ACA
Patient Protection and Affordable Care Act of 2010 (a.k.a PPACA)

ACEDS
Automated Client Eligibility Determination System

ACD
Automatic Call Distribution

APTC
Advanced Payment of Premium Tax Credit

BHP
Basic Health Plan

CAHPS
Consumer Assessment of Health Providers and Systems

CBO
Congressional Budget Office

CCIIO
The Center for Consumer Information and Insurance Oversight

CHIP
Children’s Health Insurance Program

CMCS
Center for Medicaid and CHIP Services

CMS
Center for Medicare and Medicaid Services

CO-OP
Cooperative Health Plan

CRM
Customer Relationship Management

CSR
Cost-Sharing Reduction

CTI
Computer Telephony Integration

DCAS
DC Access System

DCAP
DC Access Project

DHCF
DC Department of Health Care Finance

DHS
DC Department of Human Services

DISB
DC Department of Insurance, Securities, and Banking

DOH
DC Department of Health

DOL
US Department of Labor

DSH
Disproportionate Share Hospital

EHB
Essential Health Benefits

ESA
Economic Security Administration

FEHBP
Federal Employees Health Benefits Program (5 U.S.C. 8901, et seq.)

FFE
Federally Facilitated Exchange

FMAP
Federal Medical Assistance Percentage

FPL
Federal Poverty Level

FQHC
Federally Qualified Health Center

HBX
Health Benefit Exchange

HEDIS
Healthcare Effectiveness Data and Information Set

HHS
US Department of Health and Human Services

HIX
Health Insurance Exchange

HMO
Health Maintenance Organization

HRIC
Health Reform Implementation Committee

IAP
Insurance Affordability Program (includes Medicaid, APTC, and CSR)

IHS
Indian Health Service

IRS
Internal Revenue Service

IVR
Interactive Voice Response

LEP
Limited English Proficient

LPR
Lawful Permanent Resident

MAGI
Modified Adjusted Gross Income

MEC
Minimal Essential Coverage

MEWA
Multiple Employer Welfare Arrangement

MLR
Medical Loss Ratio

MOA
Memorandum of Agreement

MOU
Memorandum of Understanding

NAIC
National Association of Insurance Commissioners

NCQA
National Committee for Quality Assurance

OAH
DC Office of Administrative Hearings

OHCOBR
Office of the Health Care Ombudsman and Bill of Rights

OMB
Office of Management and Budget

OPM
US Office of Personnel Management

PBM
Pharmacy Benefit Manager

PHS
Public Health Service Act

PHCA
Prepaid Health Care Act

PII
Personal Identification Information

PMPM
Per Member Per Month

PRA
Paperwork Reduction Act of 1985

QHP
Qualified Health Plan

RFI
Request for Information

RFP
Request for Proposal

SBE
State Based Exchange

SERFF
System for Electronic Rate and Form Filing

SHOP
Small Business Health Option Program

SI Vendor
Systems Integration Vendor

SNAP
Supplemental Nutrition Assistance Programs

SOW
Scope of Work

SSA
Social Security Administration

SSN
Social Security Number

TANF
Temporary Cash Assistance for Needy Families

The Act
Social Security Act

The Code
Internal Revenue Code of 1986

TIN
Taxpayer Identification Number

TPA
Third Party Administrator