Common use of ACRONYMS Clause in Contracts

ACRONYMS. AFDC – Aid to Families with Dependent Children AICPA – American Institute of Certified Public Accountants CAH – Critical Access Hospital CAPA – Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern CDC – Centers for Disease Control CFR – Code of Federal Regulations CHIP – Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization CMS – Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – Department of Community Health DME – Durable Medical Equipment DOI – Department of Insurance EB – Enrollment Broker EPSDT – Early and Periodic Screening, Diagnostic, and Treatment EQR – External Quality Review EQRO – External Quality Review Organization EVS - Eligibility Verification System FFS – Fee-for-Service FQHC – Federally Qualified Health Center GF – Georgia Families GTA - Georgia Technology Authority HHS – US Department of Health and Human Services HIPAA – Health Insurance Portability and Accountability Act HMO – Health Management Organization IBNR – Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MMIS – Medicaid Management Information System NAIC – National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET – Non-Emergency Transportation NP-C – Certified Nurse Practitioners NPI – National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – Physician Assistant PBM – Pharmacy Benefit Manager PC - Performance Concern PCP – Primary Care Provider PPS – Prospective Payment System QAPI – Quality Assessment Performance Improvement RHC – Rural Health Clinic RSM – Right from the Start Medicaid SCHIP – State Children’s Health Insurance Program SSA – Social Security Act TANF – Temporary Assistance for Needy Families TDD – Telecommunication Device for the Deaf UM – Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization Review

ACRONYMS. AFDC – Aid to Families with Dependent Children AICPA – American Institute of Certified Public Accountants CAH – Critical Access Hospital CAPA – Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern CDC – Centers for Disease Control CFR – Code of Federal Regulations CHIP – Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization CMS – Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – Department of Community Health DME – Durable Medical Equipment DOI – Department of Insurance EB – Enrollment Broker EPSDT – Early and Periodic Screening, Diagnostic, and Treatment EQR – External Quality Review EQRO – External Quality Review Organization EVS - Eligibility Verification System FFS – Fee-for-Service FQHC – Federally Qualified Health Center GF – Georgia Families GTA - Georgia Technology Authority HHS – US Department of Health and Human Services HIPAA – Health Insurance Portability and Accountability Act HMO – Health Management Organization IBNR – Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MMIS – Medicaid Management Information System NAIC – National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET – Non-Emergency Transportation NP-C – Certified Nurse Practitioners NPI – National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – Physician Assistant PBM – Pharmacy Benefit Manager PC - Performance Concern PCP – Primary Care Provider PPS – Prospective Payment System QAPI – Quality Assessment Performance Improvement RHC – Rural Health Clinic RSM – Right from the Start Medicaid SCHIP – State Children’s Health Insurance Program SSA – Social Security Act TANF – Temporary Assistance for Needy Families TDD – Telecommunication Device for the Deaf UM – Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization Review

ACRONYMS. AFDC – Aid to Families with Dependent Children AICPA – American Institute of Certified Public Accountants CAH – Critical Access Hospital CAP – Corrective Action Plan CAPA – Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern CDC – Centers for Disease Control CFR – Code of Federal Regulations CHIP – Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization CMS – Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – Department of Community Health DME – Durable Medical Equipment DOI – Department of Insurance EB – Enrollment Broker EPSDT – Early and Periodic Screening, Diagnostic, and Treatment EQR – External Quality Review EQRO – External Quality Review Organization EVS - Eligibility Verification System FFS – Fee-for-Service FQHC – Federally Qualified Health Center GF – Georgia Families GTA - Georgia Technology Authority HHS – US Department of Health and Human Services HIPAA – Health Insurance Portability and Accountability Act HMO – Health Management Organization IBNR – Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MMIS – Medicaid Management Information System NAIC – National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET – Non-Emergency Transportation NP-C – Certified Nurse Practitioners NPI – National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – Physician Assistant PBM – Pharmacy Benefit Manager PC - Performance Concern PCP – Primary Care Provider PPS – Prospective Payment System QAPI – Quality Assessment Performance Improvement RHC – Rural Health Clinic RSM – Right from the Start Medicaid SCHIP – State Children’s Health Insurance Program SSA – Social Security Act TANF – Temporary Assistance for Needy Families TDD – Telecommunication Device for the Deaf UM – Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization Review

ACRONYMS. AFDC – - Aid to Families with Dependent Children AICPA – - American Institute of Certified Public Accountants CAH – - Critical Access Hospital CAP - Corrective Action Plan CAPA – - Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern CDC – - Centers for Disease Control CFR – CFR- Code of Federal Regulations CHIP – Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – - Care Management Organization CMS – - Centers for Medicare & Medicaid Services CNM – - Certified Nurse Midwives CSB – - Community Service Boards DCH – - Department of Community Health DME – - Durable Medical Equipment DOI – - Department of Insurance EB – - Enrollment Broker EPSDT – - Early and Periodic Screening, Diagnostic, and Treatment EQR – - External Quality Review EQRO – - External Quality Review Organization EVS - Eligibility Verification System FFS – FFS-Fee-for-Service FQHC – - Federally Qualified Health Center Revised 5/19/2008 GF – - Georgia Families GTA - Georgia Technology Authority HHS – - US Department of Health and Human Services HIPAA – - Health Insurance Portability and Accountability Act HMO – - Health Management Organization IBNR – - Incurred-But-Not-Reported INS – - U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – - Low-Income Medicaid MMIS – - Medicaid Management Information System NAIC – - National Association of Insurance Commissioners NCQA – NCQ A - National Committee for Quality Assurance NET – - Non-Emergency Transportation NP-C – - Certified Nurse Practitioners NPI – - National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – - Physician Assistant PBM – - Pharmacy Benefit Manager PC PCP - Performance Concern PCP – Primary Care Provider PPS – - Prospective Payment System QAPI – - Quality Assessment Performance Improvement RHC – - Rural Health Clinic RSM – - Right from the Start Medicaid SCHIP – - State Children’s 's Health Insurance Program SSA – - Social Security Act Revised 5/19/2008 TANF – - Temporary Assistance for Needy Families TDD – - Telecommunication Device for the Deaf UM – - Utilization Management UPIN – - Unique Physician Identifier Number UR – - Utilization Review

ACRONYMS. AFDC – Aid to The acronyms included in this Contract stand for the following terms. ACH - Automated Clearinghouse ADFAN - Puerto Rico Administraci6n de Familias y Niiios, or Families with Dependent and Children Administration AICPA – - American Institute of Certified Public Accountants CAH – Critical Access Hospital CAPA – Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern CDC – Centers for Disease Control CFR – ARRA American Recovery and Reinvestment Act of 2009 ASES - Administraci6n de Seguros de Salud, or Puerto Rico Health Insurance Administration ASSMCA - The Mental Health and Against Addiction Services Administration or Administraci6n de Servicios de Salud Mental y Contra la Addicci6n ASUME- Minor Children Support Administration j CCuSAI- Business Continuity and Disaster Recovery Comprehensive Health Center CFR- Code of Federal Regulations CHIP – CHIP- Children’s 's Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization CLIA- Clinical Laboratory Improvement Amendment CMS – - Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – Department of Community Health DME – DME- Durable Medical Equipment DOI – Department of Insurance EB – Enrollment Broker ECM- Electronic Claims Management EDI - Electronic Data Interchange EIN - EMTALA - EPSDT – - EQR- EQRO- ER- FQHC- PMG- HEDIS - HHS - HIE- HIPAA- mNR- NEMT- NPI- PBM- PCP- PDL- Electronic Funds Transfer Employer Identification Number Emergency Medical Treatment and Labor Act Early and Periodic Screening, Diagnostic, and Treatment EQR – External Quality Review EQRO – External Quality Review Organization EVS - Eligibility Verification System FFS – Fee-for-Service FQHC – Emergency Room Federally Qualified Health Center GF – Georgia Families GTA - Georgia Technology Authority HHS – US Primary Medical Group The Healthcare Effectiveness Data and Information Set U.S. Department of Health and & Human Services HIPAA – Health Information Exchange Health Insurance Portability and Accountability Act HMO – Health Management Organization IBNR – of 1996 Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MMIS – Maximum Allowable Cost Managed Behavioral Organization Medicaid Management Information System NAIC – National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET – Non-Emergency Medical Transportation NP-C – Certified Nurse Practitioners NPI – National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – Pharmacy Benefits Manager Primary Care Physician Assistant PBM – Pharmacy Benefit Manager PC Preferred Drug List PIP - Performance Concern PCP – Improvement Projects PMG- Primary Care Medical Group PPA- Pharmacy Program Administrator PPN - Preferred Provider PPS – Prospective Payment System QAPI – Network QAPI- Quality Assessment Performance Improvement RHC – improvement Program RHC- Rural Health Clinic RSM – Right from the Start Medicaid SCHIP – State Children’s RFP- Request for Proposals RHC- Rural Health Insurance Program SSA – Center SAS - Statements on Auditing Standards SSN - Social Security Act TANF – Temporary Assistance for Needy Families Number TDD – - Telecommunication Device for the Deaf TPL - Third-Party Liability UCF Uniform Central Formulary UM – - Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization ReviewManagement

ACRONYMS. For purposes of this Contract the following acronyms are defined as follows: AA Member – Adoption Assistance Member AAPD – American Academy of Pediatric Dentistry ABD – Aged Blind Disabled ACE – Administrative Claiming for Education ACIP – Advisory Committee on Immunization Practices AD – Addictive Disease ADL – Activities of Daily Living AFDC – Aid to Families with Dependent Children AHRQ – Agency for Healthcare Research and Quality AICPA – American Institute of Certified Public Accountants BHH - Behavioral Health Home BIN – Bank Identification Number CAH – Critical Access Hospital CAHPS – Consumer Assessment of Healthcare Providers and Systems CAPA – Corrective Action Preventive Action CAPA/PC CAPTA – Corrective Action Preventive Action/Performance Concern Child Abuse Prevention and Treatment Act CASA – Court Appointed Special Advocate CBAY – Community-Based Alternatives for Youth CCFA – Comprehensive Child and Family Assessment CCP – Comprehensive Community Providers CDC – Centers for Disease Control and Prevention CFR – Code of Federal Regulations CFT – Child and Family Team CHIP – Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CISS – Children’s Intervention School Services CLIA – Clinical Laboratory CMHRS – Community Mental Health Rehabilitation Services CMO – Care Management Organization CMP – Community Medicaid Providers CMS – Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives COA – Certificate of Authority COMP – Comprehensive Supports Waiver Program COS – Category of Service CPS – Child Protective Services CSB – Community Service Boards CVO – Credentialing Verification Organization DBHDD – Department of Behavioral Health and Developmental Disabilities DCH – Department of Community Health DECAL – Department of Early Care and Learning DFCS – Division of Family and Children Services DJJ – Department of Juvenile Justice DMAP – Division of Medical Assistance Plans DME – Durable Medical Equipment DOI DO – Doctor of Osteopathy DOE – Department of Insurance Education DPH – Department of Public Health DRG – Diagnostic Related Group EB – Enrollment Broker ED - Emergency Department EDI – Electronic Data Interchange EPSDT – Early and Periodic Screening, Diagnostic, and Treatment EQR – External Quality Review EQRO – External Quality Review Organization ER – Emergency Room eRFP –electronic Request for Proposal eRFQC – electronic Request for Qualified Contractors EVS - Eligibility Verification System FAC - Fiscal Agent Contractor FC Member – Xxxxxx Care Member FFP – Federal Financial Participation FFS – Fee-for-Service FPL – Federal Poverty Level FQHC – Federally Qualified Health Center GaHIN – Georgia Health Information Network XXXX – Georgia Pediatric Program GCAL – Georgia Crisis and Access Line GEPS – Georgia Enterprises for Products and Services GF – Georgia Families GF 360 – Georgia Families 360º GFMOC – Georgia Families Monitoring and Oversight Committee GTA - Georgia Technology Authority HEDIS – Healthcare Effectiveness Data and Information Set HHS – US Department of Health and Human Services HIPAA – Health Insurance Portability and Accountability Act HMO – Health Management Maintenance Organization HPSA – Health Professional Shortage Area IBNR – Incurred-But-Not-Reported ICAMA – Interstate Compact on Adoption and Medical Assistance ICF/ID – Intermediate care facility for the intellectually disabled ICPC – Interstate Compact on the Placement of Children ICWP – Independent Care Waiver Program IDEA – Individuals with Disabilities Education Act IEP – Individualized Education Program IFI – Intensive Family Intervention IFSP – Individualized Family Service Plan INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver XX Member – Juvenile Justice Member JPPS – Juvenile Parole/Probation Specialist LBW – Low Birth Weight LEAs – Local Education Agencies LIM – Low-Income Medicaid LIPT – Local Interagency Planning Team MDT – Multidisciplinary Team MMIS – Medicaid Management Information System MSHCN – Members with Special Health Care Needs NAIC – National Association of Insurance Commissioners NCM – Nurse Care Manager NCQA – National Committee for Quality Assurance NCTSN – National Child Traumatic Stress Network NET – Non-Emergency Transportation NICU – Neonatal Intensive Care Unit NOIA – Notice of Intent to Award NOW – New Options Waiver Program NP-C – Certified Nurse Practitioners NPI – National Provider Identifier O.C.G.A. – Official Code of Georgia Annotated OSAH – Office of State Administrative Hearings P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – Physician Assistant PBM – Pharmacy Benefit Manager PC PCMH - Performance Concern Patient Centered Medical Home PCP – Primary Care Provider PDF – Portable Document Format file PDSA – Plan Do Study Act PHI – Protected Health Information PHM – Population Health Management PHO - Preferred Health Organization PIP – Performance Improvement Project PMPM – Per Member Per Month PPACA – Patient Protection and Affordable Care Act PPC®-PCMH - Physician Practice Connections-Patient Centered Medical Home PPS – Prospective Payment System PQO - Performance, Quality and Outcomes PRTF – Psychiatric Residential Treatment Facility QAPI – Quality Assessment Performance Improvement QEs – Qualified Entities RBWO – Room Board and Watchful Oversight RFP – Request for Proposal RHC – Rural Health Clinic RIAT – Regional Interagency Team RSM – Right from the Start Medicaid SCHIP SED – Severe Emotional Disorder SHBP – State Children’s Health Insurance Program Benefits Plan SHD – Systems Help Desk SP – Specialty Providers SSA – Social Security Act SSI – Supplemental Security Income SUD – Substance use Disorder SUCCESS – System for the Uniform Calculation and Consolidation of Economic Support TANF – Temporary Assistance for Needy Families TCN – Transaction Control Number TDD – Telecommunication Device for the Deaf UM – Utilization Management UPIN – Unique Physician Provider Identifier Number UR – Utilization ReviewReview VBP – Value Based Purchasing VFC – Vaccines for Children VHR – Virtual Health Record VLBW – Very Low Birth Weight W3C – World Wide Web Consortium

ACRONYMS. AFDC – Aid to The acronyms included in this Contract stand for the following terms. ACH - Automated Clearinghouse ADFAN - Puerto Rico Administración de Familias y Niños, or Families with Dependent and Children Administration AICPA – - American Institute of Certified Public Accountants CAH – Critical Access Hospital CAPA – Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern CDC – Centers for Disease Control ARRA - American Recovery and Reinvestment Act of 2009 ASES - Administración de Seguros de Salud, or Puerto Rico Health Insurance Administration ASSMCA - The Mental Health and Against Addiction Services Administration or Administración de Servicios de Salud Mental y Contra la Addicción ASUME - Minor Children Support Administration BC-DR - Business Continuity and Disaster Recovery CCuSAI - Comprehensive Health Center CFR – - Code of Federal Regulations CHIP – - Children’s 's Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization CLIA - Clinical Laboratory Improvement Amendment CMS – - Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – Department of Community Health DME – - Durable Medical Equipment DOI – Department of Insurance EB – Enrollment Broker ECM - Electronic Claims Management EDI - Electronic Data Interchange EFT - Electronic Funds Transfer EHR - Electronic Health Record EIN - Employer Identification Number EMTALA - Emergency Medical Treatment and Labor Act EPSDT – - Early and Periodic Screening, Diagnostic, and Treatment EQR – - External Quality Review EQRO – - External Quality Review Organization EVS ER - Eligibility Verification System FFS – Fee-for-Service Emergency Room FQHC – - Federally Qualified Health Center GF – Georgia Families GTA PMG - Georgia Technology Authority Primary Medical Group HEDIS - The Healthcare Effectiveness Data and Information Set HHS – US - U.S. Department of Health and & Human Services HIE - Health Information Exchange HIPAA – - Health Insurance Portability and Accountability Act HMO – Health Management Organization of 1996 IBNR – - Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MAC - Maximum Allowable Cost MBHO - Managed Behavioral Health Organization MMIS – - Medicaid Management Information System NAIC – National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET – NEMT - Non-Emergency Medical Transportation NP-C – Certified Nurse Practitioners NPI – - National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – OIG - Office of the Inspector General of the U.S. Department of Health and Human Services PBM - Pharmacy Benefits Manager PCP - Primary Care Physician Assistant PBM – Pharmacy Benefit Manager PC PDL - Preferred Drug List PIHP - Prepaid Inpatient Health Plan PIP - Performance Concern PCP – Improvement Projects PMG - Primary Care Medical Group PPA - Pharmacy Program Administrator PPN - Preferred Provider PPS – Prospective Payment System Network QAPI – - Quality Assessment Performance Improvement Program RFP - Request for Proposals RHC – - Rural Health Clinic RSM – Right from the Start Medicaid SCHIP – State Children’s Health Insurance Program SSA – Center SAS - Statements on Auditing Standards SSN - Social Security Act TANF – Temporary Assistance for Needy Families Number TDD – - Telecommunication Device for the Deaf TPL - Third-Party Liability UCF - Uniform Central Formulary UM – - Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization ReviewManagement

ACRONYMS. AFDC The following acronyms are commonly used in the health care industry and/or frequently found throughout this Contract and its Appendices: ABA – Aid to Families with Dependent Children AICPA Applied Behavioral Analysis ACA (or PPACA) – American Institute the Patient Protection and Affordable Care Act of Certified Public Accountants CAH 2010 ALP – Critical Access Hospital CAPA Alternative Lock-up Programs AND – Corrective Action Preventive Action CAPA/PC administratively necessary day BBA – Corrective Action Preventive Action/Performance Concern CDC Balanced Budget Act of 1997 BH – Centers for Disease Control behavioral health BHP – behavioral health program BOH – Board of Hearings BORIM – Board of Registration in Medicine CANS – child and adolescent needs and strengths CBHI – children’s behavioral health initiative CFR – Code of Federal Regulations CHIP CMP – Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization care management program CMR –Code of Massachusetts Regulations CMS – the federal Centers for Medicare & and Medicaid Services CNM CPCP – Certified Nurse Midwives CSB Comprehensive Primary Care Payment CSA – Community Service Boards DCH community service agency CSMP – controlled substance management program DCF – the Massachusetts Department of Community Health DME Children and Families DDS – Durable Medical Equipment DOI – the Massachusetts Department of Insurance EB Developmental Services DHCFP – Enrollment Broker the Massachusetts Division of Health Care Finance and Policy DMH – the Massachusetts Department of Mental Health DPH – the Massachusetts Department of Public Health DPH/BSAS – Bureau of Substance Abuse Services of the Mass. Department of Public Health DRM – Document Review Measure DSRA – direct service reserve account DUR – drug utilization review DYS – the Massachusetts Department of Youth Services ECC – Enhanced Care Coordination ED – emergency department EESPA – Expected External Service Provision Adjustment EOHHS – the Massachusetts Executive Office of Health and Human Services EPSDT – Early and Periodic Screening, Diagnostic, Diagnosis and Treatment ESP – emergency services program EQR –external quality review EVS – External Quality Review EQRO – External Quality Review Organization EVS - Eligibility Verification System FFP – federal financial participation FFS – Feefee-for-Service FQHC service FTE – Federally Qualified Health Center GF full-time equivalent FY – Georgia Families GTA - Georgia Technology Authority HHS fiscal year HCBS – US Department of Health Home and Human Community-Based Services HEDIS – Healthcare Effectiveness Data and Information Set HIPAA – Health Insurance Portability and Accountability Act HMO of 1996 HNA – Health Needs Assessment XXXX – incurred but not reported ICC – intensive care coordination ICM – intensive clinical management ICMP – Integrated Care Management Organization IBNR Program LEIE – Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component Office of the 1115 Demonstration Waiver LIM Inspector General List of Excluded Individuals Entities MBR – LowMassHealth benefit request (application) form MCO – managed care organization MCPAP – Massachusetts child psychiatry access project MFD – Medicaid Fraud Division MFP – Money Follows the Person MGL – Massachusetts General Laws MID – member identification number MIS – management information system MLR – PCC Member-Income Medicaid Level Report MMIS – Medicaid Management Information System NAIC MSS – National Association of Insurance Commissioners PCC Plan management support services NCQA – National Committee for Quality Assurance NET – Non-Emergency Transportation NP-C – Certified Nurse Practitioners NPI – National Provider Identifier P4HB national provider identifier OCA – Planning Office of Clinical Affairs P4P – pay for Healthy Babies 1115 Demonstration Waiver PA performance PAP – Physician Assistant PBM pre-arraignment protocol PBCM – Pharmacy Benefit Manager PC - Performance Concern PCP Practice Based Care Management PBHMI – Pediatric Behavioral Health Medication Initiative PCAL – Primary Care Activity Level PCC – primary care clinician PCMHI – patient-centered medical home initiative PCP – primary care practitioner PCPR – primary care payment reform PD – PCC Performance Dashboard PID/SL – provider identification and service location PIHP – Prepaid Inpatient Health Plan PMPD – per member (covered individual or enrollee) per day PMPM – per member (covered individual or enrollee) per month POPS – Pharmacy Online Processing System PPHSD – Preventive Pediatric Health-Care Screening and Diagnosis PPPM – per participant (in the Care Management Program) per month PPSS – Provider PPS Partner Support Services S2BI – Prospective Payment System QAPI Screening to Brief Intervention SBIRT – Screening, Brief Intervention, and Referral to Treatment SED – serious emotional disturbance SRE – serious reportable event TPL – third-party liability QI – quality improvement QM – quality management UM – utilization management VG – Virtual Gateway GENERAL ADMINISTRATIVE REQUIREMENTS Transition to the Contractor Transfer of Responsibilities The Contractor shall: Ensure that there is no interruption of Behavioral Health Covered Services to Covered Individuals and Uninsured Individuals. Ensure that the existing toll-free telephone number (000-000-0000), is operative at the Contractor’s office as of midnight (Eastern Time) on the Service Start Date and remains operative for the duration of the Contract, unless otherwise directed or agreed to by EOHHS. The number shall continue to offer all appropriate menu options to provide Contract-related information to PCCs, Network Providers, and Covered Individuals, including the PCC Plan Hotline. (See Section 9.7 for specific telephone system requirements.) At least 30 days prior to the Service Start Date, obtain all records, reports and data related to the previous PCC Plan’s Behavioral Health Program contract (“previous BHP contract”) in the manner and method specified by EOHHS, including but not limited to information pertaining to: Utilization: Preauthorization and continuing stay (concurrent review) files for all Levels of Care; and Management reports identifying the next scheduled concurrent review and discharge review dates; Care Management, including all current authorizations, individual care plans, clinical case notes and utilization history for individuals receiving Care Coordination, Targeted Outreach, and Intensive Clinical Management, including as of 14 calendar days before the end of the previous BHP contract; Prior authorizations for all Levels of Care: Inpatient Services admissions for the last 30 calendar days of the previous BHP contract; Outpatient Services authorizations ending on or before 30 calendar days after the last calendar day of the previous BHP contract; Diversionary Services for the last 30 calendar days of the previous BHP contract; Clinical notes and individual case information; Provider credentialing; Provider fraud investigations; Complaints from Covered Individuals; Grievances from providers and Covered Individuals; Adverse Incident investigations; Quality Assessment Performance Management plan; Quality Improvement RHC – Rural Health Clinic RSM – Right Project records; Information on the previous BHP provider network, including: A provider list containing the provider’s name, type of provider, address, administrative contact person and clinical contact person; The previous BHP contract’s network management plan with provider files and improvement goals; and All Appeals and Claim reviews filed under the previous BHP contract and not yet investigated and resolved. Implementation The Contractor shall: Develop and submit to EOHHS for approval, no later than 14 days after notification that EOHHS has selected it for Contract negotiations, a detailed work plan and timeline for performing the obligations set forth in the Contract for the first Contract Year, including the readiness activities for the Service Start Date. Provide EOHHS with updates to the initial work plan and timeline, identifying adjustments that have been made to either, and describing the Contractor’s current stage of readiness to perform all Contract obligations. Until the Service Start Date, the Contractor shall provide an update every two weeks to the work plan and timeline, and thereafter as often as EOHHS determines is necessary. Unless otherwise agreed to by EOHHS, submit to EOHHS all deliverables, including but not limited to those identified in Appendix B, that must be in place by the times specified in this Contract; or, if not specified, in sufficient time to permit any EOHHS-identified modifications to be made by the Service Start Date. Ensure that all workplace requirements EOHHS deems necessary, including but not limited to office space, post office boxes, telephones and equipment, are in place and operative as of the Service Start Date. Establish its Provider Network and maintain existing Provider Agreements with such Providers, all in accordance with the provisions set forth in Section 3.1.C. Perform all functions described in the Contract as of the Service Start Date, unless otherwise specified or agreed to by EOHHS. Clinical Transition Plan The Contractor shall: Prepare to assume responsibility as of the Service Start Date for the clinical management, service authorization, and Claims payment functions for Covered Individuals who are receiving Inpatient Services or have open Outpatient or Diversionary Service authorizations or registrations on the Service Start Date. No later than one month prior to the Service Start Date, prepare to accept transfer of all authorizations that are valid for dates of service after the Service Start Date; and each business day beginning 30 days prior to the Service Start Date, transfer from the previous BHP contract information on all services that were registered the previous day and that are valid for dates of service after the Service Start Medicaid SCHIP – State ChildrenDate. Prior to the Service Start Date, ensure that sufficient staff have been recruited, hired and trained to perform all requirements of the Contract on the Service Start Date, unless otherwise agreed to by the parties. Prior to the Service Start Date, provide written instructions to those network and non-network providers from the previous BHP contract regarding any changes from the previous BHP contract to the Contractor’s Health Insurance Program SSA – Social Security Act TANF – Temporary Assistance service authorization requirements and procedures for Needy Families TDD – Telecommunication Device using the service authorization system, and schedule training sessions with Network Providers to review policies and procedures for any such changes, as necessary. For Covered Individuals who have registered or prior-authorized BH Covered Services in place by the Deaf UM – day before the Service Start Date, honor all such authorizations through their end dates. For any Covered Services authorized under the previous BHP contract, adjudicate and pay claims from BH Network Providers under the previous BHP contract for services provided on or after the Service Start Date. Contract Requirements for EOHHS Readiness Review Prior to the Service Start Date, and no later than 60 days prior to enrollment of Covered Individuals into the Contractor’s Plan, and at other times during the Contract period at the discretion of EOHHS, EOHHS will conduct the Readiness Review to verify the Contractor’s assurances that the Contractor is ready and able to meet its obligations under the Contract. EOHHS reserves the right to conduct an additional Readiness Review in the event that additional populations become managed care eligible. The EOHHS Readiness Review may include on-site review. The Contractor shall demonstrate to EOHHS satisfaction that all elements required for readiness are in place, including but not limited to: All deliverables that EOHHS has specified must be in place prior to the Service Start Date, as set forth in Appendix B; Network Provider composition and access; Staffing, including Key Personnel and functions directly impacting on Enrollees; Capabilities of Material Subcontractors; Care Management capabilities; Content of Provider Agreements, including any Provider performance incentives; Enrollee Services capability (materials, processes and infrastructure, e.g., call center capabilities); Comprehensiveness of quality management/quality improvement and Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization strategies; Internal Grievance and Appeal policies; Fraud and Abuse detection and protocols, Third-Party Liability Benefit Coordination and Recovery and program integrity; Financial solvency; Information systems, including claims payment system performance, interfacing and reporting capabilities, validity testing of Encounter Data, IT testing and security assurances. Covered Individuals may not be enrolled with the Contractor until EOHHS determines that the Contractor is ready and able to perform its obligations under the Contract as demonstrated during the Readiness Review. If, for any reason, the Contractor does not fully satisfy EOHHS that it is ready and able to perform its obligations under the Contract prior to the Service Start Date, and EOHHS does not agree to postpone the Contract Service Start Date or extend the date for full compliance with the applicable Contract requirement, then EOHHS may terminate the Contract and shall be entitled to recover damages from the Contractor.

ACRONYMS. AFDC As used in this PPA to which this Schedule 1 (Definitions) is attached and in the other Project Documents (unless otherwise specified therein), the following acronyms shall have the meanings set out below (unless the context requires otherwise). ACHP – Aid to Families with Dependent Children AICPA Advisory Council of Historic Preservation ACM – Asbestos-containing Materials XXXXX – Association for Cooperative Operations Research and Development ADA – Americans With Disabilities Act AHJ – authority having jurisdiction AISC – American Institute of Certified Public Accountants CAH Steel Construction ALTA – Critical Access Hospital CAPA American Land Title Association ANSI – Corrective Action Preventive Action CAPA/PC American National Standards Institute AREMA – Corrective Action Preventive Action/Performance Concern CDC American Railway Engineering and Maintenance-of-Way Association ASCE – Centers American Society of Civil Engineers ASHRAE – American Society of Heating, Refrigerating, and Air-Conditioning Engineers ASME – American Society of Mechanical Engineers ASTM – American Society for Disease Control Testing and Materials AWS – American Welding Society CAD – computer-assisted drafting CFR – Code of Federal Regulations CHIP – Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization CMS – Centers for Medicare & Medicaid Services CNM CWI – Certified Nurse Midwives CSB Welding Inspector D&C – Community Service Boards DCH Design and Construction DB – Diverse Business DbA – decibel DNCR – Pennsylvania Department of Community Health DME Conservation & Natural Resources DWG – Durable Medical Equipment DOI – CAD design file format supported by Autodesk, Inc. Pennsylvania Department of Insurance EB Transportation SCHEDULE 1 CNG Fueling Station Transit Agencies Partnership Project 117 Public-Private Transportation Partnership Agreement 0109786-0000002 NY:24823028.11 ECM – Enrollment Broker EPSDT environmental compliance manager ECMS – Early and Periodic Screeningelectronic collaborative management system EDMS – electronic document management system EEO – Equal Employment Opportunity EIS – Environmental Impact Statement EOR – Engineer of Record EPA – Environmental Protection Agency (see USEPA) ESA – environmental site assessment ESD –Emergency Shut Down FAA – Federal Aviation Administration FEMA – Federal Emergency Management Agency FHWA – Federal Highway Administration FTA – Federal Transit Administration GFI –Ground Fault Interrupter GGE – gasoline gallon equivalent HVAC – heating, Diagnosticventilation, and Treatment EQR air conditioning IBC – External Quality Review EQRO International Building Code ID – External Quality Review Organization EVS - Eligibility Verification System FFS identification number IES, IESNA – FeeIlluminating Engineering Society (of North America) JEDEC – Joint Electron Devices Engineering Council LAN –local area network LDD – lamp dirt depreciation LED – light-for-Service FQHC emitting diode LLD – Federally Qualified Health Center GF lamp lumens depreciation MMSCF – Georgia Families GTA - Georgia Technology Authority HHS one million standard cubic feet MFM – US Metal Finishes Manual Pennsylvania Department of Health and Human Services HIPAA – Health Insurance Portability and Accountability Act HMO – Health Management Organization IBNR – IncurredTransportation SCHEDULE 1 CNG Fueling Station Transit Agencies Partnership Project 118 Public-ButPrivate Transportation Partnership Agreement 0109786-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MMIS – Medicaid Management Information System NAIC 0000002 NY:24823028.11 NAAMM – National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET Architectural Metal Manufacturers NCR – Non-Emergency Transportation NP-C – Certified Nurse Practitioners NPI conformance Report NEC – National Provider Identifier P4HB Electric Code NEMA – Planning for Healthy Babies 1115 Demonstration Waiver PA National Electrical Manufacturers Association NEPA – Physician Assistant PBM National Environmental Policy Act, 42 U.S.C. s 4321 et seq. as amended from time to time NFPA – Pharmacy Benefit Manager PC National Fire Protection Agency NGV – natural gas vehicle O&M – operations and maintenance OD – outside diameter OSHA – Occupational Safety and Health Administration (United States) P&ID –Piping and Instrumentation Diagram PADEP - Performance Concern PCP Pennsylvania Department of Environmental Protection PBS – Primary Care Provider PPS Project Baseline Schedule PDF – Prospective Payment System QAPI Portable Document File format PFBC – Quality Assessment Performance Improvement RHC Pennsylvania Fish & Boat Commission PGC - Pennsylvania Game Commission PHMC – Rural Health Clinic RSM Pennsylvania Historic and Museum Commission PI – Right from pavement index PLC – programmable logic controller PLS – Professional Land Surveyor PPA – Public-Private Transportation Partnership Agreement Psig – pounds per square inch gauge PVC – polyvinyl chloride RSPL – recommended spare parts list SAE – Society of Automotive Engineers Standard SBE – Small Business Enterprise Pennsylvania Department of Transportation SCHEDULE 1 CNG Fueling Station Transit Agencies Partnership Project 119 Public-Private Transportation Partnership Agreement 0109786-0000002 NY:24823028.11 SCF – standard cubic feet SCFM –Standard cubic feet per minute TIA – Time Impact Analysis TP – Technical Provisions USACOE – United States Army Corps of Engineers USCG – United States Coast Guard USDA – United States Department of Agriculture USDOL – United States Department of Labor USDOT – United States Department of Transportation USEPA – United States Environmental Protection Agency USFWS – United States Fish and Wildlife Service WBS – Work Breakdown Structure XER – Oracle Primavera Project Management electronic compressed file format Pennsylvania Department of Transportation SCHEDULE 2 CNG Fueling Station Transit Agencies Partnership Project 120 Public-Private Transportation Partnership Agreement 0109786-0000002 NY:24823028.11 [RESERVED] Pennsylvania Department of Transportation SCHEDULE 3 CNG Fueling Station Transit Agencies Partnership Project 121 Public-Private Transportation Partnership Agreement 0109786-0000002 NY:24823028.11 SCHEDULE 3 SITE ACCESS RESTRICTIONS Project Site Access Restrictions AMTRAN  No specific restrictions.  Development Entity shall cooperate and coordinate with AMTRAN to accommodate bus traffic. ATA - Johnsonburg Project work shall be limited to the Start Medicaid SCHIP – State Children’s Health Insurance Program SSA – Social Security Act TANF – Temporary Assistance for Needy Families TDD – Telecommunication Device hours between 8am and 4pm ATA - Bradford No specific restrictions. BCTA The exact nature of restrictions will be determined by Development Entity final design plans for the Deaf UM – Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization Reviewfacility. General guidance below: Development Entity shall take care to limit impacts to BCTA’s operation and on the operation of other lessee’s of the property (including but not limited to BCRC). Development Entity shall submit for BCTA approval a staging plan to delineate parts of the property (parking lot) to be used for storage of construction equipment, etc. that minimizes the impact of the construction. Main entrance and exit to and Pleasant Drive is busy. Construction traffic may be limited at this location and may require off hours construction. Development Entity shall submit for BCTA approval a detour plan for non- construction traffic during construction at this location. BTA No specific restrictions are anticipated at this time. Development Entity shall cooperate and coordinate with BTA to accommodate bus traffic. CAMTRAN - Johnstown Access to main gate shall be maintained at all times in case of emergency.

ACRONYMS. AFDC – Aid to The acronyms included in this Contract stand for the following terms. ACH - Automated Clearinghouse ADFAN - Puerto Rico Administración de Familias y Niños, or Families with Dependent and Children Administration AICPA – - American Institute of Certified Public Accountants CAH – Critical Access Hospital CAPA – Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern CDC – Centers for Disease Control ARRA - American Recovery and Reinvestment Act of 2009 ASES - Administración de Seguros de Salud, or Puerto Rico Health Insurance Administration ASSMCA - The Mental Health and Against Addiction Services Administration or Administración de Servicios de Salud Mental y Contra la Addicción ASUME - Minor Children Support Administration BC-DR - Business Continuity and Disaster Recovery CCuSAI - Comprehensive Health Center CFR – - Code of Federal Regulations CHIP – - Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization CLIA - Clinical Laboratory Improvement Amendment CMS – - Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – Department of Community Health DME – - Durable Medical Equipment DOI – Department of Insurance EB – Enrollment Broker ECM - Electronic Claims Management EDI - Electronic Data Interchange EFT - Electronic Funds Transfer EHR - Electronic Health Record EIN - Employer Identification Number EMTALA - Emergency Medical Treatment and Labor Act EPSDT – - Early and Periodic Screening, Diagnostic, and Treatment EQR – - External Quality Review EQRO – - External Quality Review Organization EVS ER - Eligibility Verification System FFS – Fee-for-Service Emergency Room FQHC – - Federally Qualified Health Center GF – Georgia Families GTA PMG - Georgia Technology Authority Primary Medical Group HEDIS - The Healthcare Effectiveness Data and Information Set HHS – US - U.S. Department of Health and & Human Services HIE - Health Information Exchange HIPAA – - Health Insurance Portability and Accountability Act HMO – Health Management Organization of 1996 IBNR – - Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MAC - Maximum Allowable Cost MBHO - Managed Behavioral Health Organization MMIS – - Medicaid Management Information System NAIC – National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET – NEMT - Non-Emergency Medical Transportation NP-C – Certified Nurse Practitioners NPI – - National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – OIG - Office of the Inspector General of the U.S. Department of Health and Human Services PBM - Pharmacy Benefits Manager PCP - Primary Care Physician Assistant PBM – Pharmacy Benefit Manager PC PDL - Preferred Drug List PIHP - Prepaid Inpatient Health Plan PIP - Performance Concern PCP – Improvement Projects PMG - Primary Care Medical Group PPA - Pharmacy Program Administrator PPN - Preferred Provider PPS – Prospective Payment System Network QAPI – - Quality Assessment Performance Improvement Program RFP - Request for Proposals RHC – - Rural Health Clinic RSM – Right from the Start Medicaid SCHIP – State Children’s Health Insurance Program SSA – Center SAS - Statements on Auditing Standards SSN - Social Security Act TANF – Temporary Assistance for Needy Families Number TDD – - Telecommunication Device for the Deaf TPL - Third-Party Liability UCF - Uniform Central Formulary UM – - Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization ReviewManagement

ACRONYMS. AFDC – Aid to The acronyms included in this Contract stand for the following terms. ACH - Automated Clearinghouse ADFAN - Puerto Rico Administración de Familias y Niños, or Families with Dependent and Children Administration AICPA – - American Institute of Certified Public Accountants CAH – Critical Access Hospital CAPA – Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern CDC – Centers for Disease Control ARRA - American Recovery and Reinvestment Act of 2009 ASES - Administración de Seguros de Salud, or Puerto Rico Health Insurance Administration ASSMCA - The Mental Health and Against Addiction Services Administration or Administración de Servicios de Salud Mental y Contra la Addicción ASUME - Minor Children Support Administration or Administración para el Sustento de Menores BC-DR - Business Continuity and Disaster Recovery CCuSAI - Comprehensive Health Center CFR – - Code of Federal Regulations CHIP – - Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization CLIA - Clinical Laboratory Improvement Amendment CMS – - Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – Department of Community Health DME – - Durable Medical Equipment DOI – Department of Insurance EB – Enrollment Broker DRG Diagnostic Related Groups ECM - Electronic Claims Management EDI - Electronic Data Interchange EFT - Electronic Funds Transfer EHR - Electronic Health Record EIN - Employer Identification Number EMTALA - Emergency Medical Treatment and Labor Act EPSDT – - Early and Periodic Screening, Diagnostic, and Treatment EQR – - External Quality Review EQRO – - External Quality Review Organization EVS ER - Eligibility Verification System FFS – Fee-for-Service Emergency Room FQHC – - Federally Qualified Health Center GF – Georgia Families GTA PMG - Georgia Technology Authority Primary Medical Group HEDIS - The Healthcare Effectiveness Data and Information Set HHS – US - U.S. Department of Health and & Human Services HIE - Health Information Exchange HIPAA – - Health Insurance Portability and Accountability Act HMO – Health Management Organization of 1996 IBNR – - Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MAC - Maximum Allowable Cost MBHO - Managed Behavioral Health Organization MMIS – - Medicaid Management Information System NAIC – NDC National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET – Drug Code NEMT - Non-Emergency Medical Transportation NP-C – Certified Nurse Practitioners NPI – - National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – OIG - Office of the Inspector General of the U.S. Department of Health and Human Services PBM - Pharmacy Benefits Manager PCP - Primary Care Physician Assistant PBM – Pharmacy Benefit Manager PC PDL - Preferred Drug List PIHP - Prepaid Inpatient Health Plan PIP - Performance Concern PCP – Improvement Projects PMG - Primary Care Medical Group PPA - Pharmacy Program Administrator PPN - Preferred Provider PPS – Prospective Payment System Network QAPI – - Quality Assessment Performance Improvement Program RFP - Request for Proposals RHC – - Rural Health Clinic RSM – Right from the Start Medicaid SCHIP – State Children’s Health Insurance Program SSA – Center SAS - Statements on Auditing Standards SSN - Social Security Act TANF – Temporary Assistance for Needy Families Number TDD – - Telecommunication Device for the Deaf TPL - Third-Party Liability UCF - Uniform Central Formulary UM – - Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization ReviewManagement

ACRONYMS. AFDC – Aid to Families with Dependent Children AICPA – ACC - Army Contracting Command ACOR - Alternate Contracting Officer's Representative AFARS - Army Federal Acquisition Regulation Supplement AMC - Army Materiel Command ANSI - American National Standards Institute of Certified Public Accountants CAH – Critical Access Hospital CAPA – Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern AQL - Acceptable Quality Level AR - Army Regulation ARC - Army Resource Center ATO - Anti-Terrorism Officer CAP - Contractor Acquired Property CDC – Centers for Disease Control - Child Development Center CDRL - Contract Data Requirements List CFE - Contractor Furnished Equipment CFM - Contractor Furnished Material CFP - Contractor Furnished Property CFR – - Code of Federal Regulations CHIP – ChildrenCLIN - Contract Line Item Number CMRA - Contractor Manpower Reporting Application CONUS - Continental United States (excludes Alaska and Hawaii) COR - Contracting Officer’s Health Insurance Program – formerly known as the State ChildrenRepresentative CORT - Contracting Officer’s Health Insurance Program (SCHIP) CMO – Care Management Organization CMS – Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – Representative Xxxx CPARS - Contractor Performance Assessment Reporting System DA - Department of Community Health DME – Durable Medical Equipment DOI – the Army DCMA - Defense Contract Management Agency DES - Directorate of Emergency Services DFARS - Defense Federal Acquisition Regulation Supplement DID - Data Item Description DOD - Department of Insurance EB – Enrollment Broker EPSDT – Early and Periodic Screening, Diagnostic, and Treatment EQR – External Quality Review EQRO – External Quality Review Organization EVS Defense DOL - Eligibility Verification System FFS – Fee-for-Service FQHC – Federally Qualified Health Center GF – Georgia Families GTA - Georgia Technology Authority HHS – US Department of Health and Human Services HIPAA – Health Insurance Portability and Accountability Act HMO – Health Management Organization IBNR – IncurredLabor DOT - Department of Transportation DPW - Directorate of Public Works ECO - Environmental Compliance Officer EM - Engineering Manual, U.S. Army Corps of Engineers (USACE) EO - Executive Order EPA - Environmental Protection Agency ERDC - Engineering Research Development Center FAR - Federal Acquisition Regulation FIPS - Federal Information Processing Standards FPCON - Force Protection Condition GFE - Government-ButFurnished Equipment GFEBS - General Fund Enterprise Business System GFM - Government-NotFurnished Material GFP - Government-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component Furnished Property HLO - High Level Objective HQDA - Headquarters Department of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MMIS – Medicaid Army HSPD - Homeland Security Presidential Directive IAW - In Accordance With IMCOM - Installation Management Command IPM - Integrated Pest Management IPMC - Integrated Pest Management Coordinator IPMP - Integrated Pest Management Plan IT - Information Technology KO - Contracting Officer N/A - Not Applicable NGB - National Guard Bureau NLT - Not Later Than OCI - Organizational Conflict of Interest OCONUS - Outside Continental United States (includes Alaska and Hawaii) OMB - Office of Management and Budget OSHA - Occupational Safety and Health Administration XXX - Pamphlet PM - Preventive Maintenance POC - Point of Contact PoP - Period of Performance PPIRS - Past Performance Information Retrieval System NAIC – National Association of Insurance Commissioners NCQA – National Committee for PRS - Performance Requirements Summary PUB - Publication PWS - Performance Work Statement QA - Quality Assurance NET – Non-Emergency Transportation NP-C – Certified Nurse Practitioners NPI – National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – Physician Assistant PBM – Pharmacy Benefit Manager PC QAP - Performance Concern PCP – Primary Care Provider PPS – Prospective Payment System QAPI – Quality Assessment Performance Improvement RHC – Rural Health Clinic RSM – Right from the Start Medicaid SCHIP – State Children’s Health Insurance Assurance Program SSA – Social Security QASP - Quality Assurance Surveillance Plan QC - Quality Control QCP - Quality Control Plan RCRA - Resource Conservation and Recovery Act TANF – Temporary Assistance for Needy Families TDD – Telecommunication Device for the Deaf UM – Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization ReviewSDS - Safety Data Sheets SF - Standard Form TE - Technical Exhibit USARC - U.S. Army Reserve Command U.S.C. - United States Code VCE - Virtual Contracting Enterprise VIP - Very Important Person WAWF - Wide Area Work Flow WD - Wage Determination

ACRONYMS. AFDC – Aid to ADL — Activities of Daily Living ADM— Alcohol, Drug Abuse & Mental Health Office of the Florida Department of Children & Families (aka SAMH — listed below) ALF— Assisted Living Facility APD— Agency for People with Dependent Children AICPA – American Institute Disabilities BBA — Balanced Budget Act of Certified Public Accountants CAH – Critical Access Hospital CAPA – 1997 CAP — Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern Plan CARES — Comprehensive Assessment & Review for Long-Term Care Services CDC – — Centers for Disease Control CFR – Code of Federal Regulations CHIP – Children’s CHD — County Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization Department CMS – — Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – CFR — Code of Federal Regulations CHCUP — Child Health Check-Up Program CPT— Physicians’ Current Procedural Terminology DCF— Department of Community Children & Families DFS - Department of Financial Services DHHS— United States Department of Health DME – & Human Services DOH— Department of Health DJJ— Department of Juvenile Justice DEA— Drug Enforcement Administration DME— Durable Medical Equipment DOI – Department of Insurance EB – Enrollment Broker EPSDT – EDI — Electronic Data Interchange EDT - Eastern Daylight Time EPSDT— Early and Periodic Screening, Diagnostic, and Diagnosis & Treatment Program EQR – — External Quality Review EQRO – EQRO— External Quality Review Organization EVS - Eligibility Verification System FFS – EST— Eastern Standard Time FAC— Florida Administrative Code FFS— Fee-for-Service FQHC – FQHC— Federally Qualified Health Center GF – Georgia Families GTA - Georgia Technology Authority HHS – US Department of Health and Human Services HIPAA – FTE— Full Time Equivalent Position HIPAA— Health Insurance Portability and & Accountability Act HMO – HMO— Health Management Maintenance Organization IBNR – Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component - Incurred but not reported LEIE— List of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MMIS – Medicaid Management Information System NAIC – National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET – Non-Emergency Transportation NP-C – Certified Nurse Practitioners NPI – National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – Physician Assistant PBM – Pharmacy Benefit Manager PC Excluded Individuals & Entities MBHO— Managed Behavioral Health Organization ODBC — Open Database Connectivity PCCB - Performance Concern PCP – Per capita capitation benchmark PCP— Primary Care Provider PPS – Prospective Payment System QAPI – Physician QI - Quality Assessment Performance Improvement RHC – QIP— Quality Improvement Program RBI - Request for Benefit Information RFP— Request for Proposal RHC— Rural Health Clinic RSM – Right from SAMH— Alcohol, Drug Abuse & Mental Health Office of the Start Medicaid SCHIP – State Children’s Health Insurance Program SSA – Social Florida Department of Children & Families (aka ADM — listed above) SFTP— Secure File Transfer Protocol SOBRA— Sixth Omnibus Budget Reconciliation Act SQL — Structured Query Language SSI — Supplemental Security Act TANF – Temporary Assistance for Needy Families TDD – Telecommunication Device for the Deaf Income UM – — Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization ReviewWIC— Special Supplemental Nutrition Program for Women, Infants & Children

ACRONYMS. AFDC – Aid to Families with Dependent Children AICPA – American Institute of Certified Public Accountants CAH – Critical Access Hospital CAPA – Corrective Action Preventive Action CAPA/PC – Corrective Action Preventive Action/Performance Concern CDC – Centers for Disease Control CFR – Code of Federal Regulations CHIP – Children’s Health Insurance Program – formerly known as the State Children’s Health Insurance Program (SCHIP) CMO – Care Management Organization CMS – Centers for Medicare & Medicaid Services CNM – Certified Nurse Midwives CSB – Community Service Boards DCH – Department of Community Health DME – Durable Medical Equipment DOI – Department of Insurance EB – Enrollment Broker EPSDT – Early and Periodic Screening, Diagnostic, and Treatment EQR – External Quality Review EQRO – External Quality Review Organization EVS - Eligibility Verification System FFS – Fee-for-Service FQHC – Federally Qualified Health Center GF GHF – Georgia Families GTA - Georgia Technology Authority Cares HHS – US Department of Health and Human Services HIPAA – Health Insurance Portability and Accountability Accountabilty Act HMO – Health Management Organization IBNR – Incurred-But-Not-Reported INS – U.S. Immigration and Naturalization Services IPC – Interpregnancy Care component of the 1115 Demonstration Waiver LIM – Low-Income Medicaid MMIS – Medicaid Management Information System NAIC – National Association of Insurance Commissioners NCQA – National Committee for Quality Assurance NET – Non-Emergency Transportation NP-C – Certified Nurse Practitioners NPI – National Provider Identifier P4HB – Planning for Healthy Babies 1115 Demonstration Waiver PA – Physician Assistant PBM – Pharmacy Benefit Manager PC - Performance Concern PCP – Primary Care Provider PPS – Prospective Payment System QAPI – Quality Assessment Performance Improvement RHC – Rural Health Clinic RSM – Right from the Start Medicaid SCHIP – State Children’s Health Insurance Program SSA – Social Security Act TANF – Temporary Assistance for Needy Families TDD – Telecommunication Device for the Deaf UM – Utilization Management UPIN – Unique Physician Identifier Number UR – Utilization Review