needs can find housing in more of a community setting instead of isolation.
HFS – Housing and Family Services
- The department in Illinois primarily responsible for implementing and administering care coordination and many human services.
HHS – Health and Human Services
- The federal department charged with managing Medicaid, Medicare, and the ACA.
HSC – Human Services Commission
- The HSC was established in 2009 and formalized by law in 2013 to conduct a systematic review of human services programs with the goal of ensuring the implementation of best practices within the human services field.
ICP – Integrated Care Program
- The ICP is a program for older adults, and adults with disabilities, who are eligible for Medicaid, but not eligible for Medicare. ICP’s served as the pilot program for coordinated care.
ICF/IID (Sometimes ICF/MR) – Institutional Care Facilities for Individuals with Intellectual Disabilities
- This is an optional Medicaid benefit that enables States to provide comprehensive and individualized health care and rehabilitation services to individuals to promote their functional status and independence. Although it is an optional benefit, all States offer it, if only as an alternative to home and community-based services waivers for individuals at the ICF/IID level of care.
IDS – Integrated Delivery System
- Integrated delivery systems have the ability to employ team-based care practices, accept and disburse payments and financial incentives to providers within their system, and provide performance reports and counseling to individual doctors and practices.
ILSAC – Illinois Single Audit Commission
- The body responsible for oversight of the Grant Accountability and Transparency Act rulemaking, implementation, and monitoring process.
IHIE – Illinois Health Information Exchange
- A statewide, secure electronic transport network for sharing clinical and administrative data among healthcare providers in Illinois and bordering states.
IMRP – Illinois Medicaid Redetermination Project
- The Illinois Medicaid Redetermination Project (IMRP) will improve Medicaid integrity by validating that clients who qualify for medical benefits receive them, while those that are not qualified are dis-enrolled. The state’s Medicaid program will use advanced data matching technology to verify income and residency of the state’s 2.7 million Medicaid clients on an annual basis.
JCAR – Joint Committee on Administrative Rules
- The Joint Committee on Administrative Rules is a bipartisan legislative oversight committee of 12 legislators created by the General Assembly that reviews administrative rules for State agencies.
LCPC – Licensed Clinical Professional Counselor
- LCPC is a professional title used in Illinois to differentiate or more extensive professional experience or education level than a Professional Counselor.
LTSS -Long Term Support Systems
- CMS is working in partnership with states, consumers and advocates, providers and other stakeholders to create a sustainable, person-driven long-term support system in which people with disabilities and chronic conditions have choice, control and access to a full array of quality services that assure optimal outcomes, such as independence, health and quality of life.
MAC – Medicaid Advisory Committee
- The Medicaid Advisory Committee (MAC) advises the Department of Healthcare and Family Services with respect to policy and planning related to care coordination and other health related tasks.
MCCN – Managed Care Community Network
- MCCN’s are provider based networks for seniors, people with disabilities, children and their families depending on the structure of the MCCN.
MCE – Managed Care Entity
- The generic term for a model of care coordination – the four models being MCO’s, CCE’s, ACE’s, and MCCN’s.
MCO – Managed Care Organization
- An MCO is an HMO or HMO-like health plan that has its own network of doctors and hospitals. Clients that enroll in an MCO get all of their services from the doctors and hospitals that are in the MCO network unless they get approval from the MCO. MCO’s are the only type of MCE’s that are not provider based.
MMC – Medicaid Managed Care
- Medicaid managed care Medicaid and additional services in the United States through an arrangement between a state Medicaid agency and managed care organizations (MCOs) that accept a set payment – “capitation” – for these services. There are two main forms of Medicaid managed care, “risk-based MCOs” and “primary care case management (PCCM).
MMAI – Medicare Medicaid Alignment Initiative
- Coordinated care model meant for individual receiving both Medicaid and Medicare.
MFP – Money Follows the Person
- The theory that individual transitioning out of facilities to HBCS should receive the same amount of funding that they each received in the facility they were in.
NWD – No Wrong Door
- The theory that an individual looking to gain information regarding options for disability/mental health services will receive the same information regardless of where the individual seeks the information from.
OASAC – Older Adult Services Advisory Committee
- The OASAC is a committee within the DOA established in Illinois in 2004 with the goal of promoting the transition from facility based services to HCBS.
PCCM – Primary Care Case Management
- Illinois’ Primary Care Case Management (PCCM) Program, called Illinois Health Connect, is a statewide health plan that is available to most persons covered by an HFS Medical Program. Illinois Health Connect is based on the American Academy of Pediatrics’ initiative to create medical homes to encourage delivery of healthcare services in the most appropriate setting and ensure access to preventive healthcare services.
QIDP – Qualified Intellectual Disability Professional
- Credential recognized by Illinois Department of Human Services for a person who has completed education (Bachelor’s Degree in Human Service field), experience, background checks, 40 hours of mandated training, and continuing education requirements. QIDPs work in a variety of programs under the current developmental disability Medicaid Waivers to provide case management services and supervise direct care staff.
SBIRT – Screening, Brief Intervention, and Treatment
- A prevention and early intervention program meant to reduce healthcare costs. Illinois intends to implement SBIRT through the 1115 Waiver.
SDH – Social Determinants of Health
- The social and economic circumstances in which individuals live in that can affect their health and the healthcare system in which individuals have access to.
SHA – State Health Assessment and SHIP –State Health Improvement Plan
- The focus on behavioral health has been informed by the State’s Healthy Illinois 2021 plan, which encompasses the SHA along with the SIM grant awards, and the SHIP. Together, these initiatives aim to align plans, processes, and resources to improve the health of Illinois residents.
SIM – State Innovation Model
- Illinois’ two State Innovation Model (SIM) design grant awards from the Center for Medicare and Medicaid Innovation – a Round One award in 2013 and a Round Two award in 2015 – helped the State to create focused and measurable health improvement strategies and identify behavioral health as a priority.
SMHRF – Specialized Mental Health Rehabilitation Facilities
- These facilities will specialize in the treatment of serious mental illness and often co-occurring substance use disorders. SMHRFs’ four levels of care encompass crisis intervention, acute stabilization, intermittent stays and long term services and supports within a residential setting.
SMI – Serious Mental Illness
- A mental illness that has duration of a least a year and impair at least two of the following: mood, thinking, family life, interpersonal skills, socio-legal standing, expected role impairment, or self-care needs (or a shorter period of time with at least four categories suffering impairment).
SNF – Skilled Nursing Facilities
- An inpatient healthcare facility with the staff and equipment to provide skilled care, rehabilitation and other related health services to patients who need nursing care, but do not require hospitalization.
SPD – Seniors and Persons with Disabilities
- Common grouping of individuals that are eligible to sign up for certain health insurance options or receive similar benefits.
SPA – State Plan Amendment
- A State Plan is a contract between a state and the Federal Government describing how that state administers its Medicaid program. It gives an assurance that a state abides by Federal rules and may claim Federal matching funds for its Medicaid program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative requirements that States must meet to participate.
SOC – Systems of Care
- “Systems of Care” is a healthcare service delivery approach that builds partnerships to create a broad, integrated process for meeting families’ multiple needs.
SROI – Social Return on Investment
- A measurement that takes into account not just the financial costs and benefits of programs and services, but also the social gains. ROI is a way to demonstrate the effectiveness and economic value of investing in human service programs.
SSAC – Social Services Advisory Council
- The SSAC is a public/private partnership created to advise the Illinois Department of Human Services on policy regarding the Department’s wide range of social service programs serving Illinois’ citizens.
UAT – Uniform Assessment Tool
- The UAT is meant to be a tool that can be utilized to assess every single individual that enters into care coordination or LTSS. It is meant to allow for similar and deep level testing for each individual.