NHVA Glossary of Terms
Advisory Committee on Immunization Practice (ACIP): Federal advisory committee of immunization experts who advise the Secretary of the U. S. Department of Health and Human Services, the Assistant Secretary for Health, and the Centers for Disease Control and Prevention (CDC) on the control of vaccine-preventable diseases. Committee recommendations include ages for vaccine administration, number of doses and dosing intervals, and precautions and contra-indications.
CDC: See “Centers for Disease Control and Prevention.”
Centers for Disease Control and Prevention (CDC): A federal agency in the U.S. Department of Health and Human Services that works to protect public health and safety through prevention controls for infectious and chronic diseases, injuries, workplace hazards, disabilities, and environmental health threats. The CDC manages the Vaccine for Children (VFC) entitlement program and works with VFC grantees to administer the program. The Maine CDC's Childhood Vaccine Program buys childhood vaccines through the CDC for the state’s Childhood Vaccine Program.
Centers for Medicare and Medicaid Services (CMS): A federal agency in the U.S. Department of Health and Human Services (DHHS) that, among other responsibilities, administers Medicare and works with state governments to administer Medicaid, the State Children's Health Insurance Program (SCHIP), and HIPAA standards.
CPT code: Abbreviation for Current Procedural Terminology (CPT) code, one of the many sets of medical billing codes that providers use for claim forms.
EOB: Acronym for the Explanation of Benefits, a summary of health care services administered to a health plan member. The EOB breaks out the portion of the cost covered by the plan and the portion that is the responsibility of the patient.
HIPAA: Acronym for the Health Insurance Portability and Accountability Act. The act sets standards for electronic health care transactions, patient privacy, and the security of health data.
HCFA: Health Care Financing Administration, the former name of the Centers for Medicare and Medicaid Services (CMS).
Provider: Physicians, nurses, clinics, hospitals, and other individuals and organizations who provide health care services to patients, such as administering vaccines to children.
Taft-Hartley Trust: Multi-employer health plans whose funds and assets are placed in a trust for employees and their families and managed by a board of trustees. Because of their centralized administration and resource pooling, these plans are the only way that some small employers can afford to provide comprehensive health coverage to their employees.
Third-party Administrator (TPA): In the context of health care, an organization that provides administrative services, such as claims processing and adjudication, member enrollment, and payment to health care providers, for companies that offer health benefits to their employees or members (sometimes called plan sponsors). Although a TPA is often referred to as a “payer” in the health care system, TPAs actually process payments using the plan sponsor’s funds
Universal Purchase: The purchase of vaccines for all children under age 19 by a state, urban, or territorial public immunization program.
Vaccines for Children (VFC): A federally funded entitlement program run by the Centers for Disease Control and Prevention (CDC) that purchases and distributes all vaccines recommended by the Advisory Committee on Immunization Practices (ACIP). The vaccines are provided at no cost to children who meet the eligibility requirements: enrolled in Medicaid, uninsured, underinsured, Native American, or Alaska Native.
VFC Status Screening: A requirement of the federal Vaccines for Children (VFC) program. At every immunization visit, the provider must document the child’s VFC status as uninsured, underinsured, American Indian or Alaska Native, or enrolled in Medicaid.
Maine Vaccine Board (MVB): Formed by the Maine State legislation in 2010 to enable the state to continue universal purchase of vaccines for children under age 19. MVB administers the flow of vaccine funds by collecting assessments from health plans, insurance companies, and other payers and remitting the funds to the state. See 22 MRSA §1066