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Acronyms Flashcards

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1
Q

ACO**

A

Accountable Care Organization - the name of a 3-year (through 2023) pilot program partnership with DHA, Kaiser Permanente and Humana Military. It allows beneficiaries to seek care from Kaiser network providers in Atlanta, GA area to improve efficiency and effectiveness of care.

• Prime coverage plan option only in the East region.

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2
Q

AD

A

Active Duty - sponsor’s status while activated in the military.

• Family members will follow the status

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3
Q

ADDS

A

Active Duty Deceased Sponsor - ADSM (Active Duty Service Member) died while on Active Duty Status.

  • Surviving children are eligible for AD benefits until they age out (age 21 or up to age 23 for full-time college students)
  • Surviving spouse is eligible for AD benefits for 3 years after the sponsor’s deceased date. (After 3 years, he/she would be eligible for Non-Active duty benefits and must pay fees for their enrollment.)
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4
Q

ADFM

A

Active Duty Family Member - dependents of an active duty service member.

  • Spouse
  • Children
  • Step-children
  • Ward
  • Parent/Parent-in-law – CEBO will not process transactions.
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5
Q

ADSM

A

Active Duty Service Member - a member of the uniformed services.

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6
Q

ATC

A

Access to Care - urgent medical issues (care needed, prescription needed, etc.)

• ATC standards means within a 30-minute drive time.

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7
Q

BWE

A

Beneficiary Web Enrollment - government web applications that allows a sponsor and/or family member to initiate enrollment transactions (address updates, PCM change, new enrollment, etc.)

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8
Q

BENE

A

Beneficiary - a person that could be eligible for TRICARE benefits.

  • Sponsor
  • Spouse
  • Child, Step-children, Ward, Adoptee, etc.
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9
Q

CHCBP**

A

Continued Health Care Benefit Program - a temporary transitional health plan that provides continuous coverage immediately after TRICARE eligibility ends for specific beneficiaries.

  • CHCBP is not a TRICARE program.
  • Humana Military is the contractor to service the world.
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10
Q

DBN

A

DEERS Beneficiary ID Number - unique number used in place of the sponsor’s ID (SSN).

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11
Q

DEERS

A

Defense Enrollment Eligibility Reporting System - a government area responsible for updating the sponsor’s and family members’ eligibility per uniformed services.

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12
Q

DHA

A

Defense Health Agency - integrated support agency that provides direction for military medical services.

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13
Q

DMDC

A

Defense Manpower Data Center - a managed care support contractor that manages the Government OpsConnect applications (DOES, PCM Research, etc.)

• DMDC has a TRICARE contract like Humana Military.

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14
Q

DMIS ID

A

Defense Military Information System ID - a four digit internal number used to identify a Military Treatment Facility (MTF).

• The caller does not know the number.

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15
Q

DOB

A

Date of Birth - required for authentication purposes to authorize a caller.

• If the caller is calling about another family member, he/she must provide the first/last name and DOB as well.

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16
Q

DoD

A

Department of Defense - U.S government area responsible for military operations.

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17
Q

DOES

A

Defense Online Enrollment System - an OpsConnect application managed by DMDC and used to process enrollment transactions (address updates, new enrollment, PCM change, transfer, etc.)

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18
Q

DP

A

Designated Provider (also referred to as USFHP) - a facility with a TRICARE Prime contract (John Hopkins, St. Martin’s Point, Christus Health, etc.)

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19
Q

FIN

A

Foreign Identification Number - a foreign military member on assignment in the U.S

• Sponsor ID will begin with 9.

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20
Q

HCDP

A

Health Care Delivery Plan - a 3 digit number that identifies a TRICARE coverage plan.

  • 310 - TRICARE Prime Active Duty Sponsors
  • 311 - TRICARE Prime Active Duty Family Members
  • 303 - TRICARE Prime Select Active Duty Family Members
  • 312 - TRICARE Prime Remote Active Duty Sponsors
  • 313 - TRICARE Prime Remote Active Duty Family Members
  • 314 - TRICARE Prime TAMP Sponsors and Family Members
  • 304 - TRICARE Select TAMP Sponsors and Family Members
  • 315 - TRICARE Prime Retired Sponsors and Family Members
  • 305 - TRICARE Select Retired Sponsors and Family Members
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21
Q

KP**

A

Kaiser Permanente - a TRICARE Prime option that allows a beneficiary to receive primary and specialty care through KP providers, facilities, and pharmacies.

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22
Q

LOA

A

Letter of Acceptance - an acceptance letter from a civilian provider’s office when a beneficiary would request a provider with patient restrictions (ex. not accepting new patients, existing patients only, etc.)

  • Must have provider’s letterhead.
  • Must include the beneficiary’s name, DOB, and DBN.
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23
Q

LOE

A

Loss of Eligibility - a disenrollment reason updates by the DEERS office.

• Associates cannot manually disenroll an ADFM, TAMP or NAD beneficiary for LOE.

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24
Q

MCSC

A

Managed Care Support Contractors - Humana Military, Health Net Federal Services and DMDC are contractors awarded a TRICARE contract for the T2017 contract effective 01/01/2018.

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25
MTF
Military Treatment Facility - a clinic or hospital located on base or in the community. • The MTF can mandate enrollment to their facility as long as there is capacity.
26
NAD
Non Active Duty - sponsor's status when they retire. • Family members will follow the status.
27
NADD
Non Active Duty Dependent - family members of a retired sponsor.
28
NDAA
National Defense Authorization Act - federal laws passed by Congress for the Department of Defense (DoD).
29
OCONUS
Outside the Continental United States - overseas. * International SOS (ISOS) is the name of the contractor responsible for TRICARE Overseas sponsors and family members. * TRICARE Europe, TRICARE Latin America, etc.
30
PCM
Primary Care Manager - a TRICARE Prime civilian provider (physician, nurse practitioner, physician assistant, etc.)
31
PCMBN
Primary Care Manager by Name - a TRICARE Prime provider located at an MTF.
32
PHS
Public Health Service - a branch of service responsible for the nation's health and safety (ex. Center of Disease Control, etc.)
33
PLOC/POC
Place of Care - a clinic within an MTF.
34
POC
Point of Care - designated associate(s) responsible for a particular process.
35
PRP
Personnel Reliability Program (Nuclear/Biological/Chemical Weapon) - an ADSM on special duty assignment responsible for working with nuclear, biological and chemical weapons. • CEBO will assign an ADSM on special duty assignment to a special duty clinic (ex. Flight Medicine, Aerospace Medicine, etc.) at an MTF.
36
PSA
Prime Service Area - approximately a 40 mile radius surrounding an MTF. * PSA does not apply to an ADSM or TRICARE Prime Remote. * Applies to an ADFM, TAMP and NAD enrolled in TRICARE Prime.
37
SSN
Social Security Number - used to access a sponsor's account.
38
TAMP
Transitional Assistance Management Program - a sponsor's status for up to 180 days when he/she separates from Active Duty and have not retired yet. * Family members follow the sponsor's status. * The sponsor shares a policy with the family members. * Sponsor and family can enroll in TRICARE Prime or TRICARE select. * They are auto enrolled in TRICARE Select.
39
TDY
Temporary Duty - temporary duty assignment for an ADSM.
40
TIN
Temporary Identification Number - temporary ID for beneficiaries that do not have a SSN (may see if for newborn's, etc.).
41
TIP
TRICARE Information Portal - a portal designed and managed by Humana Military that allows an associate to access account information more efficiently. * TIP Beneficiary 360 - provides a full 360 view of a sponsor's account information. * TIP Contact Handling - allows associates to view the sponsor's information as well as the family members associated with the sponsor (The Phone documentation tool).
42
T-NEX
TRICARE The Next Generation of Contracts - implemented effective 08/01/04 for regions 2/5 and regions 3/4.
43
T-3
TRICARE The 3rd Generation of Contracts - implemented effective 04/01//12 for TRICARE South (Humana Military).
44
TPR
TRICARE Prime Remote - a TRICARE program for an ADSM that resides and works more than 50 miles from an MTF. * ADSM must meet the above criteria and he/she will be assigned to a civilian PCM. * ADFMs may qualify for the program, but their criteria is a little different.
45
TRR**
TRICARE Retired Reserve - a sponsor driven TRICARE program for a Reservist or National Guard member that no longer qualifies for TRS coverage. * He/she can purchase the coverage * Family members follow the status and cannot enroll in the plan without the sponsor unless the sponsor is deceased.
46
TRS**
TRICARE Reserve Select - a sponsor driven TRICARE program for a Reservist or National Guard member not on AD or TAMP status. * He/she can purchase the coverage. * Family members follow the status and cannot enroll in the plan without the sponsor unless the sponsor is deceased.
47
TYA**
TRICARE Young Adult - a TRICARE program for children that age out as a dependent under the sponsor (age 21 or up to age 23 for a full time college student) • They may be eligible to purchase the coverage up to age 26.
48
UIC
Unit Identification Code - a code used to determine a PCM assignment at the MTF for an ADSM. • ADSM may find it on their orders.
49
USFHP (aka DP)
Uniform Services Family Health Plan - a facility with a TRICARE. Prime contract (John Hopkins, St. Martin's Point, Christus Health, etc.)
50
WTU
Warrior Transition Unit - ADSM wounded or injured wjhile on Active Duty status and nursed back to health for activation purposes. • Some MTFs have a WTU clinic for the ADSM.
51
AHC
Army Health Clinic
52
BAMC
Brooke Army Medical Center
53
AMC
Army Medical Center
54
CBMH
Community Based Medical Home
55
CBPCC
Community Based Primary Care Center
56
CTMC
Combined Troop Medical Clinic
57
eMSM
Enhanced Multi-Service Market
58
FPC
Family Practice Clinic
59
MCAS
Marine Corp Air Station
60
MCRD
Marine Corp Recruit Depot
61
NAS
Naval Air Station
62
NATTC
Naval Air Technical Training Clinic
63
NBHC
Naval Branch Health Clinic
64
NH
Naval Hospital
65
NHC
Naval Health Clinic
66
NSA
Naval Support Activity
67
NTC
National Training Center
68
NTIC
Naval Technical Training Center
69
OHC
Occupational Health Clinic
70
SCMH
Soldier Centered Medical Home
71
TMC
Troop Medical Clinic

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