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All Services Plan The service coordination and payment authorization document that identifies goals, objectives and measurable outcomes for health and functioning of an individual on a waiver expected as a result of services provided by both formal and informal caregivers, and that addresses the physical and medical conditions of the individual.Ambulatory Surgery Center (ASC) A health care facility that specializes in providing surgery, pain management, and certain diagnostic services in an outpatient setting.Affordable Care Act (ACA) A federal health care reform law enacted in March 2010.Aged, Blind, Disabled (ABD) A Medicaid eligibility category defined as those Ohioans who financially qualify and are 65 or older, blind, or who have disabilities.Refers to a way of paying health care providers that is different from fee-for-service system. Examples include global payments and bundled or episodic payments. Usually includes mental health treatment, treatment related to health behaviors, and substance-abuse or addiction treatment Capitation - Payment based on a per-member, per-month basis rather than on individual procedural charges.Other models that retain fee-for-service payment but withhold or add a small percentage (such as shared savings or pay-for-performance) are also often called APMs. An alternative contracting model between Blue Cross Blue Shield of Massachusetts and providers where providers share risk with BCBS within a modified global budget. Carve-Out - Removal of a sub-category of care from a more general coverage plan or budget.

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Used to document when the advocate plans to follow up on the action taken. (1) 13.1.3 (1) - Added TAS to paragraph to clarify the definition of terms/use of abbreviations provided in Exhibit 13.1.3-1 are commonly used in TAS. (5) 13.1.3-1 - Eliminated abbreviations and terms AD, APTS, casework, circumvent the system, DI, FAA, FU/FD, ICP, SWAP, TR, TSI, TT. (4) 13.1.3-1 - Added abbreviations and terms ACA, AE, AIE, ANMF, APTC, ARC, ATA, ATAO, AUR, BFS, BM, BOE, BPR, CA, CADE, CABIC, CAWR, CCI, CEAS, CIS, DEDCA, DEDSA, DEDSA-PA, DEDSA-TA, e-trak, EIR, EUP, FATCA, GAB, **IA ADJ**, **IA CHKCL**, **IA Stat 60**, **IADA**, IAT, IDTVA, IGM, IMD, IMD SPOC, IPSU, IS&SP, ITA, ITAR, IVO, JRC, MEC, OBR, **Pay EXT**, PCA, *PDT*, PFANBATCGA, PII, PTC, QC, QRIS, Recon, SAED, SBU, SERP, SIRE, SLA, SPDER, SRP, **STAUP**, TASIS, TBOR, TDC, TPP, TPPI, TPRQ, VDS.Authorized Representative An authorized representative is an individual, age 18 or older, who stands in your place.You must provide a written statement naming the authorized representative and the duties the authorized representative may perform on your behalf.




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