A decision about your health care that you make ahead of time in case
you are ever unable to speak for yourself. This will let your family
and your doctors know what decisions you would make if you were able to.
ASC/SPU
Ambulatory surgical center/short procedure unit.
Authorization
An O.K. or approval for a service.
B
Benefits
Services, procedures and medications that Medicaid SSI will cover for you.
C
Clinical Care Management
Services, procedures and medications that UnitedHealthcare Community
Plan will cover for you.
D
Disenrollment
To stop your membership in Medicaid SSI.
E
Earned Income
Money received from wages, including from a sheltered workshop or
work activity center, self-employment earnings, and some royalties and honoraria.
Emergency
When you reasonably believe that your health is in serious danger.
F
Federal Poverty Level (FPL)
Poverty income thresholds by family size that are annually updated by
the Census Bureau for inflation.
Fraud
An untruthful act – an example is someone other than you using your
Medicaid SSI member ID card and pretending to be you.
I
ID Card
Identification card – a card that says you are a Medicaid SSI member.
You should have this card with you at all times.
Informed Consent
You agree to all medical treatments.
Inpatient
When you are admitted into a hospital for a length of time.
M
Medical Necessity
Your health care provider decides if a treatment, admission,
procedure, medical supply, equipment, service or supply is medically necessary.
Member
A person who is eligible for Medicaid SSI.
O
Outpatient
When you have a procedure done that does not require a hospital stay overnight.
P
Primary Care Physician (PCP)
A doctor you choose to be your family physician. They have their own
private practices.
Prior Authorization
The process for any service that needs an O.K. from Medicaid SSI
before it can take place.
Provider
Any medical professional that Medicaid SSI has contracted with to
take care of you.
Provider Directory
A list of providers who participate with Medicaid SSI to help take
care of your healthcare needs.
R
Referral
When you and your primary care provider agree you need to see another
doctor, your primary care provider will send you to a Medicaid SSI specialist.
S
Self-Referred Services
Services for which you do not need to see your primary care provider
for a referral.
Special Needs Unit (SNU)
A voluntary service offered by Medicaid SSI that can give you extra
help in understanding and using your benefits if you have a disability
or other special need.
Specialist
A doctor that has specific, detailed training in one certain medical field.
T
Treatment
The care that you may receive from doctors and facilities.
U
Unearned Income
Money received from all other sources, such as: gifts, interest,
Social Security, Veteran's benefits or pensions.
Urgent Care
When you need care, treatment or medical advice within a 24-hour time period.
