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G&L
Gains and Losses |
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GACCY
Governor's Advocacy Council on Children and Youth |
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GACPD
Governors Advocacy Council for Persons with Disabilities |
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GAF
Global Assessment of Functioning |
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Gag Clause
A clause within a contract that restricts the ability of a provider to discuss treatment options with a consumer that may be beneficial but are not covered by the health plan. |
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GAO
General Accounting Office |
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Gatekeeper
Primary care physician or local agency responsible for coordinating and managing the health care needs of members. Generally, in order for specialty services such as mental health and hospital care to be covered, the gatekeeper must first approve the referral. |
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GEM
Geriatric Evaluation and Management |
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General Fund
State funds used by the General Assembly for public programs and initiatives. |
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General Hospital
A hospital that provides mental health services in at least one separate psychiatric unit with specially allocated staff and space for the treatment of persons with mental illness. |
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General Support
Includes transportation, childcare, homemaker services, day care, and other general services for clients/patients. |
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Generic Substitution
The practice of substituting a cheaper, generic, medication for a brand-name medication. This can be mandated by the state to occur at the point of sale or can occur at consumer request. NMHA is not opposed to the use of generic medication, as this is a reasonable mechanism that can be used to cut costs to the pharmacy budget when appropriate for specific individuals. However, clinicians and consumers must be aware when such policies are in place. The key factor is the ability for clinicians and consumers to choose the best option for all available types of medication therapies. |
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Geographic Accessibility
A measure of access to services, generally determined by drive/travel time or number and type of providers in a service area. |
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Grievances
A formal complaint by a service recipient that must be resolved in a specified manner. |
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Group Home for Developmentally Disabled Adults
Group home for developmentally disabled adults means an adult care home which has two to nine developmentally disabled adult residents. |
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Group or Network HMO
An HMO that contracts with one or more independent group practices to provide services to its members. |
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Group Therapy
This form of therapy involves groups of usually 4 to 12 people who have similar problems and who meet regularly with a therapist. The therapist uses the emotional interactions of the group's members to help them get relief from distress and possibly modify their behavior. |
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Group-Model Health Maintenance Organization (HMO)
A health care model involving contracts with physicians organized as a partnership, professional corporation, or other association. The health plan compensates the medical group for contracted services at a negotiated rate, and that group is responsible for compensating its physicians and contracting with hospitals for care of their patients. |
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GS
General Statute |
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