| |
M |
| |
 |
 |
|
| |
Magnetic Resonance Imaging (MRI)
A diagnostic scanning technique during which radio waves and an electromagnetic field are used to help create detailed, cross-sectional images of specific organs and tissues. MRI is often considered a particularly valuable imaging technique for studies of the brain and spinal cord because of the MRI's ability to scan images from various angles and provide strong contrast between healthy and abnormal tissues. |
|
|
| |
Managed Behavioral Healthcare Organization (MBHO)
An MCO that specializes in the management, administration and/or provision of behavioral healthcare benefits. |
|
|
| |
Managed Care
A health care delivery system that attempts to keep costs down by managing the care to eliminate unnecessary treatment and reduce expensive hospital care. The most familiar models are health maintenance organizations (HMOs) and preferred provider organizations (PPOs). |
|
|
| |
Managed Care Entity (MCE)
The federal statutory term for managed care plan participating in Medicaid. There are two types of MCEs: managed care organization (MCOs) and primary care case managers (PCCMs). MCEs may be public or private. |
|
|
| |
Managed Care Organization (MCO)
An MCO is an entity that has entered into a risk contract with a state Medicaid agency to provide a specified package of benefits to Medicaid enrollees in exchange for a monthly capitation payment on behalf of each enrollee. See Capitation Payment. |
|
|
| |
Managing Entity
The local agency that plans, develops, implements and monitors services within a specified area. See also, COUNTY PROGRAM and AREA PROGRAM. |
|
|
| |
Mandatory
State participation in the Medicaid program is voluntary. However, if a state elects to participate, as do all, the state must at a minimum offer coverage for certain services to certain populations. These eligibility groups and services are referred to as mandatory in order to distinguish them from the eligibility groups and services that a state may, at its option, cover with federal Medicaid matching funds. See Optional. |
|
|
| |
MD
Muscular Dystrophy & Medical Doctor |
|
|
| |
MDD
Major Depressive Disorder |
|
|
| |
Measures
Methodologies applied to derive and calculate indicators. Examples: 1. Adult consumer performs paid work for at least 20 hours per week. 2. SED child attends at least 90% of regularly scheduled school days. |
|
|
| |
Medicaid
Medicaid is a health insurance program for certain low-income and needy people paid with federal, state, and county dollars. It covers more than 1 million people in North Carolina, including children, the aged, blind, and/or disabled, and people who are eligible to receive federally assisted income maintenance payments. Medicaid funds some Mental Health, Developmental Disabilities and Substance Abuse services based on the consumer's diagnosis and medical necessity. Consumers with Medicaid, or who believe they may be eligible for Medicaid, should discuss this with their service provider. Application for Medicaid can be made through the Department of Social Services. |
|
|
| |
Medicaid Disincentives
Eligibility rules in the Medicaid and Social Security programs that get in the way of people with disabilities being able to return to work. A number of recent legislative reforms now permit some of these disincentives to be overcome. |
|
|
| |
Medicaid Match
Federal government rule requiring that the state/local government match the federal government funds for Medicaid reimbursement services. In North Carolina, this is approximately 60% federal/40% state/local match. |
|
|
| |
Medical Co-Morbidity
Presence of two serious illnesses at once; for example, drug addiction and acquired immunodeficiency syndrome. |
|
|
| |
Medical Director
A qualified physician responsible for establishing and overseeing medical policy throughout the system. |
|
|
| |
Medically Managed Services
Services provided or directly managed by a physician. |
|
|
| |
Medically Monitored Residential Detoxification Service
A 24 hour per day service in a residential setting providing detoxification service and monitoring, with care provided by a multidisciplinary team of service personnel including 24 hour nursing care under the supervision of a physician. |
|
|
| |
Medically Monitored Services
Services provided under the direction and supervision of a physician. The physician may or may not directly administer care to the patient. |
|
|
| |
Medically Necessary or Medical Necessity
Criteria established to ensure that treatment is necessary and appropriate for the condition or disorder for which the treatment is provided. Review methods include retrospective, concurrent and pre-treatment reviews. See UTILIZATION REVIEW. |
|
|
| |
Medicare
A federal government hospital and medical expense insurance plan primarily for elderly people and people with disabilities. |
|
|
| |
Medicare Part A
The part of Medicare that provides basic hospital coverage automatically for most eligible persons over sixty-five or for people with disabilities. |
|
|
| |
Medicare Part B
A voluntary program that is part of Medicare and provides benefits to cover the costs of physician services. |
|
|
| |
Medicare Part D
The part of Medicare that provides prescription drug benefits for most eligible persons over sixty-five or for people with disabilities. |
|
|
| |
Medicare Supplement
A private medical expense insurance that supplements Medicare coverage. Also known as a Medigap policy. |
|
|
| |
Medicare+Choice
An expansion of the traditional Medicare program that will augment the fee-for-service and HMO health plans currently available to participants to include a variety of new managed care and fee-for-service options. |
|
|
| |
Medication Therapy
Prescription, administration, assessment of drug effectiveness, and monitoring of potential side effects of psycho-tropic medications. |
|
|
| |
Medigap
MediGap plans are supplements to Medicare insurance. MediGap plans vary from State to State; standardized MediGap plans also may be known as Medicare Select plans. |
|
|
| |
Memorandum of Agreement (MOA)
A written document, signed by two or more parties, containing policies and/or procedures for managing issues that impact more than one agency or program. |
|
|
| |
Memorandum Of Understanding (MOU)
Same as MOA |
|
|
| |
Mental Disorders
Another term used for mental health problems. |
|
|
| |
Mental Health
How a person thinks, feels, and acts when faced with life's situations. Mental health is how people look at themselves, their lives, and the other people in their lives; evaluate their challenges and problems; and explore choices. This includes handling stress, relating to other people, and making decisions. |
|
|
| |
Mental Illness
Collective term for all mental disorders. See also, MENTAL HEALTH, SERIOUS MENTAL ILLNESS, and SERIOUS AND PERSISTENT MENTAL ILLNESS. |
|
|
| |
MH
Mental Health |
|
|
| |
MH/SA PAC
Mental Health/Substance Abuse Policy Advisory Committee |
|
|
| |
MHA
Mental Health Association |
|
|
| |
MHTF
Mental Health Trust Fund |
|
|
| |
MI
Mental Illness |
|
|
| |
MI and MR/DD services
Services designed to address the needs of people with both psychiatric illness and mental retardation or developmental disabilities. |
|
|
| |
MICA
Medically Ill Chemical Abusers |
|
|
| |
MMIS
Medicaid Management Information System |
|
|
| |
MOA
Memorandum of Agreement (written document for how two or more agencies will work together) |
|
|
| |
Mobile Treatment Team
Provides assertive outreach, crisis intervention, and independent-living assistance with linkage to necessary support services in the client's/patient's own environment. This includes PACT, CTTP, or other continuous treatment team programs. |
|
|
| |
Most In Need
The most severely disabled individuals with mental illness, developmental disabilities or substance abuse. Also, the basis for establishing target or priority populations. |
|
|
| |
Motor Fluctuations
Motor fluctuations occur when levodopa is used to treat Parkinson's disease. As the disease becomes worse, the number of cells in the brain that store dopamine decreases, the symptoms of Parkinson's disease worsen, and levodopa is not as effective in controlling the symptoms. When this happens, a person is said to have off episodes. |
|
|
| |
MOU
Memorandum of Understanding (see MOA) |
|
|
| |
MPD
Multiple Personality Disorder |
|
|
| |
MR
Mental Retardation |
|
|
| |
MR/MI
Mental Retardation/Mental Illness or co-occurring disorders, formerly Thomas S. class consumers illness) formerly Thomas S. |
|
|
| |
MS
Multiple Sclerosis |
|
|
| |
Multiple Sclerosis (MS)
A progressive disease of the central nervous system characterized by destruction of myelin (demyelination), the fatty substance that forms a protective sheath around certain long nerve fibers (axons). Myelin serves as an electrical insulator, enabling the effective transmission of nerve signals. Patients with MS may develop paresthesias, such as numbness or tingling; muscle weakness and stiffness; impaired coordination; abnormal reflexes; an inability to control urination (urinary incontinence); slurred speech; visual disturbances; and/or other symptoms and findings. |
|
|
| |
Multisystemic Therapy (MST)
A best practice intensive family and community-based treatment model for serious, violent and chronic juvenile offenders who are at-risk for out of home placement.
|
|
|
