Glossary of Terms

Family of One
A commonly used phrase to describe a child that becomes eligible for Medicaid through use of institutional eligibility rules for certain medically needy individuals. These rules allow a budgeting methodology for children to meet Medicaid financial eligibility criteria as a “family of one,” using the child’s own income and disregarding parental income.
Federally Qualified Health Centers (FQHC)
They are federally funded health centers or clinics that focus on serving underserved areas and populations.
Fee for Service (FFS)
Payment in specific amounts for specific services rendered. Payment may be made by an insurance company, the patient, or a government program such as Medicare or Medicaid. The form of payment is in contrast to payment retainer, salary, or other contract arrangements (to Physicians or other suppliers of service); and premium payment or membership fee for insurance coverage (by the patient).
First Episode Psychosis (FEP)
Members with FEP are individuals who have displayed psychotic symptoms suggestive of recently-emerged schizophrenia. FEP generally occurs in individuals age 16-35. For this RFQ, FEP includes individuals whose emergence of psychotic symptoms occurred within the previous 2 years, who remain in need of mental health services, and who have a diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, psychotic disorder NOS (DSM-IV), or other specified/unspecified schizophrenia spectrum and other psychotic disorder (DSM-5). The definition of FEP excludes individuals whose psychotic symptoms are due primarily to a mood disorder or substance use.
Full-Time Equivalent Employee (FTE)
The hours worked by full time employees plus the hours worked by part time employees divided by the number of hours worked during a full time year determines how many full-time equivalent employees a business has. This unit is used for health care reform and small business tax credits.
Fully Integrated Dual Advantage (FIDA)
Integrates service delivery for acute care, long-term care, and behavioral health under a single payment per beneficiary for those eligible for both Medicaid and Medicare.