Frequent Flyer Acronyms & Terminology by

TCM

tracymatte — 2020-07-22 18:27:29 UTC

Targeted Case Managemnt

Comprehensive Service Provider

2020-07-22 18:27:32 UTC

Provider = Comprehensive Provider (e.g. LMHA)

2020-07-22 18:27:37 UTC

Wrap vs. wrap

2020-07-22 18:27:47 UTC

SHP

2020-07-22 18:27:57 UTC

Superior Health Plan

YES waiver

2020-07-22 18:28:10 UTC

Additional resources for child

CPA

2020-07-22 18:28:12 UTC

child placing agency

LMHA

tracymatte — 2020-07-22 18:28:18 UTC

Local Mental Health Authority
Every county is assigned an LMHA

TCM - targeted case management

2020-07-22 18:28:39 UTC

not CPS case management or healthplan case management, delivered service from the provider.

Provider - update to SB58

2020-07-22 18:28:43 UTC

Entity or Individuals that render health care services to Medicaid Clients (TMHP)

? - do they have to provide everything or just isolated services.

*Have to be able to do either full child set or adult set, some flexibility w/some subcontracting.

**TAC - really looked as it as a comprehensive package, SB58 has same language as a bundle. UMCM outlines some allowance to have capacity to do all, but not do all of it. Have to attest that you do all of it.

QMHP

2020-07-22 18:28:46 UTC

Qualified Mental Health Professional

2020-07-22 18:28:55 UTC

NCTSN
National Childhood Traumatic Stress Network

QMHP

2020-07-22 18:29:06 UTC

Qualified Mental Health Provider

2020-07-22 18:29:15 UTC

PCP
Primary Care Provider

2020-07-22 18:29:43 UTC

TXHS
Texas Health Steps

Credentialing

tracymatte — 2020-07-22 18:31:19 UTC

1. Medicaid Provider
2. Licensure

CMBHS

2020-07-22 18:31:22 UTC

"Columbus" system at state level;
CANS/ANSA sent here.

CANS: Texas Comprehensive vs. 2.0

2020-07-22 18:31:41 UTC

Specific to STAR Health
ANSA >18, done at beginning of group services and again at 90 days.
CANS <18

CMBHS

2020-07-22 18:31:59 UTC

Clinical Management for Behavioral Health Services

Levels of care (CPS vs. LMHA) - 4 levels of care reviewed

2020-07-22 18:33:59 UTC

ICM

2020-07-22 18:35:26 UTC

Intensive Case Management

RCM

2020-07-22 18:35:42 UTC

Routine Case Management

ANSA

mransom8 — 2020-07-22 18:35:59 UTC

TRR Services

2020-07-22 18:37:04 UTC

Texas Recovery & Resilience (older language for SB58 services/TCM and Rehabilitation Services)

TAC

2020-07-22 18:37:57 UTC

Texas Administrative Code

Uniform Managed Care Manual

2020-07-22 18:38:28 UTC

(UMCM)

Utilization Management Guidelines

2020-07-22 18:40:55 UTC

Attestation to MCO

tracymatte — 2020-07-22 19:02:55 UTC

Sign document that says, we are trained and credentialed to provide these services.

TMHP

tracymatte — 2020-07-22 20:28:04 UTC

NPI

tracymatte — 2020-07-22 20:28:22 UTC

National Provider Identification

TPI

tracymatte — 2020-07-22 20:28:44 UTC

Texas Provider Identification

TAC

tracymatte — 2020-07-22 20:29:27 UTC