Table of Acronyms and Abbreviations

ABA

Applied Behavior Analysis

ACD

Autism Care Demonstration

ADFM

Active Duty Family Member

ADI-R

Autism Diagnostic Interview, Revised

ADOS-2

Autism Diagnostic Observation Schedule, Second Edition

ADSM

Active Duty Service Member

APC

Ambulatory Payment Classification

ASC

Ambulatory Surgery Center

ASD

Autism Spectrum Disorder

BCaBA

Board Certified Assistant Behavior Analyst

BCBA

Board Certified Behavior Analyst

BCBA-D

Board Certified Behavior Analyst – Doctoral

BT

Behavior Technician

CAC

Common Access Card

CAH

Critical Access Hospital

CARF

Commission on Accreditation of Rehabilitation Facilities

CARS-2

Childhood Autism Rating Scale, Second Edition

CC

Convenience Clinic

CCN

Community Care Network

CFR

Code of Federal Regulations

CHAMPUS

Civilian Health and Medical Program of the Uniformed Services

CHCBP

Continued Health Care Benefits Program

CLIA

Clinical Laboratory Improvement Amendments

CMAC

CHAMPUS Maximum Allowable Charge

CMHC

Community Mental Health Center

CMN

Certificate of Medical Necessity

CMS

Centers for Medicare & Medicaid Services

CNM

Certified Nurse Midwife

CoA

Council on Accreditation

COB

Coordination of Benefits

CONUS

Continental United States

CPNS

Certified Psychiatric Nurse Specialist

CPT

Current Procedural Terminology

CQM

Clinical Quality Management

CSP

Corporate Services Provider

DBN

Department of Defense Benefits Number

DCAO

Debt Collection Assistance Officer

DDS

Doctor of Dental Surgery

DEERS

Defense Enrollment Eligibility Reporting System

DHA

Defense Health Agency

DHA-GL

Defense Health Agency-Great Lakes

DM

Disease Management

DMD

Doctor of Dental Medicine

DMEPOS

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

DO

Doctor of Osteopathic Medicine

DOD

Department of Defense

DPM

Doctors of Podiatric Medicine

DRG

Diagnosis-Related Group

ECHO

Extended Care Health Option

EDI

Electronic Data Interchange

EFMP

Exceptional Family Member Program

EFT

Electronic Funds Transfer

EHHC

ECHO Home Health Care

EHR

Electronic Health Record

EIN

Employer Identification Number

EOB

Explanation of Benefits

ePHI

Electronic Protected Health Information

ERA

Electronic Remittance Advice

Express Scripts

Express Scripts, Inc.

FDA

Food and Drug Administration

GAD

Generalized Anxiety Disorder

GARS-3

Gilliam Autism Rating Scale, Third Edition

H&P

History and Physical

HCPCS

Healthcare Common Procedure Coding System

HEDIS

Healthcare Effectiveness Data and Information Set

HHA

Home Health Agency

HIPAA

Health Insurance Portability and Accountability Act of 1996

HMO

Health Maintenance Organization

HPSA

Health Professional Shortage Area

ICD-10-CM

International Classification of Diseases, 10th Revision, Clinical Modification

ID

Identification

IDME

Indirect Medical Education

IOP

Intensive Outpatient Program

IRS

Internal Revenue Service

LDT

Laboratory Developed Test

LOD

Line of Duty

MD

Doctor of Medicine

MDD

Major Depressive Disorder

MHS

Military Health System

MTF

Military Treatment Facility

MUE

Medically Unlikely Edit

NATO

North Atlantic Treaty Organization

NCPDP

National Council for Prescription Drug Programs

NDC

National Drug Code

NOC

Not Otherwise Classified

NP

Nurse Practitioner

NPI

National Provider Identifier

NPPES

National Plan and Provider Enumeration System

OD

Doctor of Optometry

OHI

Other Health Insurance

OPPS

Outpatient Prospective Payment System

OT

Occupational Therapy

OTP

Opioid Treatment Program

PA

Physician Assistant

PCL

PTSD Checklist

PCM

Primary Care Manager

PDDBI

Pervasive Developmental Disorder Behavior Inventory

PDMP

Prescription Drug Monitoring Program

PGBA

PGBA, LLC

PH

Population Health

PHI

Protected Health Information

PHP

Partial Hospitalization Program

PHQ-8

Patient Health Questionnaire 8

PII

Personally Identifiable Information

PMP

Prescription Monitoring Program

POA

Present On Admission

POC

Point of Contact

POS

Point of Service

PPS

Prospective Payment System

PQI

Potential Quality Issue

PRO

Peer Review Organization

PSA

Prime Service Area

PSI

Parental Stress Index

PT

Physical Therapy

PTSD

Post-Traumatic Stress Disorder

QASP-S

Qualified Autism Service Practitioner – Supervisor

RADS

Referral and Authorization Decision Support

RTC

Residential Treatment Center

RVU

Relative Value Unit

SAS

Specified Authorization Staff

SCH

Sole Community Hospital

SHCP

Supplemental Health Care Program

SIPA

Stress Index for Parents of Adolescents

SMCM

Specialty Medication Care Management

SNF

Skilled Nursing Facility

SRS

Social Responsiveness Scale

SSN

Social Security Number

ST

Speech Therapy

STAT

Screening Tool for Autism in Toddlers and Young Children

SUD

Substance Abuse Disorder

SUDRF

Substance Use Disorder Rehabilitation Facility

T-5

TRICARE next generation contract beginning 2025

TAMP

Transitional Assistance Management Program

TCMHC

TRICARE-Certified Mental Health Counselor

TCSRC

Transitional Care for Service-Related Conditions

TDEFIC

TRICARE Dual-Eligible Fiscal Intermediary Contract

TFL

TRICARE For Life

THHCPPS

TRICARE Home Health Care Prospective Payment System

TIN

Tax Identification Number

TJC

The Joint Commission

TOM

TRICARE Operations Manual

TOP

TRICARE Overseas Program

TPL

Third Party Liability

TPM

TRICARE Policy Manual

TPR

TRICARE Prime Remote

TPRADFM

TRICARE Prime Remote for Active Duty Family Members

TQMC

TRICARE Quality Monitoring Contractor

TriWest

TriWest Healthcare Alliance

TRM

TRICARE Reimbursement Manual

TRR

TRICARE Retired Reserve

TRS

TRICARE Reserve Select

TYA

TRICARE Young Adult

UCC

Urgent Care Center

VA

Department of Veterans Affairs