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US · guidance

CMS Pub. 100-02, ch. 13, § 250.1

Payment of IOP Services

activein force · 2026-08-25 – presentas-observed

Index of Acronyms

(Rev. 12832; Issued: 09-12-24; Effective:01-01-24; Implementation:10-14-24)

ACP – advance care planning

AIR – all inclusive rate

AWV – annual wellness visit

BHI – behavioral health integration

CCM – chronic care management

CCN – CMS certification number

CHI – community health integration

CNM – certified nurse midwife

CoCM – collaborative care model

CP – clinical psychologist

CPM – chronic pain management

CSW – clinical social worker

DSMT – diabetes self-management training

EKG – electrocardiogram

E/M – evaluation and management

FQHC – federally qualified health center

FTE – full time equivalent

GAF – geographic adjustment factor

GME – graduate medical education

HCPCS – Healthcare Common Procedure Coding System

HHA – home health agency

HHS – Health and Human Services

HPSA – health professional shortage area

HRSA – Health Resources and Services Administration

IPPE – initial preventive physical exam

IOP – intensive outpatient program

LDTC – low dose computed tomography

LPN – licensed practical nurse

MAC – Medicare Administrative Contractor

MHC – mental health counselor

MEI – Medicare Economic Index

MFT – marriage and family therapist

MNT – medical nutrition therapy

MSA – metropolitan statistical area

MUA – medically-underserved area

MUP – medically-underserved population

NCD – national coverage determination

NECMA – New England County Metropolitan Area

NP – nurse practitioner

OBRA - Omnibus Budget Reconciliation Act

PA – physician assistant

PCE - primary care exception

PCM – principal care management

PFS – physician fee schedule

PIN - principal illness navigation

PIN-PS – principal illness navigation – peer support

PPS – prospective payment system

PHS – public health service

RHC – rural health clinic

RN – registered nurse

RO – regional office

RPM – remote patient monitoring

RTM – remote therapeutic monitoring

RUCA – rural urban commuting area

SDOH – Social Determinants of Health

SLP – speech language therapy

SNF – skilled nursing facility

TCM – transitional care management

UA – urbanized area

USPSTF – U.S. Preventive Services Task Force

History

(Rev. 12832; Issued: 09-12-24; Effective:01-01-24; Implementation:10-14-24)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
7265c7aa0a2f236bc3e8670d5949188be2b595546f49d38633709864d7835cdb
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