Glossary of Terms

Participating Provider
A hospital or practitioner who signs a contract with a managed care plan and agrees to care for plan members for negotiated fees and conditions specified in the contract. Typically, when plan members see participating providers, they have low co-payments and no paperwork to file with the plan. To become a participating provider, a provider must be a contracted provider and fully credentialed.
Patient-centered Medical Homes (PCMH)
A model of care where each patient has an ongoing relationship with a personal physician who leads a team that takes collective responsibility for patient care.
Peer Specialist
Individuals who hold a credential from a certifying authority recognized by the commissioner of OASAS or OMH. Peer specialists are supervised by a credentialed or licensed clinical staff member to provide peer support services or other authorized services based on clinical need as identified in patients' treatment/recovery plans.
Per Member Per Month (PMPM)
The amount a provider receives per month for each patient he or she is treating.
Performance Improvement Project (PIP)
A concentrated effort on a particular problem in one area of the facility or facility wide; it involves gathering information systematically to clarify issues or problems, and intervening for improvements.
Performing Provider System (PPS)
An entity responsible for performing a DSRIP project, requires collaboration between a number of hospitals and/or agencies.
Permanent Supportive Housing (PSH)
Housing with continued occupancy for a qualified tenant as long as the tenant's household pays the rent and complies with the lease or applicable landlord/tenant laws. The tenants are linked with supportive services that are: flexible and responsive to their individualized needs; available when needed by tenants; and if necessary, accessible where the tenant lives. Housing meets the U.S. Department of Housing and Urban Development housing quality standards and is made available by New York State, its designee, or directly with other qualified housing organizations. Housing is affordable to the eligible target population (monthly rent and utilities do not exceed 30% of monthly income).
Personalized Recovery Oriented Services (PROS)
A comprehensive recovery oriented program for indivduals with severe and persistent mental illness. PROS integrates treatment, support, and rehabilitation to improve functioning, reduce inpatient utilization, reduce emergency services, reduce contact with the criminal justice system, increase employment, attain higher levels of education and secure preferred housing.
Primary Care Provider (PCP)
The health care professional mainly responsible for the care of a patient, especially in an outpatient setting.
Primary/Behavioral Health Care Integration (PBHCI)
A SAMHSA program that supports communities coordinating and integrating primary care services into publicly funded, community-based behavioral health settings with the goal of improving access to primary care; prevention, early identification, and intervention efforts; integrated holistic care; and overall health status of patients.
Prospective Payment System (PPS)
A method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. The payment amount for a particular service is derived based on the classification system of that service (for example, diagnosis-related groups for inpatient hospital services).
Psychiatric Advance Directive
A legal document giving instructions for future mental health treatment or appointing an agent to make future decisions about mental health treatment. The document is used when the person who created the document experiences acute episodes of psychiatric illness and becomes unable to make or communicate decisions about treatment.