Revision 14-0; Effective April 11, 2014


APS Adult Protective Services
CARE Client Assessment, Review and Evaluation
CCP Comprehensive Care Program
CMS Centers for Medicare & Medicaid Services
DME durable medical equipment
DSHS Texas Department of State Health Services
EDP Emergency Dental Program
EDS emergency dental services
EOB Explanation of Benefits
EPSDT Early and Periodic Screening, Diagnosis and Treatment
EIN employer identification number (9 digits, issued by the Internal Revenue Service)
HHSC Texas Health and Human Services Commission
ICD-9-CM International Classification of Diseases, Ninth Revision, Clinical Modification
ICF/IID intermediate care facilities for individuals with an intellectual disability or related conditions
IME incurred medical expense
MAO medical assistance only
MDS Assessment Minimum Data Set Assessment
ME Medicaid eligibility
MED Medicaid eligibility date
MEPD Medicaid for the Elderly and People with Disabilities
MESAV Medicaid Eligibility Service Authorization Verification
MI mental illness
MN medical necessity
NATCEP Nurse Aide Training and Competency Evaluation Program
NF nursing facility
OBRA Omnibus Budget Reconciliation Act
PASRR Preadmission Screening and Resident Review
PC purpose code
Permanent MN permanent medical necessity
PIN payee identification number (14 digits)
RC related condition
Regulatory Services DADS division of Regulatory Services
RUGs Resource Utilization Groups
SNF skilled nursing facility (Medicare)
SSA Social Security Administration
SSI Supplemental Security Income
TILE Texas Index for Level of Effort
TMHP Texas Medicaid & Healthcare Partnership