ATTACHMENT K_S-DASOBO-00010624_Project-specific Acronyms and Definitions.docx

RFP ATTACHMENT K

Project-specific Acronyms and Definitions ACA – Patient Protection and Affordable Care Act APTC – Advance Premium Tax Credit CAC: Customer Assistance Center and Mailroom Services – Part Two of the Solution CAC Operational Readiness – Milestone date of September 1, 2026 CMS – Centers for Medicare & Medicaid Services CSR – Cost-Sharing Reductions CHIP – Children's Health Insurance Program COTS – Commercial-off-the-Shelf CRM – Customer Relations Management DAS – Department of Administrative Services (State of Oregon) DMI –Data Matching Issues EDE – Enhanced Direct Enrollment EDI – Electronic Data Interchange EEPR – Effectuated Enrollment Payment Report EFT – Electronic File Transfer EIS – Enterprise Information Services, State of Oregon FDSH – Federal Data Services Hub FFM – Federally Facilitated Marketplace HHS – Health and Human Services HIOS ID –Health Insurance Oversight System Identification Number HPA – Health Policy and Analytics, OHA division HIPAA – Health Insurance Portability and Accountability Act iQMS – Independent Quality Management Services vendor IVR – Interactive Voice Response JAD – Joint Application Design M&O: Maintenance and Operations MAGI – Modified Adjusted Gross Income Marketplace – Oregon Health Insurance Marketplace, OHA office Marketplace Production Environment – Technology enrollment platform MIDAS –Multi-Dimensional Insurance Data Analytics System MVP – Minimal Viable Product NPN – National Producer Number OEP – Open Enrollment Period OERR – Open Enrollment Readiness Review ODHS – Oregon Department of Human Services OHA – Oregon Health Authority OIS – Office of Information Services, State of Oregon PII – Personal Identifiable Information Plan Year – A 12-month period of benefits coverage under a group health plan Platform – Part One of the Solution Platform Operational Readiness – Milestone date of July 1, 2026 PMBOK – Project Management Body of Knowledge PMP – Project Management Plan PPR – Preliminary Payment Report QHP – Qualified Health Plan QLE – Qualifying Life Event RFP – Request for Proposals RTM – Requirements Traceability Matrix SaaS – Software-as-a-Service SBM-FP – State-based Marketplace using the Federal Platform SBM – State-based Marketplace SBM Project – OHA’s envisioned implementation of SBM Solution, described in this RFP SADP – Stand-Alone Dental Plan SEP – Special Enrollment Period SHOP – Small Business Health Options Plan SLA – Service-Level Agreement SOS – Scope of Services State – State of Oregon UAT – User Acceptance Testing