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ADHS/DBHS Provider Manual
Section 11.0 Definitions
 

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A | B | C | D | E | F | G | H | IL | M |N | O | P | Q | R | S | T | U | V |

834 Transaction Enrollment/Disenrollment

A
Abuse Section 5.3
Abuse Section 7.1
Abuse Section 7.4
Action
ADHS/DBHS Medication List
ADHS/DBHS Office of Grievance and Appeals
ADHS/DBHS Office of Human Rights
Administrative Hearing
Administrative Review
Adult Clinical Team
Advance Directive
Adverse Action or Decision
Adverse Drug Reaction
Age Groups
Alcohol and Drug Abuse Program
Annual Update
Appeal Resolution
Appeal Section 5.1
Appeal Section 5.5
Assessment
Assisted Living Facility

B
Behavioral Health Category Assignment
Behavioral Health Medical Practitioner
Behavioral Health Professional

Behavioral Health Recipient
Behavioral Health Related Field
Behavioral Health Technician

C
Certification of Need (CON)
Change
Child and Family Team
Claim
Claim Dispute
Clean Claim
Client Information System
Clinical Liaison
Clinical Teams
Closure
Commonly Encountered LEP Groups
Complaint
Complementary and Alternative Medicine (CAM)
Condition Requiring Investigation
Confidential HIV Information
Cost Avoidance
Court Ordered Evaluation
Credentialing
Cross-tapering
Cultural Competence

D
Danger to Others (DTO)
Danger to Self (DTS)
Dangerous
Day
De-identified Health Information
Denial
Descriptive Characteristics
Designated T/RBHA
Designated Record Set
Disability
Disenrollment
Drugs Used as a Restraint, Sub-Acute Agency
Dual Eligible

E
Edit
Emergency Behavioral Health Services

Emergency Safety Situation
Encounter
Engagement

Enrolled Person
Enrollment

Exploitation

F
Family
Family Member
Fee-for-Service
Filed
Flex Funds
Formulary
Fraud

G
General Consent
Gravely Disabled (GD)
Grievance or Request for Investigation

H
Health Care Decision-Maker
Health Care Power of Attorney
Health Care Professional
Health Care Provider
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
HIV Related Information
Home T/RBHA
Human Rights, ADHS/DBHS Office of
Human Rights Committees

I
Illegal
Immediate Response
Incapacity
Incident or Accident
Independent Living Setting
Individual
Individually Identifiable Health Information
Informed Consent
Inhumane
Inpatient Services
Institution for Mental Disease
Institutionalized Individual
Intake
Intake/Enrollment
Interpretation
Interventions

L
Letter of Authorization
Level I Inpatient Treatment Program

Level II Facility
Limited Authorization
Limited English Proficiency
Linguistic Competence

M
Mechanical Restraint
Mechanical Restraint, Sub-Acute Agency
Medical Institution
Medical Records
Medically Necessary Covered Services
Medicare Advantage Prescription Drug Plan
Medication Error
Medication Formulary
Mental Disorder
Mental Health Care Power of Attorney
Mistreatment

N
Natural Support
Non-QMB Dual
Notice of Privacy Practices (NPP)

O
OMB
Outcome Measures
Outreach
Out-of-Area Service

P
PASRR
Payment Records
PC
Persistently or Acutely Disabled (PAD)
Personal Restraints
Personal Restraint- Level I Psychiatric Acute Hospital Programs
Personal Restraint- Residential Treatment Centers Providing Services to Persons under the Age of 21
Personal Restraint, Sub-Acute Agency
Post Stabilization Services
Pre-petition Screening
Prescriber
Prescription Drug Plan
Prevention Activity
Primary Source Verification
Prior Authorization
Prior Period Coverage
Privileging
Provider Appeal
Protected Health Information
Prudent Layperson
Psychiatric Acute Hospital

Q
QMB Dual
Qualified Clinician
Qualified Interpreter-Translator
Qualified Service Organization

R
Recertification of Need (RON)
Reduction of Service
Re-engagement
Referral for Behavioral Health Services
Residence
Resident Review
Residential Treatment Center
Restraints
Retro-eligibility Claim
Routine Response

S
Sanction
Seclusion
Seclusion- Individuals Determined to have a Serious Mental Illness
Seclusion- Level I Programs
Seclusion, Sub-Acute Agency
Serious Injury
Serious Mental Illness
Serious Mental Illness MI 5.3
Serious Occurrence
Service Authorization Request
Service Plan
Single Case Agreement
Sound Methodology
SP
Special Assistance

Specialized Services
State Placing Agencies

Statistical Significance
Study Indicator
Sub-Acute Facility
Suspension of Service

T
Team
Telemedicine
Termination of Service
Third Party Liability
Transfer
Translation

U
Urgent Response

V
Voluntary Evaluation

W
Working Day

 

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