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Wisconsin Department of Health Services

Glossary of Terms, Acronyms and Abbreviations: M - S

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M Definition
MA Medical Assistance (federal) also known as Medicaid.
MA WAIVER An exemption from a requirement of federal Medical Assistance (Medicaid) law, granted to the Department by the Secretary of the U.S. Department of Health and Human Services under the authority of 42 USC 1396n (b), (c) or (d). Currently the Department has a waiver under which it requires MA recipients in Milwaukee County to participate in HMOs that are under contract to the Department for this purpose, and waivers that enable the Department to provide MA-funded home and community-based services under CIP I-A, CIP I-B, CIP II and COP to MA-eligible elderly and disabled persons who would otherwise need SNF or ICF level of care in nursing homes.
MAAC Medical Assistance Advisory Committee; advises the Division of Health Care Financing about administration of the MA program.
MCH Maternal and Child Health (Title V) program of the Department.
MD Muscular dystrophy.
MDS Minimum data set-a core set of data elements that describe nursing home resident clinical, functional and demographic characteristics, submitted by nursing homes to DHFS on a weekly or monthly basis.
MEDICAID Title XIX of the federal Social Security Act and 42 CFR 430 to 456; pays for medical care for low-income persons; state-administered; same as Medical Assistance.
MEDICAL ASSISTANCE (MA) Term for the Medicaid (Title XIX) program, which pays for necessary health care services for eligible persons whose financial resources are not adequate to provide for their health care needs.
MEDICALLY UNDERSERVED AREAS (MUA) Federally identified areas in need of certain health services (not necessarily physician services) based on infant mortality rates, poverty rates and percent of elderly in the population.
MEDICARE Title XVIII of the federal Social Security Act and 42 CFR 405 to 424; insurance-like payments for medical care of persons aged 65 and over; administered by federal Social Security Administration.
MEDS Medicaid Evaluation and Decision Support (data warehouse)
MH Mental health.
MIS Management information specialist.
MJTC Mendota Juvenile Treatment Center operated by Mendota Mental Health Institute for male DJC clients.
MMHI Mendota Mental Health Institute in Madison.
MMIS Medicaid Management Information System.
MOU Memorandum of Understanding.
MR Mental retardation.
MRC Medical Reserve Corps (MRC) volunteers donate their time and expertise to prepare for and respond to emergencies and promote healthy living throughout the year. MRC organizes and utilizes medical and public health professionals such as physicians, nurses, pharmacists, dentists, veterinarians, and epidemiologists.
MRI Magnetic resonance imaging; in health care, a diagnostic technique that employs magnetic and radio frequency fields to produce images of body structures and organs.
MS Multiple sclerosis.
 
N Definition
NA nursing assistant/nurse aide
NACCHO The National Association of County and City Health Officials (NACCHO) is the Washington, DC-based organization representing local public health departments in the U.S.
NAR Nurse Aide Registry
NASUAD National Association of State Units on Aging and Disabilities.
NATCEP nurse aide training and competency evaluation program
NF Nursing Facility
NFB National Federation of the Blind.
NFPA National Fire Protection Association.
NGA National Governors' Association.
NH nursing home
NHA nursing home administrator
NIA National Institute on Aging.
NIAAA National Institute on Alcoholism and Alcohol Abuse.
NICU Neonatal infant care unit, in a hospital.
NIDA National Institute on Drug Abuse.
NIH National Institutes of Health, a division of HHS; includes 17 research institutes and the National Library of Medicine.
NIMH National Institute of Mental Health.
NLTC non-long term care
NORMALIZATION A principle employed in the developmental disabilities program area. It refers to using means to establish and/or maintain personal behaviors and characteristics which are as culturally normal as possible.
NOV Notice of violation, in nursing home regulation.
NP nurse practitioner
NSF National Sanitation Foundation.
NURSE AIDE REGISTRY See REGISTRY OF AIDES
NURSING HOME A place which provides 24 hour services including board and room to 3 or more unrelated residents who because of their mental or physical condition require nursing care. Nursing homes are licensed by DHS under ch. HFS 132 Adm. Codes.
NWC Northern Wisconsin Center, a DHS residential facility for developmentally disabled persons near Chippewa Falls.
 
O Definition
OAA Older Americans Act, PL 95-478, as amended.
OARS Opening Avenues to Reentry Success - Joint DHS and DOC program that assists inmates with mental health issues upon their release from WRC or a DOC facility.
OASDI Old Age, Survivors and Disability Insurance Program; social security.
OASIS Outcome and ASsessment Information Set
OBQI Outcome Based Quality Improvement
OBQM Outcome Based Quality Monitoring
OBRA Omnibus Budget Reconciliation Act
OBVI Office for the Blind and Visually Impaired in the Division of Long Term Care.
OCI Office of the Wisconsin Commissioner of Insurance
OCQ Office of Caregiver Quality (DQA)
ODHH Office for the Deaf and Hard of Hearing in the Division of Long Term Care.
OFCE Office for Family Care Expansion in the Division of Long Term Care.
OHI Office of Health Informatics in the Division of Public Health.
OJA Office of Justice Assistance
OLC DHFS Office of Legal Counsel.
OMB Federal Office of Management and Budget; President's staff unit responsible within the executive branch of the federal government for budget development and review, and for management improvement.
OOA Office on Aging in the Division of Long Term Care.
OPB (Formerly) Office of Policy and Budget in DHSS. Is now Office of Strategic Finance in DHFS.
OPEN RECORDS LAW Sections 19.31 to 19.39 of Wisconsin Statutes.
OPPA Office of Policy and Practice Alignment in the Division of Public Health.
OPRA (Formerly) DHFS Office of Program Review and Audit. Is now Program Evaluation and Audit (PEA) located in OSF.
ORCD Office for Resource Center Development in the Division of Long Term Care.
ORS Office of Refugee Services in DWD.
OSF DHFS Office of Strategic Finance.
OSHA Occupational Safety and Health Administration in the U.S. Department of Labor.
 
P Definition
PACE Program of all-Inclusive Care for the Elderly. Operated in Milwaukee by Community Care (CCO) for the Elderly and in Dane County by Care Wisconsin, under contract with DHFS.
PACT Program for Assertive Community Treatment; an outpatient program for adults operated by Mendota Mental Health Institute.
PAR Position action request; a personnel form used for both hiring and reclassification purposes.
PART H Early intervention program for infants and toddlers (age 0-2) with disabilities under PL 99-457. This is now Part C of PL 105-17. See BIRTH TO 3.
PCA Personal Care Agency
PCBs Polychlorinated biphenyls. Disposition of these organic compounds is a matter of public concern because of their chronic toxicity, pervasiveness and persistence in the environment and their tendency to accumulate in the food chain and people.
PCU Program Certification Unit (DQA)
PD Position description form, describing the duties, performance expectations, and knowledge required for a position; there is a PD for every position.
PDE Publication, for DLTC and DMHSAS (formerly DDES)
PERSONAL CARE SERVICES Mainly refers to assistance with activities of daily living such as eating, dressing, bathing and walking.
PHHSBG Preventive Health and Health Services Block Grant.
PHIN Wisconsin Public Health Information Network is a secure, online network from the Department of Health Services for integrating the information resources of the public health system and all public health partners.
PIVS Personnel Information Verification System in DHSS; formerly known as Personnel Information Control System (PICS).
PL Public Law; Federal term equivalent to session law in Wisconsin.
PL 94-142 The Education for All Handicapped Children Act; provides basic requirements for the educational system in serving handicapped children.
PNCC Prenatal Care Coordination.
POS Purchase of services.
POVERTY LEVEL See FEDERAL POVERTY LEVEL.
POWER OF ATTORNEY FOR HEALTH CARE Under ch. 155, Wisconsin Statutes, a competent person at least 18 years of age may complete a form available from DHFS to designate someone to make health care decisions for the person in the event that the person becomes unable to make those decisions. The designated person is that person's agent to exercise the power of attorney.
POWER OF ATTORNEY FOR PROPERTY AND FINANCE Under ch. 243, Wisconsin Statutes, competent person at least 18 years of age may complete a form available from DHFS to designate someone to make property and finance decisions for the person in the event that the person can no longer make those decisions. The designated person is that person's agent to exercise the power of attorney.
PPD Performance Planning and Development, a system for improving performance of department employes based on joint supervisor-employe planning and emphasizing results and opportunities for staff development.
PPNIC Program for Psychotic and Neurologically Impaired Children, at Mendota Mental Health Institute.
PR Program revenues; consist of revenues paid into a specific fund in payment for a product or service and used to meet the cost of producing or providing that product or service.
PRAMS Wisconsin Pregnancy Risk Assessment Monitoring System is an ongoing survey of new mothers conducted jointly by the Centers for Disease Control and Prevention and state health departments.
PREFERRED PROVIDER ORGANIZATION (PPO) A limited or preferred group of physicians and hospitals (providers) that offer a discount on their normal charges for services provided to members of an organization which contracts with it.
PRF Program revenues-Federal; consist of revenues received by the state from the Federal government in support of programs and projects operated by the Department or in reimbursement for the cost of services provided through programs operated by the Department.
PRO(a) Program revenues-other; consist of fees collected by the Department for licenses or services, and nonfederal grants received.
PRO(b) Peer Review Organization; federally required physician-sponsored group charged to review necessity, quality and appropriateness of services provided under Medicare, Medicaid and Maternal and Child Health programs in connection with reimbursing providers.
PROGRAM ACCESSIBILITY Federal/state requirement that each program or activity funded through DHFS be operated so that the program or activity, when viewed in its entirety, is readily accessible to and usable by persons with disabilities.
PROSPECTIVE RATE REIMBURSEMENT Any method of paying medical care providers under which amounts or rates are established in advance and providers are paid regardless of actual costs.
PROTECTIVE PLACEMENT Under s. 55.06, Wis. Stats., court-ordered placement of persons found incompetent to manage their own affairs and in need of care and custody; placement is in nursing homes and other non-psychiatric protective living settings.
PROTECTIVE SERVICES Assistance to protect vulnerable persons from being abused, exploited, or treated in a degrading manner, and to help those who are adults live as independently as possible.
PROVIDED SERVICES Services for people actually provided by staff of the Department or local human service agencies, rather than purchased.
PRS Program revenues-service; consist of revenues made up of payments from other state appropriations.
PT Physical therapy.
 
Q Definition
QA Quality assurance.
QMRP Qualified mental retardation professional; an employe of a facility for the developmentally disabled or a nursing home who has specialized training in mental retardation or at least one year of experience in treating or working with mentally retarded persons and who has at least a bachelor's degree in a human services field.
 
R Definition
RA See RESPONSIBILITY AREA.
RAI Resident Assessment Instrument
RANGE Salary level within a schedule; each schedule is divided into a number of salary levels/pay ranges.
RCAC Residential Care Apartment Complex (assisted living)
RCI regulation compliance investigator (DQA)
RCRS Resident Care Review Section (DQA)
RECLASSIFICATION Personnel action which changes a position's job class, usually upward, in recognition of changed duties and/or responsibilities.
REGISTRY OF AIDES The Department's record of qualified nurse assistants who work in hospitals or nursing homes, home health aides and hospice aides. These have successfully completed training and testing or are otherwise eligible to be included in the registry. Also a source of information for prospective employers about any finding that an aide when employed elsewhere abused or neglected a patient or resident or misappropriated a patient's or resident's property. Registry is operated by Department under ch. HSS 129 rules (qualifications part) and ch. HFS 13 rules (misconduct part).
REHABILITATION ACT OF 1973 Federal vocational rehabilitation and independent living services legislation, 29 USC 701-796, which governs state administration of employment and independent living services for people with disabilities.
RESIDENTIAL CARE APARTMENT COMPLEX New name for Assisted Living Facility. See Assisted Living Facility.
RESPITE CARE Temporary, intermittent relief for the family member or other person taking care of an elderly or disabled adult or a child at risk.
RESPONSIBILITY AREA An organizational unit with a person in charge who is responsible for operation of the unit, to include supervision, fiscal management and program administration; has an operating budget.
RFOD regional field operations director (DQA)
RFOS regional field operations supervisor (DQA)
RFP Request for proposal; a document that solicits proposals from outside parties in a competitive bidding process.
RHC rural health clinic
RN registered nurse
RO regional office (State-Madison) (Federal - Region V - Chicago)
RSVP Retired Senior Volunteer Program.
 
S Definition
SA state agency
SACWIS Statewide Automated Child Welfare Information Systems *See WiSACWIS
SAMHSA Substance Abuse and Mental Health Services Administration, part of PHS in HHS.
SCAODA State Council on Alcohol and Other Drug Abuse, Governor's council established under s. 14.017(2), Wis. Stats.; staffed by DHS.
SCHEDULE Pay plan applying to a particular bargaining unit (union) of employes or to non-represented employes.
SEA Senior Energy Aides; outreach program to reach older adults with offers of energy assistance and weatherization.
SECONDARY GRANT A grant made from a grant received; usually funds made available by the Department to a local service provider for a particular project from funds provided to the Department by a Federal government agency.
SECTION 504 of the Rehabilitation Act of 1973; prohibits discrimination in service delivery and employment based on handicap.
SED Severely emotionally disabled, in reference to a child.
SESSION LAW An act of the State Legislature; equivalent to a public law (PL) enacted by Congress.
SEXUAL PREDATOR LAW Chapter 980, Wisconsin Statutes.
SFY State fiscal year, July 1 to June 30.
SIDS Sudden Infant Death Syndrome.
SINGLE AUDIT A comprehensive financial and compliance audit pursuant to OMB Circular A-128 of a county receiving federal funds through the Department; reviewed by Department audit staff.
SMIC Services for Multiply Impaired Children, a unit at Winnebago Mental Health Institute.
SNF Skilled nursing facility; a federal Titles XVIII and XIX certification term and state licensing term for long-term care facilities that provide care to residents who no longer need the type of care and treatment provided in a hospital but do require some medical attention and continuous skilled nursing observation.
SOD statement of deficiency (federal)
SOM state operations manual (CMS)
SPOUSAL IMPOVERISHMENT LAW Refers to 49.455, Wisconsin Statutes, which is designed to prevent the impoverishment of the noninstitutionalized spouse of an institutionalized Medicaid recipient by reserving part of the couple's income and resources for the support of the spouse who is not institutionalized.
SRSTC Sand Ridge Secure Treatment Facility. A secure treatment facility in Mauston, WI., providing specialized treatment services for persons committed under Wisconsin's sexually violent persons law, Chapter 980, Wisconsin Statutes.
SSA Social Security Administration in HHS.
SSBG Social Services Block Grant. A federal grant which provides funds to states for a variety of social services, and which in turn is distributed by the Department on a formula basis to counties which provide or purchase these services for people who need them.
SSD County social services departments; these administer public assistance and social service programs; same as DSS, CSSD.
SSDI Social Security Disability Insurance.
SSI Supplemental Security Income; a federal government income support program for aged, blind and disabled persons; checks are distributed by the federal government; monthly grant includes a state supplement amounting to over 20%.
SSI-E The state's extra supplement to SSI payments made in recognition of exceptional expenses and available to persons who live in licensed or certified residential care settings or who live at home but receive a high level of supportive services.
SSN social security number
STATE BUILDING CODE Chapters Comm 50 to 64 of the Wisconsin Administrative Code.
STATE HEALTH PLAN Healthiest Wisconsin 2010: A Partnership Plan to Improve the Health of the Public (the state health plan required by s. 250.07, Wis. Stats.).
STATE PLAN Usually refers to a document prepared by the Department as a condition for receipt of Federal funds; often a compliance document or a record of policy and procedure.
STATEMENT OF SCOPE For proposed administrative rules. Required since April 1, 1996 under s. 227.135, Stats.
STATEWIDE BED LIMIT The maximum number of nursing home and FDD beds which may be licensed in the state. Established biennially by the Legislature under s. 150.31, Wis. Stats., with adjustments made by the Department under ch. HSS 122 rules.
STATS Short-Term Assessment and Treatment Services. A unit for children and adolescents at Winnebago Mental Health Institute.
STD Sexually Transmitted Disease; term for Venereal Disease (VD).
STEP(a) A pay increment within a pay range. A range consists of several steps.
STEP(b) Specialized Treatment for the Exceptional Person; an adult behavior modification treatment unit at Winnebago Mental Health Institute.
SUM CERTAIN An appropriation providing funding up to but not exceeding a certain amount.
SUM SUFFICIENT An appropriation providing whatever level of funding is necessary to accomplish the purpose for which it was made.
SUPERRULE Chapters HFS 101 to 108, Wis. Adm. Code, the Department's rules for administration of the Medical Assistance (MA) program.
SUPPORTED EMPLOYMENT A VR program which provides supplemental funding to pay for on-the-job skill training and ongoing support services up to 18 months for severely handicapped clients who are placed in jobs and need ongoing training and support services to perform in those jobs.
SUPPORTIVE HOME CARE Care provided to elderly and disabled persons residing in their own homes; consists of assistance with daily living needs, including household care and personal care.
SWC Southern Wisconsin Center, a DHS residential facility for developmentally disabled persons near Union Grove.

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