Glossary & Abbreviations

Glossary

Care Managers:
Trained MHP employees who evaluate your needs, make provider referrals, authorize and coordinate mental health care.

Core Service Agency:
Plans and manages services at the local level.

Complaint:
Feedback that you are unhappy about some aspect of the PMHS.

Grievance:
A disagreement with an individual or provider around level of service, treatment, or any other relative matter, that you file to resolve the situation.  2.  A request from you or your provider for MHP to review a decision they have made about the request for services or the level of services that you are receiving.

Managed Care Organization (MCO):
Under Medical Assistance, helps you get the care you need for physical health.

Maryland Health Partners (MHP):
Hired by MHA to help you or someone you know get the mental health care needed.  Monitors and manages claims for payment to PMHS providers.  http://www.mdhp.com/

Medical Necessity Criteria:
Used to determine whether an appropriate prescribed treatment is appropriate for consumer's condition.

Mental Hygiene Administration (MHA):
State Department within the Department of Health Mental Hygiene that funds and oversees the PMHS.  www.dhmh.state.md.us/mha

Physician Advisors:
Physicians employed by MHP to assist Care Managers in making and reviewing decisions about authorizations of mental health services.

Medicaid:
State funded medical insurance for recipients of Public Assistance.

Medicare:
Federally funded medical insurance for individuals over 65 or have Social Security Insurance for over 24 months.

Abbreviations

CSA               -     Core Service Agency
LCSW (-C)     -     Licensed Clinical Social Worker (-Certified)
MCO              -     Managed Care Organization
MHP              -     Maryland Health Partners
MHMA           -     Mental Health Management Agency
MA                -      Medical Assistance
DHMH           -      The Maryland Department of Health and Mental Hygiene                                                                                                                                                                                                               
PMHS           -      Maryland Public Mental Health System

Other Pages……..
Youth
How to File a Grievance
Financial Forms
Glossary and Abbreviations
Events