Glossary

The portion of the Medicaid program, which is paid by the Federal government.

The "Federal Register" s the official daily publication for rules, proposed
rules and notices of federal agencies and organizations, as well as Executive
Orders and other Presidential documents.

A facility located in a medically underserved area that provides Medicare beneficiaries preventive primary medical care under the general supervision of a physician.

Health centers that have been approved by the government for a program to give low cost health care. Medicare pays for some health services in FQHCs that are not usually covered, like preventive care. FQHCs include community health centers, tribal health clinics, migrant health services, and health centers for the homeless.

A complete listing of fees used by health plans to pay doctors or other providers.

A plan or PCCM is paid for providing services to enrollees solely through fee-for-service payments plus in most cases, a case management fee.

A specified period of time in which SMI-recognized fees pertain. The fee-screen year period has changed over the history of the program.

Data regarding the financial the status of managed care entities (e.g. the medical loss ratio).

Provisions of the Railroad Retirement Act providing for transfers between the trust funds and the Social Security Equivalent Benefit Account of the Railroad Retirement program in order to place each trust fund in the same position as if railroad employment had always been covered under Social Security.

The First Responder uses a limited amount of equipment to perform initial assessment and intervention and is trained to assist other Emergency Medical Services (EMS)providers. Example: At the scene of a cardiac arrest, the First Responder would be expected to notify EMS (if not already notified) and initiate CPR with an oral airway and a barrier device.