ÿþ<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <!-- Mirrored from www.flmedicaidreform.com/english/glossary.html by HTTrack Website Copier/3.x [XR&CO'2010], Fri, 12 Mar 2010 19:14:57 GMT --> <head> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /> <title>Florida's Medicaid Reform Choice Counseling Glossary</title> <link href="../_css/medicaid.css" rel="stylesheet" type="text/css" /> <script type="text/JavaScript"> <!-- function MM_preloadImages() { //v3.0 var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array(); var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++) if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}} } //--> </script> <script type="text/javascript"> <!-- function MM_reloadPage(init) { //reloads the window if Nav4 resized if (init==true) with (navigator) {if ((appName=="Netscape")&&(parseInt(appVersion)==4)) { document.MM_pgW=innerWidth; document.MM_pgH=innerHeight; onresize=MM_reloadPage; }} else if (innerWidth!=document.MM_pgW || innerHeight!=document.MM_pgH) location.reload(); } MM_reloadPage(true); function MM_findObj(n, d) { //v4.01 var p,i,x; if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) { d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);} if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n]; for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document); if(!x && d.getElementById) x=d.getElementById(n); return x; } function MM_showHideLayers() { //v6.0 var i,p,v,obj,args=MM_showHideLayers.arguments; for (i=0; i<(args.length-2); i+=3) if ((obj=MM_findObj(args[i]))!=null) { v=args[i+2]; if (obj.style) { // alert('obj.style ok'); obj=obj.style; v=(v=='show')?'visible':(v=='hide')?'hidden':v; if (v=='toggle'){ // alert('toggle ok'); if (visToggle=='hidden'){ // alert('toggle visible ok'); visToggle='visible'; v=visToggle; obj.display='block'; } else { // alert('toggle hidden ok'); visToggle='hidden'; v=visToggle; obj.display='none'; } } } // if (obj.style) { obj=obj.style; v=(v=='show')?'visible':(v=='hide')?'hidden':v; } obj.visibility=v; } } var visToggle='hidden'; function MM_openBrWindow(theURL,winName,features) { //v2.0 window.open(theURL,winName,features+',top=300,left=300'); theWin=eval("window."+winName); } /* var topMargin = 150 var slideTime = 1200 var leftFromCenter= 500 var ns6 = (!document.all && document.getElementById); var ie4 = (document.all); var ns4 = (document.layers); window.setInterval("main()", 10) function floatObject() { if (ns4 || ns6) { findHt = window.innerHeight; } else if(ie4) { findHt = document.body.clientHeight; } } function main() { if (document.body.offsetWidth==0) { this.width=document.body.scrollWidth-25; } else { this.width = document.body.offsetWidth; } if (this.width>788){ this.currentX=(this.width-788)+58; } else { this.currentX=58; } // this.currentX = (this.width/2)-338; if (ns4) { if (document.menuDiv.top<topMargin) { document.menuDiv.top=topMargin; } this.currentY = document.menuDiv.top; this.scrollTop = window.pageYOffset; document.menuDiv.left = this.currentX; mainTrigger(); } else if(ns6) { if (parseInt(document.getElementById('menuDiv').style.top)<topMargin){ document.getElementById('menuDiv').style.top=topMargin; } this.currentY = parseInt(document.getElementById('menuDiv').style.top); this.scrollTop = scrollY; document.getElementById('menuDiv').style.left = this.currentX + "px"; mainTrigger(); } else if(ie4) { if (menuDiv.style.pixelTop<topMargin) { menuDiv.style.pixelTop=topMargin; } this.currentX = this.currentX/2 this.currentY = menuDiv.style.pixelTop; // this next line has compensates for the DOCTYPE declaration putting IE into "strict" mode where the scrollTop property is moved to the documentElement node in the DOM this.scrollTop = (document.documentElement && document.documentElement.scrollTop) ? document.documentElement.scrollTop : document.body.scrollTop; menuDiv.style.pixelLeft = this.currentX ; mainTrigger(); } } function mainTrigger() { var newTargetY = this.scrollTop + this.topMargin if (this.scrollTop>this.topMargin){ newTargetY = this.scrollTop; } else { newTargetY = this.topMargin; } if ( this.currentY != newTargetY ) { if ( newTargetY != this.targetY ) { this.targetY = newTargetY floatStart(); } animator(); } } function floatStart() { var now = new Date() this.A = this.targetY - this.currentY this.B = Math.PI / ( 2 * this.slideTime ) this.C = now.getTime() if (Math.abs(this.A) > this.findHt) { this.D = this.A > 0 ? this.targetY - this.findHt : this.targetY + this.findHt this.A = this.A > 0 ? this.findHt : -this.findHt } else { this.D = this.currentY } } function animator() { var now = new Date() var newY = this.A * Math.sin( this.B * ( now.getTime() - this.C ) ) + this.D newY = Math.round(newY) if (( this.A > 0 && newY > this.currentY ) || ( this.A < 0 && newY < this.currentY )) { if ( ie4 ) menuDiv.style.pixelTop = newY if ( ns4 ) document.menuDiv.top = newY; if ( ns6 ) document.getElementById('menuDiv').style.top = newY + "px" } } // <div id="floatLayer" style="position: absolute; height:30px; width:11; left:767px; top:800px; z-index: 100"><a href="#thetop"><img src="/Images/top_scrolling_button2.gif" alt="Back to Top" width="11" height="30" hspace="0" vspace="0" border="0"></a></div> */ var bannerHeight = 150 var topMargin = 1 var slideTime = 1200 var leftFromCenter= 500 var ns6 = (!document.all && document.getElementById); var ie4 = (document.all); var ns4 = (document.layers); window.setInterval("main()", 10) function floatObject() { if (ns4 || ns6) { findHt = window.innerHeight; } else if(ie4) { findHt = document.body.clientHeight; } } function main() { if (ns4) { if (document.menuDiv.top<topMargin) { document.menuDiv.top=topMargin; } this.currentY = document.menuDiv.top; this.scrollTop = window.pageYOffset; document.menuDiv.left = this.currentX; mainTrigger(); } else if(ns6) { if (parseInt(document.getElementById('menuDiv').style.top)<topMargin){ document.getElementById('menuDiv').style.top=topMargin; } this.currentY = parseInt(document.getElementById('menuDiv').style.top); this.scrollTop = scrollY; document.getElementById('menuDiv').style.left = this.currentX + "px"; mainTrigger(); } else if(ie4) { // if (document.body.offsetWidth==0) { // this.width=document.body.scrollWidth-25; // } else { // this.width = document.body.offsetWidth; // } // if (this.width>788){ // this.currentX=(this.width-788)+58; // } else { // this.currentX=58; // } // this.currentX = (this.width/2)-338; if (menuDiv.style.pixelTop<topMargin) { menuDiv.style.pixelTop=topMargin; } this.currentX = this.currentX/2 this.currentY = menuDiv.style.pixelTop; // this next line has compensates for the DOCTYPE declaration putting IE into "strict" mode where the scrollTop property is moved to the documentElement node in the DOM this.scrollTop = (document.documentElement && document.documentElement.scrollTop) ? document.documentElement.scrollTop-bannerHeight : document.body.scrollTop; // this.scrollTop = (document.documentElement && document.documentElement.scrollTop) ? document.documentElement.scrollTop : document.body.scrollTop; menuDiv.style.pixelLeft = this.currentX ; mainTrigger(); } } function mainTrigger() { var newTargetY = this.scrollTop + this.topMargin if (this.scrollTop>this.topMargin){ newTargetY = this.scrollTop; } else { newTargetY = this.topMargin; } if ( this.currentY != newTargetY ) { if ( newTargetY != this.targetY ) { this.targetY = newTargetY floatStart(); } animator(); } } function floatStart() { var now = new Date() this.A = this.targetY - this.currentY this.B = Math.PI / ( 2 * this.slideTime ) this.C = now.getTime() if (Math.abs(this.A) > this.findHt) { this.D = this.A > 0 ? this.targetY - this.findHt : this.targetY + this.findHt this.A = this.A > 0 ? this.findHt : -this.findHt } else { this.D = this.currentY } } function animator() { var now = new Date() var newY = this.A * Math.sin( this.B * ( now.getTime() - this.C ) ) + this.D newY = Math.round(newY) if (( this.A > 0 && newY > this.currentY ) || ( this.A < 0 && newY < this.currentY )) { if ( ie4 ) menuDiv.style.pixelTop = newY if ( ns4 ) document.menuDiv.top = newY; if ( ns6 ) document.getElementById('menuDiv').style.top = newY + "px" } } // <div id="floatLayer" style="position: absolute; height:30px; width:11; left:767px; top:800px; z-index: 100"><a href="#thetop"><img src="/Images/top_scrolling_button2.gif" alt="Back to Top" width="11" height="30" hspace="0" vspace="0" border="0"></a></div> function MM_swapImgRestore() { //v3.0 var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++) x.src=x.oSrc; } function MM_swapImage() { //v3.0 var i,j=0,x,a=MM_swapImage.arguments; document.MM_sr=new Array; for(i=0;i<(a.length-2);i+=3) if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc) x.oSrc=x.src; x.src=a[i+2];} } //--> </script> <script type="text/javascript"> var _gaq = _gaq || []; _gaq.push(['_setAccount', 'UA-1394468-10']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); </script> </head> <body onresize="main();" onload="MM_preloadImages('../_images/redarrow.png','../_images/bluearrow.png','../_images/dot.png')"> <div id="siteContainer" style="position: relative;"> <div style="position: absolute; top: 85px; right: 55px;"> <a href="https://www.flmedicaidreform.com/enroll"><img src="../_images/enroll_online_thin_english.png" alt="Enroll Online" style="border: none;" /></a> </div> <div id="header"><span class="forReader">Welcome to Florida's Medicaid Reform Choice Counseling Website</span></div> <div id="content" class="clearfix"> <div id="menuArea"> <div id="menuDiv"> <ul class="menu"> <li class="notCurrent"><img src="../_images/redarrow.png" border="0" alt=" " /> <a href="../index.html">Welcome!</a></li> <li class="notCurrent"><img src="../_images/redarrow.png" border="0" alt=" " /> <a href="generalInfo.html">General Information</a></li> <li class="notCurrent stepone"><img src="../_images/redarrow.png" border="0" alt=" " /> <a href="pickplan.html">Pick Your Plan: Step 1</a></li> <li class="notCurrent steptwo"><img src="../_images/redarrow.png" border="0" alt=" " /> <a href="enroll.html">Enroll: Step 2</a></li> <li class="notCurrent"><img src="../_images/redarrow.png" border="0" alt=" " /> <a href="faq.html">Frequently Asked Questions</a></li> <li class="notCurrent"><img src="../_images/redarrow.png" border="0" alt=" " /> <a href="links.html">Links &amp; Resources</a></li> <li class="Current"><img src="../_images/bluearrow.png" border="0" alt="Current Section Indicator" /> <a href="glossary.html">Website Glossary</a></li> <li class="notCurrent"><img src="../_images/redarrow.png" border="0" alt=" " /> Select A Language <ul class="menu"> <li class="submenuNotCurrent"><img src="../_images/dot.png" border="0" alt=" " /> <a href="glossary.html">English</a></li> <li class="submenuNotCurrent"><img src="../_images/dot.png" border="0" alt=" " /> <a href="../spanish/glossary.html">Espa&ntilde;ol</a></li> <li class="submenuNotCurrent"><img src="../_images/dot.png" border="0" alt=" " /> <a href="../creole/glossary.html">krey&ograve;l ayisyen</a></li> </ul> </li> <li class="notCurrent"><img src="../_images/redarrow.png" border="0" alt=" " /> <a href = "contactus.html">Contact Us</a></li> </ul> </div> </div> <div id="textContent"> <br /> <h1 class="pageTitle">Website Glossary <em></em></h1> <a name="beneficiary"></a> <p><strong>Beneficiary</strong> - A person who receives Medicaid.</p> <a name="cause"></a> <p><strong>Cause</strong> - Also known as &quot;For Cause&quot; or &quot;Good Cause&quot;, these are State approved reasons to change health plans during the lock-in period.</p> <a name="choicecounselor"></a> <p><strong><em>Choice Counselor</em></strong> - Choice Counseling is a free service to help Medicaid beneficiaries pick the health plan that is best for them. Picking a plan can be hard. For someone with special health care needs or circumstances, the choice can be even more difficult. A <em>Choice Counselor</em> is the person that helps beneficiaries understand their health plan choices and enrolls them into a Medicaid health plan.</p> <a name="copay"></a> <p><strong>Co-payment (Co-pay)</strong> - A Co-payment is an amount paid by the beneficiary for each visit or treatment. Not all visits or treatments require a co-pay. Children and pregnant women are not subject to co-pays for services that are medically necessary.</p> <a name="EBA"></a> <p><strong>Enhanced Benefit Reward$ Program</strong> - A program that rewards you for taking part in activities that can improve your health. You can earn credits for these activities, known as healthy behaviors (see below), that you can later use to buy health-related items at any pharmacy that accepts Medicaid. <br /> <br /> <a href="http://ahca.myflorida.com/Medicaid/Enhanced_Benefits/index.shtml" target="_blank">Click here</a> to get more information about the Enhanced Benefits Rewards Program. Once you are on the Enhanced Benefits web page, you will find links that take you to more program information, including the list of over-the-counter products that you can buy with your credits at the pharmacy. You do not have to do anything to enroll into this program. You are automatically enrolled when you enroll with any Reform Health Plan.</p> <a name="healthybehaviors"></a> <p><strong>Healthy Behaviors</strong> - Healthy Behaviors are behaviors that will improve your health and can earn credits that are put into your Enhanced Benefit Reward$ account. Examples of health behaviors are: <ul> <li>Childhood exams </li> <li>Mammogram / pap smear </li> <li>Colorectal screening </li> <li>Adult exams </li> <li>Disease management participation </li> <li>Alcohol / drug treatment program participation </li> <li>Smoking cessation program participation </li> <li>Weight loss program participation </li> <li>Exercise program participation<br /> </li> </ul> </p> <a name="HMO"></a> <p><strong>Health Maintenance Organization (HMO)</strong> - HMOs are corporations, licensed under Chapter 627 F.S., that contract with a network of health care providers, such as physicians, hospitals, and laboratories to provide health care services. </p> <a name="lockin"></a> <p><strong>Lock-In</strong> - Lock-in is the period of time that beneficiaries can not change health plans, except for cause.</p> <a name="openenrollment"></a> <p><strong>Open Enrollment</strong> - Open Enrollment is the 60 day period when beneficiaries can change health plans without a State approved cause (see definition). Open Enrollment occurs yearly on the beneficiaries anniversary of their first enrollment into a plan.</p> <a name="optoutESI"></a> <p><strong>Opt-Out and Employer Sponsored Insurance (ESI)</strong> - Opt-Out is a new program under Medicaid Reform that will allow beneficiaries to use Medicaid dollars to purchase insurance (ESI) offered through their job. </p> <a name="PCP"></a> <p><strong>Primary Care Provider (PCP)</strong> - A PCP is usually a doctor that monitors your health, treats minor health problems, coordinates your health care, and refers you to a specialist, if needed.</p> <a name="PSNs"></a> <p><strong>Provider Service Networks (PSNs)</strong> - PSNs are health care delivery systems owned and operated by hospitals or physician groups. PSNs have a network of providers and facilities, which provide health care to enrolled beneficiaries.</p> <a name="ninetydaychange"></a> <p> <strong>90 Calendar Day Change Period</strong> - After being enrolled in a health plan, beneficiaries who (1) are newly eligible for Medicaid or (2) have regained eligibility after being off Medicaid more than 6 months will have 90 calendar days to &quot;try out&quot; their plan and change to a new plan, if they wish. </p> <div id="helplineinfo" class="boxed bold">To get help, call the toll-free Helpline: 1-866-454-3959; TDD 1-866-467-4970. If you need Medicaid information in large print, audiotape or Braille, call the Helpline.</div> <br /> <p align="center"><a href="../index.html">Welcome</a> | <a href="generalInfo.html">General Information</a> | <a href="pickplan.html">Pick your Health Plan: Step 1</a> | <a href="enroll.html">Enroll: Step 2</a> <a href="faq.html">Frequently Asked Questions</a> | <a href="links.html">Links &amp; Resources</a> | <a href="glossary.html">Website Glossary</a></p> </div> </div> <div id="footer"><span class="forReader">Sponsored by Florida's Agency for Health Care Administration</span></div> </div> </body> <!-- Mirrored from www.flmedicaidreform.com/english/glossary.html by HTTrack Website Copier/3.x [XR&CO'2010], Fri, 12 Mar 2010 19:14:57 GMT --> </html>