Medicare and Medicaid Abbreviations

A number of abbreviations are useful to know to read 42 CFR Parts 401, 405, 422, 423 and 478.

Act – The Social Security Act

ALJ – Administrative Law Judge

APA – Administrative Procedures Act

BIPA – Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (Pub. L. 106-554)

CMS – Centers for Medicare & Medicaid Services

Council – Medicare Appeals Council

DAB – Departmental Appeals Board

HHS – U.S. Department of Health and Human Services

IRE – Independent Review Entity

IRMAA – Income Related Monthly Adjustment Amount

MA – Medicare Advantage

MAO – Medicare Advantage Organization

MMA – Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (pub. L. 108-173)

OIG – HHS Office of Inspector General

OMHA – Office of Medicare Hearings and Appeals

QIC – Qualified Independent Contractor

QIO – Quality Improvement Organization

SSA – Social Security Administration