PPL MASTER GLOSSARY (1).docx

Account Management Department The Account Management function is responsible for driving revenue and continually improving brand recognition and appeal by 1) seeking new opportunities as well as accelerated organic growth through stakeholder engagement at all levels, 2) developing and managing bo...

Account Management Department The Account Management function is responsible for driving revenue and continually improving brand recognition and appeal by 1) seeking new opportunities as well as accelerated organic growth through stakeholder engagement at all levels, 2) developing and managing both client relationships and expectations, and 3) coordinating the efforts of internal PPL business units in meeting the needs of our clients and customers. AC Authenticare ACCT Account Admin Administrative Admin Invoice Refers to the invoice which contains the revenue fees PPL charges the clients per contract for the services PPL provides. PPL Revenue. ADP- Automatic Data Processing, Inc., commonly known as ADP An American provider of human resources management software and services. AD&D Accidental Death & Dismemberment ADR Address ADSD Aging and Disability Services Division ADV Advised AG Agency Agency with Choice A model for Self-Direction, whereby the Financial Management Service organization is the joint co-employer and control the amount of wages the care/support workers receive. This model reduces the choice and control for participants and their representatives vs. the Fiscal Employer/Agent model. AMNT Amount AOE Agent of Employer AP Automatic Payment APC Acceptance of Responsibility APS Adult Protective Services APSA Advanced Personal Service Assistant AR Authorized Representative ARMS Authorization and Reporting Management System – PPL’s reporting system available both internally and externally. ASMP Attendant Support Management Plan ATAP Autism Treatment Assistance Program ATTES Attestation Form Auth Authorization Authorized Representative Individual designated to represent and act on the individual participant’s behalf. The Authorized Representative may be an attorney representing a person or household, a person acting under the authority of a valid power of attorney, a conservator over financial matters, a legal guardian, or any other individual designated in writing by the eligible participant. The Authorized Representative can also act as the Employer of Record (EOR) if he/she is not a paid self-directed services provider for the member/participant. Authorizations/Eligibility (A&E) & Revenue Cycle Management (RCM): The Authorizations and Eligibility portion of this team provides operational management across the portfolio for authorization and eligibility data. The team manages inbound data, response files, pend management and internal escalations associated with eligibility or authorizations. The Revenue Cycle Management portion of this team is responsible for service and administrative invoicing and reimbursement across all programs. The team ensures all billing activities are handled timely and in accordance with contract requirements. Additionally, the team manages all accounts receivable, while ensuring invested capital is minimized and reporting of any risks areas that may have cash impact is provided to internal functional teams. AwC Agency with Choice Azure Dev Ops DevOps brings together people, processes, and technology, automating software delivery to provide continuous value to your users. With Azure DevOps solutions, deliver software faster and more reliably—no matter how big your IT department or what tools you're using. B/C Because BC Birth Certificate BCBS Blue Cross Blue Shield BON Board of Nursing BPM Business Process Management Business Process Management System Business Process Management is a system that allows Operations to assign and track progress on a pre-defined set of enrollment, certification, and other documents required for a program. Business Process Management (BPM) Department The BPM team supports the enterprise by providing structure, infusing transformational processes, and empowering our colleagues to improve the way we manage operations, leading to enhanced experiences for the individuals we serve. Brand Ambassador Department The Brand Ambassador function is responsible for driving revenue and continually improving brand recognition and appeal by organizing PPL’s conference strategies, coordinating PPL’s strategic relationships with national trade and industry groups, and monitoring PPL’s legal and regulatory environment. BRE Business Reply Envelope BRF Bonus Requested Form BUS Business Case Manager Also called social and human service assistants, service facilitators, network coordinator and others, case managers help people who are in difficult situations with advice, figure out what kind of help they need, help them find the services they need, create plans for treatment or recovery, work with other health and human service providers, and keep tabs on client's progress with treatment plans. Case managers may work for or in concert with a social worker, psychologist or similar health and human service authority. Case managers work in many aspects of people's lives, and may work with children and families, senior citizens, those with disabilities, recovering addicts, the mentally ill, immigrants, ex-offenders, or the homeless. Each of these jobs have their own specific needs and requirements. The role is critical in helping individuals and their families consider self-directed programs. CAO Chief Administration Officer CB Call Back CBC Criminal Background Check CC Care Coordinator CD PASS Consumer Directed Personal Assistance Services and Support CFO Chief Financial Officer Claims Adjudication The act of a service claim, from an 837 EDI file, being processed by the client. During the process, the client determines the validity of the claim and assigns a payment amount that they determine to be appropriate. CL Client CFUM Client Funds Under Management Client Funds Under Management (CFUM) Amounts held in the programs’ bank accounts are recorded as client funds under management on the PPL balance sheet as an equal asset and liability at each month end CLE Common Law Employer CM Contribution Margin, rarely used CM Case Manager, more common use COA Change of Address COI Change of Information COO Chief Operation Officer Compliance Department The Public Partnerships Compliance Department supports the Public Partnerships Executive Leadership Team and the Public Partnerships Corporate Governance and Management Control Board in ensuring that Public Partnerships acts in line with relevant legal and regulatory requirements and a given risk tolerance. In this role, the department promotes and fosters compliance with contractual requirements, compliance with Federal/State laws and regulations, and mitigation of risks to reasonable and appropriate levels. The department works to determine whether Public Partnerships’ network of risk management, internal controls, compliance activities and governance processes, as designed and represented by management, is adequate and functioning in a manner to ensure: (1) Compliance risks are appropriately identified and considered in institutional decision making; (2) Compliance risks are assessed, and the highest risks are included in a compliance work plan; (3) Quality management and continuous improvement are fostered in Public Partnerships’ contract compliance processes, risk management processes and control systems; and (4) Material legislative or regulatory issues impacting Public Partnerships are recognized and addressed properly. Consumer Relations Department The Consumer Relations function is responsible for driving revenue and continually improving brand recognition and appeal by 1) developing, growing, and maintaining relationships and partnerships with key local stakeholder groups impacted by PPL services and 2) recommending revenue-producing strategies that reflect consumer opportunities. Consumer Months, also known as Member Months In determining the consumer months covered, the Company defines a consumer as a person who is eligible for participation in a program and is currently being served by PPL and a person who is eligible for participation in a program who has access to the Company’s services. Consumer months represents the number of consumers served by a program on monthly basis. Corporate (PPL) Accounting Department The Corporate Accounting team is responsible for the management of the monthly accounting close process, including all journal entries, monthly accruals, and ensuring compliance with GAAP. Corporate Accounting is also responsible for processing accounts payable, cash management, and corporate tax filings across federal and state agencies. Corporate (PPL) Finance Department The Corporate Finance team's primary responsibilities are financial planning and analysis, which includes six quarter planning, variance reporting, various other financial reports, revenue and pricing, and other corporate financial oversight responsibilities for our organization. The Corporate Finance team also works closely with the PCG Corporate Finance team. Citrix Virtual desktop website for access to Navision as well as Teleforms. CONS Consumer Consumer Direction Alternative description of Self-Direction, Participant Directed programs CORR Correct Services CMS Content Management System CPO Chief Product Officer CPS Child Protective Services CRM Customer Relationship Management CURR Current Customer Experience Department The Customer Experience team is responsible for answering all customer inquiries within contractual service levels. Additionally, they work closely with Account Management and other internal customers to insure program information and communications flow within the organization. Databasics Databasics Expense is a cloud-based accounting and expense management solution used by PCG employees. Key features include expense reporting, policy enforcement, receipt management, automatic reimbursement and reporting and analytics. Data Analytics Department The Data Analytics team is responsible for fulfilling the organization’s needs as it relates to operational reporting, data analytics, & client reports. DC Debit Card DCW Direct Care Worker Decoupling Decoupled, or decoupling, is a state of an IT environment in which two or more systems somehow work or are connected without being directly connected. It is a type of IT operational environment where systems, elements or components have none or very little knowledge about the other components. Developmental Disability (DD) Developmental Disability A severe, chronic disability which is attributable to a mental or physical impairment or a combination of mental and physical impairments; Is manifested before the person attains age 22 Results in substantial functional limitations in three or more of the following areas of major life activity: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, and economic self sufficiency Reflects the person's need for a combination and sequence of special, interdisciplinary, or generic care, treatment, or other services which are of lifelong or extended duration and are individually planned and coordinated; except that for infants and young children DD means individuals from birth to age five, inclusive, who have substantial developmental delay or specific congenital or acquired conditions with a high probability of resulting in developmental disabilities if services are not provided. Examples of developmental disabilities include: • Autism • Behavior Disorders • Brain Injury • Cerebral Palsy • Down Syndrome • Fetal Alcohol Syndrome • Intellectual Disability • Spina Bifida DD Direct Deposit, used in support tickets DDI Design, Develop, & Implement Dept. Department Disabled Veteran Solutions (DVS) Disabled Veterans Solution (DVS), based in Erie, Pennsylvania, is a nationally recognized provider of business and customer relationship management services, specializing in front and back-office activities, HE/PEO services, IVR creation, live agent contact center solutions as well as consulting services. Their responsiveness to staffing needs and ability to identify high-quality candidates has made them a valued partner. DISC- Disconnected Disconnected DL Driver’s License DMAS Department of Medical Assistance DOB Date of Birth DOC Difficulty of Care DOE Discontinuation of Employment DOH Date of Hire, usually used in support tickets DOH Department of Health, usually used externally DOL Department of Labor DOR Department of Revenue DOS Date of Service Designated (or Legal) Representative (DR) Designated (or Legal) Representative of the participants – e.g. a parent. A DR is not necessarily the Employer of Record. EA Employment Agreement EAP Employee Assistance Program EDI Electronic Data Interchange DSS Department of Social Services Employee (EE) Employee – the care/support worker or provider of care to an individual participant in a self-directed program. EFFEC Effective EFT Electronic Funds Transfer EFTPS Electronic Federal Tax Payment System EIN Employee ID Employer Identification Number (EIN) Employer Information Number that is set by the IRS, used for tracking taxes. An employer can only have ONE. Employer of Record (EOR) Legal individual established as sole proprietor and employer of the support/care/support worker in a self-directed program. The individual participant or their representative is the common law employer of their care/support workers. Encounter RCM model A revenue cycle model which incorporates (1) a service advance, (2) service reimbursement through a payroll voucher (Excel format) and (3) a subsequent payroll data report in 837 Encounter format. In this model, the client does not adjudicate claims on the 837. Enrollment Specialist A Public Partnership employee who travels their state assisting participants and their families to complete the enrollment paperwork OR provides assistance over the phone. See also Support Broker. EOR See Employer of Record. ER Employer ESC Escalation ETS Electronic Timesheets EVP MC Executive Vice President of Marketing & Communications EVP CPS Executive Vice President of Client Partnerships & Sales EVP SOPS Executive Vice President of Strategic Operations Electronic Visit Verification (EVV) Electronic Visit Verification - Verifies visit activity for in-home and in-community care services and offers a measure of accountability to ensure that individuals receive the care and services they need and are authorized to receive. EWH Extra withholding EXHD Exhausted EXP Expire Ext Extension F/EA Fiscal/Employer Agent FB FB – Facebook FEIN Number Federal Employer Identification Number - Used for filing federal tax forms and making tax payments for Medicaid Individuals. FFR Family Friendly Report FFS Fee for Service FFS RCM model A revenue cycle model which incorporates (1) a service advance and (2) service reimbursement through the exchange of an 837 FFS file (PPL) and 835 payment file (client). In this model, the client adjudicates claims on the 837 file, and determines payment per their own system data. FICA Federal Insurance Contributions Act (Social Security) Fiscal/ Employer Agent A model for Self-Direction that offers the maximum authority and control for program participants, particularly in setting care/support workers wage levels. FIT Federal Income Tax FLSA Fair Labor Standards Act FMAP Federal Medical Assistance Percentages - Method for determining the amount of Federal match in funds for State expenditures for assistant payments (ie: social services, medical insurance expenditures) HHS.GOV Financial Management Services (FMS) Financial Management Services provider (also known as Fiscal Management Services provider) FOC Financial Operations Center FP&A Financial Planning & Analysis FTD Federal Tax Deposit FTE Full time equivalent FUM Funds Under Management FUTA Federal Unemployment Tax Act GA Glenn Allen, PPL office used rarely GA Google Analytics, used rarely Garn Garnishment G/L General Ledger Gross Billings/ Funds Under Management (FUM) Refers to the total amount of services provided by a project over a period. This does not include PPL’s admin revenue charged for providing our services. GTG Good to Go, term could be used for either participant or care/support worker to indicate that they can now function within the program. GTP Good to Pay, term for care/support workers to mean that they are now able to submit timesheets and be paid. GTS Good to Serve, term for participants to mean that they are now able to have services performed by care/support workers. HA Health Maintenance HCBC Home & Community Based Coordinator HCBS Home Community Base Services HCSR Home Care Service Recipient HDMU Hours Don’t Match Up HIPAA Health Insurance Portability and Accountability Act (1996) HM Home Maker HRA Health Reimbursement Account Human Resources Operations Department The Human Resources team is responsible for supporting PPL’s People Strategy through the development and execution of Human Capital initiatives. HU Hung Up I & A Information & Assistance (AKA Support Brokers) IBC Inbound Call ICD-9 Diagnosis Code A diagnosis code found in the ICD-10 revision. All service claims with a DOS before 10/1/2015 must use the 9th version. Now defunct. ICD9 International Classification of Diseases 9th ICD-10 Diagnosis Code A diagnosis code found in the ICD-10 revision. All service claims with a DOS starting 10/1/2015 and onward must only use the 10th version. Required on 837 EDI. Intellectual disability (ID) Intellectual disability is defined as having a significantly sub-average intellectual functioning, typically two standard deviations below the mean (i.e., IQ of 70 or below in most states), that: Is manifested before the age of 18 years; and Is accompanied by significant limitations in adaptive functioning in at least two of the following skills areas: communication, self-care, home living, social/interpersonal skills, use of community resources, self-direction, functional academic skills, work, leisure, health, and/or safety that is determined by state approved clinical assessments. ILC Independent Living Counselor INC Incomplete INCORR Incorrect Individualized Budget The amount of funds that is under the control and direction of the individual. The budget plan is developed using a person-centered planning process and is individually tailored in accordance with the individual's needs and preferences as established in the service plan. Information & Assistance Department The Information & Assistance team provides tools and direct support to Participants self-directing their services and acting as household employers in New Jersey, Tennessee and West Virginia. Invested Capital Formerly known as “working capital” is where PPL temporarily funds a pass-through program’s operations with our admin cash. These transfers are mainly to cover payroll and tax expenses. Many of the loans are made for both the short-term and long-term. We usually do not charge interest on the loans. INV Invoice InvK Invested Capital IP Independent Contractor IT Operations Department The IT Operations team is responsible for the operation and maintenance of our products and systems. The IT Operations team picks up where the IT Professional Services Group (PSG) leaves off; in that, once a program implementation or change order is complete, the IT Operations team takes the lead in "running the business" from a systems perspective. IT Operations is responsible for maintaining and supporting the business, including small enhancements, break-fix, and incident response. IT Operations provides shared services (release and environment management, tech ops, and quality assurance automation) to all three delivery towers and will also be responsible for program de-implementations (closeouts). PPL Product infrastructure and System maintenance is also the responsibility of our IT Operations team. IT Professional Services Group (PSG) Department The IT Professional Services Group serves as the trusted, client-focused IT professionals and thought-leaders providing financial management tools and technology services by innovating with and for individuals and their providers, to enable individuals to live independently and self-direct their own needs. IVR System, also known as Interactive Voice Response System The interactive voice response system is available to users of the BetterOnline™ portal and supports Customer Service by providing an automated response 24x7 to users. The IVR is configured on a per program basis to provide current status of users’ enrollment and/or recent timesheets. Learning & Development Department The Learning & Development team is an enterprise-wide training function that supports all PPL functions and employees with world class learning opportunities. L&D provides tools, eLearning, classes, programs and advice to empower and nurture curiosity, development and growth for PPL. LinkedIn Learning LinkedIn Learning is an open online course website offering video courses taught by industry experts in software, creative, and business skills. It is a subsidiary of LinkedIn. It was founded in 1995 by Lynda Weinman as lynda.com before being acquired by LinkedIn in 2015. Long-term services and supports (LTSS) Long-term services and supports Legal Guardian A person who has the legal authority to care for the personal and property interests of another person, called a ward. Guardians are typically used in three situations: guardianship for an incapacitated senior, guardianship for a minor, and guardianship for an adult with developmental disabilities. A legal guardian is not necessarily the designated representative OR employer of choice in a self-directed program. LM Left Message LOUT Locked Out LTD Long term disability LVM Left Voicemail LVN Licensed Vocational Nurse Marketing & Communications Department The Marketing function is responsible for driving revenue and continually improving brand recognition and appeal by 1) maintaining stewardship of and providing thought leadership for the Public Partnerships brand, 2) creating marketing plans that supports Business Development strategy and tactics, 3) partner across PPL business units to support their marketing needs, generate demand for our solutions, and develop customer brand advocates, and 4) assist the CSO Office in executing PPL's Internal Communications strategy. MBS Medicaid Billing System MCO Managed Care Organization – e.g. Aetna, Humana, Amerigroup, United Healthcare MCR Missed Call Report Medicaid A joint federal and state public assistance program for financing health care for low-income people. It pays for health care services for those with low incomes or very high medical bills relative to income and assets. It is the largest public payer of long-term care services. Medicaid Billing System (MBS) In-house Medicaid billing software which imports payroll data from Navision and formats the data into either an 837 EDI file or an Excel voucher file, which are sent to the client. MBS also reconciles 835 EDI payments and manual remittance advice payments received by the client. MF Mileage Form Microsoft SQL Server- Microsoft SQL Server is a relational database management system developed by Microsoft. As a database server, it is a software product with the primary function of storing and retrieving data as requested by other software applications—which may run either on the same computer or on another computer across a network. Microsoft Teams Microsoft Teams is a unified communications platform that combines persistent workplace chat, video meetings, file storage, and application integration. The service integrates with the company's Office 365 subscription office productivity suite and features extensions that can integrate with non-Microsoft products. Minimally Viable Product (MVP) Development of an initial product that captures the most important needs of the customer with the least amount of effort. MLTSS Managed Long-Term Support Services MN Money Network MNC Money Network Card MNE Medicaid not Eligible MVP Minimally Viable Product National MCO Relations Department The National MCO Relations function is responsible for driving revenue and continually improving brand recognition and appeal by 1) leading the organization’s strategic relationships with current and prospective managed care client representatives, MCO industry leaders and 2) advising PPL business units on tactical issues that impact MCOs. National State Relations Department The National State Relations function is responsible for driving revenue and continually improving brand recognition and appeal by leading the organization’s strategic approach to state agency-based consumer direction leaders, including agency staff (current and prospective clients). NA No Answer Navision Accounting software used to manage consumer and provider information, and more commonly by Operations to run all payrolls (commonly known as Nav). NI Net Income NOC Notice of Change/Credit NODE Notice to Discontinue Employment NPI National Provider ID NXT Next OBC Outbound Call OES OES 190T- EOR Form OGAT OGAT is an acronym for the PPL Organic Growth Action Team who work to develop stronger relationships within key communities to build awareness of self-direction and Public Partnerships. OH Overhead OIG Office of Inspector General Online Enrollment External web application available through the BetterOnline™ portal for PPL providers and consumers to enroll directly without paper forms. OPX Optional Expense Account OTPE Over the Phone Enrollment OVR Over Payroll & Tax The Payroll & Tax area is comprised of 7 different functions. 1) Invoice & Manual Authorization team processes customer submitted invoices and clear pending items for payment. 2) Ops Support team is responsible for managing all incoming and outgoing mail for the Core Operations. 3) Timesheet team processes customer submitted timesheets and clear pending items for payment. 4) Program Accounting is responsible for maintaining the ledgers of the accounting system on which our system operates. 5) Payroll Team is responsible for processing payroll and agency payments for the entire PPL portfolio in accordance to the established program’s payment schedule. 6) Tax Department is responsible for the management and execution of calculations, filings and payments of the various taxes associated with the payments made through the performance of our contracts. 7) Payroll Compliance team completes Verification of Employment requests (VOE’s), Garnishment order processing and monthly Office of the Inspector General (OIG) reviews for providers across all programs. PCS Personal Care Services PCG Intranet PCG allows users within its intranet to access public internet through firewall servers. PCG has then the ability to screen messages coming and going, keeping security intact. When part of an intranet is made accessible to customers and others outside the business, it becomes part of an extranet. PCG PPM, also known as Project Portfolio Management. A website for PCG (and PPL) employees to allocate their worked hours to specific projects. PPM manages opportunities, projects and programs, timesheets, resources, contracts, risks, knowledge management, and reporting. PMPM Per Member Per Month PPL Public Partnerships (Legal name Public Partnerships LLC) PPL Portal, also known as BetterOnline Website for storage and entry of consumer and provider information, also called the BetterOnline™ Portal. Participant The individual aging adult, person with disabilities or chronically ill person within the self-directed program. Sometimes referred to as “Consumer” or “individual” in some states and “Member” by MCOs. Participant Direction Alternative description of Self-Direction, Consumer Directed programs Power BI Power BI is a business analytics service by Microsoft. It aims to provide interactive visualizations and business intelligence capabilities with an interface simple enough for end users to create their own reports and dashboards. PPS Pay Period Start PRE PKT Pre-populated Packet PRF Payment Request Form PROC Processed Program Funds Receivable (PFR) To meet its contractual commitments, PPL advances funds to the Service Accounts for disbursement to third parties before receiving designated funds from the appropriate Public Agency. These amounts are reported as program funds receivable, net an allowance, on the PPL balance sheet. Most of this account balance is from invested capital, but a small amount of advance funding for criminal background checks is included in PFR. Product A product is something (a service, an idea, an object) that is created and packaged with the intent to offer new or additional benefits to a customer. A product is made up of features, delivered through a customer experience to an identified demographic with specific in-market goals Features are produced through business capabilities Changing a feature is changing a product Products may be sold individually or enhancements to existing core product offering o Products are used by external stakeholders Product Development Department The Product Development team is responsible for establishing, maintaining and governing the PPL IT development practice along with the planning, design, development, testing and transition to steady state support of new products and features. Product Development Life Cycle (PDLC) A process that develops an idea into a product, and then helps to manage that product’s in-market life Project Management Office (PMO) Department The PMO improves the quality and efficiency, while reducing risk of all PPL projects by providing directive project management services to PPL client projects and internal enterprise projects. Provider The care/support worker or “provider” of paid support/care for an individual participant in a self-directed program. Also known as, employee/worker/provider/direct care worker/personal care provider/tutor/employee/direct service worker/support service worker/attendant Provider Network & Enrollment The purpose of the Enrollment and Provider Network team is to provide comprehensive enrollment support for individuals and providers including customer service for issues relating to enrollment status and online support, and processing documentation pertaining to the enrollment. The objective of all enrollment activities is to provide the necessary supports for individuals to ensure they receive timely service delivery. Internally, the enrollment team serves as a cross functional partner, particularly with Core Operations and Account Management, in continuous improvement initiatives aimed at reducing enrollment cycle times and exceeding contractual service level agreements. The Provider Network will drive complimentary activities aimed at developing and growing a marketplace for service providers to further ensure that individuals have a ready supply of supports in self-directing their services. PS Payroll Schedule PSS Program Support Specialist PW Password PTO Paid time off Public Agency PPL’s contracts are with state, county, and local public agencies and their agents, who can be collectively referred to as “Public Agency” PYRL Payroll Qual Program specific qualifications required, generally of care/support workers, to maintain eligibility to stay in the program; usually renewed periodically per contract specifications. RC Resource Consultant RCHANG Rate Change RCM Revenue Cycle Management RCVD Received REF Reference REGS Registries REJ Rejected Remedyforce Remedyforce is an IT Service Management & Help Desk which delivers a modern, consumer experience that empowers IT to be a center of business innovation. Remedyforce can be used with Service Cloud to resolve PPL employee issues. REQ Request RESUB Resubmit RFP Request for Proposal RI Reissue RSCH Research RTRN Return SAAS Software as a Service Salad Bar Now archived, internal-only PPL website designed for communication with other teams, (such as IT), in order to complete/resolve issues. (Salad bar uses tickets much like support tickets). Sales Customer Refers to the customer names in Navision, created to track service or admin dollars per program segmentation (MCO’s, waivers, regions, etc.) SB Support Broker SBT Salad Bar Ticket S/B Should Be SC Support/Service Coordinator SCM Supply Chain Management SF Service Facilitator SED Serious Emotional Disabilities SEIU Service Employees International Union SEO Search Engine Optimization Self-Direction Alternative description of Consumer Directed or Participant Directed programs Service Code The code which describes the service rendered to the participant. Required on 837 EDI. Also known as a Procedure Code, or Proc code. Service Invoice Refers to the sales invoice created in NAV, which contains all Paid Hour, Requisition and Overtime data from the most recent payroll(s). The invoice is created from a report module, which is then posted to the G/Ls and the SIL table. Not revenue. Pass-through dollars. Service Modifier The code which describes additional information about the associated service code. Modifiers can be used in many different events. Types PPL uses include modifiers permanently associated with a code (most common), Time-of-Day, event type, waiver type, additional utilization approved and modifiers which alert client that claim is from PPL. Also known as a Service Qualifier. Service vs Admin Cash Accounts Upon entering into a service contract PPL establishes a separate noninterest-bearing account at a major financial institution to manage the service funds for the new project. PPL’s corporate cash accounts are kept separately and referred to as the admin accounts. Service Plan The written document that specifies the services and supports that are to be furnished to meet the preferences, choices, abilities, and needs of the individual, and that assist the individual to direct those services and supports and remain in the community. SharePoint SharePoint is a web-based collaborative platform that integrates with Microsoft Office. Launched in 2001, SharePoint is primarily sold as a document management and storage system, but the product is highly configurable, and usage varies substantially among organizations. SIL Sales Invoice Line table (NAV) SIT State Income Tax Skill Port Skill Port is a PPL learning Portal, designed to serve the learner and create the support the learner needs to build skills that will positively impact his/her career and the success of PCG. Skype for Business Skype for Business is an instant messaging client used with Skype for Business Server or with Skype for Business Online. Skype for Business is enterprise software. S.M.A.R.T. Refers to goals that are Specific, Measurable, Attainable, Relevant, and Timed. Other variations may be used depending on industry and job. Solomon Now archived, accounting system. SOE Separation of Employment SRV Service SSA Social Security Administration SSC Social Security Card SSN Social Security Number SSNVS Social Security Number Verification Service SSW Support Service Worker Strategy Department The Strategy team is responsible for providing alignment around PPL's vision, mission and strategy, and partners with all functional teams to support key strategic initiatives and projects. SUB Submitted SUI State Unemployment Insurance SUP Supervisor Support Broker This Public Partnership employee role not only assists individual participants and their families with enrollment paperwork but due to their social work background and experience, they offer additional support. They act as key point person to start a self-directed program quickly, efficiently and effectively. They provide a central point within Public Partnerships and help liaising with the state or MCO case managers. See also Enrollment Specialist. Support Tickets (ST) Internal-only application available through the BetterOnline™ portal for PPL customer service to log calls/track issues. STD Short term disability SVC Service Code SVP Suggested Vendor Payments SW Social Worker S&W Salary & Wages Technical Architecture Department The Technical Architecture team seeks to drive business agility through strategical and tactical technical direction setting and enforcement with the supporting architecture – application, data, infrastructure and security. Technical Product Owners (TPO) The primary purpose of the Technical Product Owners group is to deliver value to our stakeholders (internal/external) in furtherance of PPL’s mission to support individuals to live independently through self-directed programs. As such, our group is responsible for the identification, prioritization, and refinement of technical work and to represent our stakeholders in delivery execution. Teleforms Using optical character recognition on forms designed by PPL developers, this application processes paper forms into electronic data which is then loaded into Navision. Trans Transportation TS Timesheet UFR Uniform Financial Report UI Unemployment Insurance UNPD Unpaid U/S Understood VEC Virginia Employment Commission VER Verified VLE Vendor Ledger Entries VM Voicemail VND Vendor VOE Verification of Employment Voucher Only RCM model A revenue cycle model which incorporates (1) a service advance and (2) service reimbursement through a payroll voucher (Excel format). No 837 is included in this model. VPN Virtual Private Network Waiver A Medicaid waiver is a provision in Medicaid law which allows the federal government to waive rules that usually apply to the Medicaid program. The intention is to allow individual states to accomplish certain goals, such as reducing costs, expanding coverage or improving care for certain target groups. Thanks to these waivers, states can provide services to their residents that wouldn’t usually be covered by Medicaid. For instance, in-home care for people who would otherwise have to go into long-term institutional care. They are formally known as 1915c HCBS waivers (after the chapter of the Social Security Act) WC Workers Compensation WK Week W/ With W/E Week Ending W/O Without Workfront Workfront is a cloud-based Enterprise Work & Project Management solution designed to help teams by helping them focus on the right work, doing their best work, and working faster than ever before. This tool has been implemented by PCG's Marketing team to help manage the growing number of jobs that the department manages. Worker The “provider” or care/support worker of paid support/care for an individual participant in a self-directed program. In some states, known as PCA or DCW. XFER Transferred Yammer Yammer is a freemium enterprise social networking service used for private communication within organizations. Access to a Yammer network is determined by a user's Internet domain so that only individuals with approved email addresses may join their respective networks. 1TC One Time Courtesy 3 P Third Party 6 G Spending Plan 270/271 Electronic Eligibility Verification, used to make sure a participant is still Medicaid eligible 277 Standard EDI claim status request transaction 835 Standard EDI healthcare claim remittance advice 837 Standard EDI healthcare claim transaction 837P 837 Professional 837I 837 Institutional 999 Standard EDI File acknowledgement transaction Acronym Dictionary AC- Authenticare ACCT- Account Admin- Administrative AD&D – accidental death & dismemberment ADR- Address ADSD- Aging and Disability Services Division ADV- Advised AE- Administrative Entity AG- Agency AMNT- Amount AOE – Agent of Employer AP- Automatic Payment APC- Acceptance of Responsibility APS- Adult Protective Services APSA- Advanced Personal Service Assistant AR- Authorized Representative ASMP- Attendant Support Management Plan ATAP- Autism Treatment Assistance Program ATTES- Attestation Form Attn- Attention Auth- Authorization AwC – Agency with Choice B/C- Because BC- Birth Certificate BCBS – Blue Cross Blue Shield BL- Bank Letter BON- Board of Nursing BPM- Business Process Management BRE- Business Reply Envelope BRF- Bonus Requested Form BUS- Business CAO – Chief Administration Officer CB- Call Back CBC- Criminal Background Check CC- Care Coordinator CD PASS- Consumer Directed Personal Assistance Services and Support CFO – Chief Financial Officer CFUM – Client Funds Under Management CL- Client CLE- Common Law Employer CM – Contribution Margin CM- Case Manager COA- Change of Address COI- Change of Information COO – Chief Operation Officer CONS- Consumer CORR- Correct CMS – Content Management System CPO – Chief Product Officer CPS- Child Protective Services CRM – Customer Relationship Management CURR- Current DC- Debit Card DCW- Direct Care Worker DD- Direct Deposit DDI - Design, Develop, & Implement Dept.- Department DISC- Disconnected DL- Driver’s License DMAS- Department of Medical Assistance DOB- Date of Birth DOC – Difficulty of Care DOE- Discontinuation of Employment DOH – Date of Hire DOH – Department of Health DOL – Department of Labor DOR – Department of Revenue DOS- Date of Service DSS- Department of Social Services EA- Employment Agreement EAP – Employee Assistance Program EDI – Electronic Data Interchange EE- Employee/Individual Provider EFFEC- Effective EFT- Electronic Funds Transfer EFTPS- Electronic Federal Tax Payment System EID- Employee ID EIN- Employer Identification Number EOR- Employer of Record ER- Employer ESC- Escalation ETS- Electronic Timesheets EVP MC – Executive Vice President of Marketing & Communications EVP CPS – Executive Vice President of Client Partnerships & Sales EVP SOPS – Executive Vice President of Strategic Operations EVV – Electronic Voice Verification EWH – Extra withholding EXHD- Exhausted EXP- Expire Ext- Extension F/EA - Fiscal/Employer Agent FB – Facebook FFS – Fee for Service FICA- Federal Insurance Contributions Act (Social Security) FIT – Federal Income Tax FMS – Financial Management Service FFR – Family Friendly Report FOC – Financial Operations Center FLSA – Fair Labor Standards Act FP&A – Financial Planning & Analysis FTD- Federal Tax Deposit FTE – Full time equivalent FUM – Funds Under Management FUTA – Federal Unemployment Tax Act GA- Glenn Allen GA – Google Analytics Garn- Garnishment G/L – General Ledger GM – Gross Margin GTG- Good to Go GTP- Good to Pay GTS- Good to Serve HA- Health Maintenance HCBS- Home Community Base Coordinator HCSR – Home Care Service Recipient HDMU- Hours Don’t Match Up HIPAA – Health Insurance Portability and Accountability Act (1996) HM- Home Maker HRA – Health Reimbursement Account HU- Hung Up I & A – Information & Assistance (AKA Support Brokers) IBC- Inbound Call ICD9 - International Classification of Diseases 9th ICD10 – International Classification of Diseases 10th ILC- Independent Living Counselor INC- Incomplete INCORR- Incorrect INV- Invoice InvK – Invested Capital IP- Independent Contractor LM- Left Message LOUT- Locked Out LTD – Long term disability LVM- Left Voicemail LVN- Licensed Vocational Nurse MBS – Medicaid Billing System MCO- Managed Care Organization MCR- Missed Call Report MF- Mileage Form MLTSS – Managed Long-Term Support Services MN- Money Network MNC- Money Network Card MNE- Medicaid not Eligible MVP – Minimally Viable Product NA- No Answer NAV- Navision NI - Net Income NOC- Notice of Change/Credit NODE- Notice to Discontinue Employment NPI – National Provider ID NXT- Next OBC- Outbound Call OES- OES 190T- EOR Form OH – Overhead OIG- Office of Inspector General OPX- Optional Expense Account OTPE- Over the Phone Enrollment OVR- Over PAR- Prior Authorization Request PART- Participant PC- Person Care PCG – Public Consulting Group PCP- Personal Care Provider PD- Paid PDLC – Product Development Life Cycle PFR – Program Funds Receivable PHN- Phone PKT- Packet P&L - Profit and Loss PLE – Payroll Ledger Entry table (NAV) PM – Program Manager PMPM – Per Member Per Month PMT- Payment PN- PreNote PO- Paid Out POA- Power of Attorney PP- Pay Period PPL – Public Partnerships LLC PPL AU - PCG Australia PTY LTD, dba PPL AU PPC – Public Partnerships – Colorado, Inc. PPD- Pay Period Dates PPE- Pay Period Ending PPM- Project Portfolio Manager PPS- Pay Period Start PRE PKT- Pre-populated Packet PRF- Payment Request Form PROC- Processed PS- Payroll Schedule PSA- Personal Service Assistant PSS- Program Support Specialist PW- Password PTO – Paid time off PYRL- Payroll RC- Resource Consultant RCHANG- Rate Change RCM-Revenue Cycle Management RCVD- Received REF- Reference REGS- Registries REJ- Rejected REQ- Request RESUB- Resubmit RFP – Request for Proposal RI- Reissue RSCH- Research RTRN- Return SAAS – Software as a Service SB- Support Broker SBT- Salad Bar Ticket S/B- Should Be SC- Support/Service Coordinator SCM – Supply Chain Management SF- Service Facilitator SEIU – Service Employees International Union SEO – Search Engine Optimization SIL – Sales Invoice Line table (NAV) SIT – State Income Tax SOE- Separation of Employment SRV- Service SSA- Social Security Administration SSC- Social Security Card SSN- Social Security Number SSNVS- Social Security Number Verification Service SSW- Support Service Worker ST- Support Ticket STD – short term disability SUB- Submitted SUI – State Unemployment Insurance SUP- Supervisor SVC- Service Code SVP- Suggested Vendor Payments ST- Support Ticket SW- Social Worker S&W – Salary & Wages Trans- Transportation TS- Timesheet UFR – Uniform Financial Report UI – Unemployment Insurance UNPD- Unpaid U/S- Understood VEC- Virginia Employment Commission VER- Verified VLE- Vendor Ledger Entries VM- Voicemail VND- Vendor VOE- Verification of Employment VPN – Virtual Private Network WC- Workers Compensation WK- Week W/- With W/E- Week Ending W/O- Without XFER- Transferred 1TC- One Time Courtesy 270/271 – Electronic Eligibility Verification 277 – Standard EDI claim status request transaction 3 P- Third Party 6 G- Spending Plan 835 – Standard EDI healthcare claim remittance advice 837 - Standard EDI healthcare claim transaction 837P – 837 Professional 837I – 837 Institutional 999 – Standard EDI File acknowledgement transaction