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MHS Health Care Glossary

Military Health System (MHS) Health Care Glossary serves as the official repository and consolidated reference (as a secondary source) for terms and definitions used within the MHS. Some terms may have multiple and varying definitions based on the context and primary source of authority. Note that certain definitions may be approved only for limited use in a single primary reference document, while others may have broad applicability in multiple contexts and issuances. To determine the most appropriate definition in a particular context, consult all relevant source documents. Any disparities between this Glossary and primary sources are unintentional, and the primary source shall control.

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Combat and Operational Stress Reactions (COSR)

Glossary Term
Date of Publication
11/22/2011

The physical, emotional, cognitive, or behavioral reactions, adverse consequences, or psychological injuries of Service members who have been exposed to stressful or traumatic events in combat or military operations. COSRs vary in severity as ...

Source of Definition

DoD Instruction 6490.05: Maintenance of Psychological Health in Military Operations

Related Glossary Terms

Combat and Operational Stress Control | Combat and Operational Stress Control Consultant | Combat and Operational Stress Control Personnel

Combat and Operational Stress Control Consultant (COSC Consultant)

Glossary Term
Date of Publication
11/22/2011

A mental health professional with training and expertise in COSC management who consults with the Combatant Command Surgeon and the Combatant Commander about matters related to combat stress such as unit cohesion, unit morale, resilience, ...

Source of Definition

DoD Instruction 6490.05: Maintenance of Psychological Health in Military Operations

Related Glossary Terms

Combat and Operational Stress Control | Combat and Operational Stress Control Personnel | Combat and Operational Stress Reactions

Combat and Operational Stress Control Personnel (COSC Personnel)

Glossary Term
Date of Publication
11/22/2011

COSC personnel. Active and Reserve Component mental health professionals or other personnel including enlisted specialists and administrative support personnel who are trained in COSC principles, including combat and operational stress first ...

Source of Definition

DoD Instruction 6490.05: Maintenance of Psychological Health in Military Operations

Related Glossary Terms

Combat and Operational Stress Control | Combat and Operational Stress Control Consultant | Combat and Operational Stress Reactions

Veterans Affairs Beneficiaries

Glossary Term
Date of Publication
10/20/2011

Health care beneficiaries identified by Sections 8111 and 8111A of title 38, United States Code and Section 2641 of title 10, United States Code  or other applicable authority identified by the ASD(HA).

Source of Definition

DoD Instruction 5154.06: Armed Services Medical Regulating

Related Glossary Terms

Veterans Affairs Beneficiaries

National Disaster Medical System

Glossary Term
Date of Publication
10/20/2011

A coordinated partnership between Departments of Homeland Security, Health and Human Services, Defense, and Veterans Affairs established for the purpose of responding to the needs of casualties of a public health emergency.

Source of Definition

DoD Instruction 5154.06: Armed Services Medical Regulating

Related Glossary Terms

National Disaster Medical System

Medical Treatment Facility

Glossary Term
Date of Publication
10/20/2011

A facility established for the purpose of furnishing medical and/or dental care to eligible individuals.

Source of Definition

DoD Instruction 5154.06: Armed Services Medical Regulating

Related Glossary Terms

Medical Treatment Facility | Medical Treatment Facility [6025.13] | Medical Treatment Facility [6025.24] | Medical Treatment Facility [DoDI 1300.27]

Medical Treatment Facility or Dental Treatment Facility (MTFs/DTFs)

Glossary Term
Date of Publication
9/26/2011

Those inpatient and outpatient facilities owned, staffed, and managed by the Military Departments.

Source of Definition

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System

Military Health System (MHS)

Glossary Term
Date of Publication
9/26/2011

The combination of military and civilian medical systems used to provide healthcare to DoD medical beneficiaries.

Source of Definition

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System

Medical Beneficiary

Glossary Term
Date of Publication
9/26/2011

A person eligible for health care services under Chapters 47 and 55 of title 10, United States Code

Source of Definition

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System

Related Glossary Terms

Beneficiaries [DoDI 6025.25] | Beneficiary [DHA IPM: 16-001] | Beneficiary [DoDI 1010.04] | Beneficiary [DoDI 6040.45] | Beneficiary [DoDM 6025.13]

Involuntary Change

Glossary Term
Date of Publication
9/26/2011

Includes an involuntary loss of eligibility for the MHS, an involuntary loss of other health insurance coincident with the initiation or continuation of MHS eligibility, or termination of the provider by the Managed Care Support Contractor ...

Source of Definition

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System

Transparency

Glossary Term
Date of Publication
9/26/2011

A broad-scale initiative enabling consumers to compare the quality and price of healthcare services, so they can make informed choices among providers and facilities.

Source of Definition

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System

Internal Appeal

Glossary Term
Date of Publication
9/26/2011

An administrative review of program determinations regarding medical necessity that is internal to the medical treatment facility/dental treatment facility MTF/DTF (for direct care) or to the Managed Care Support Contractor (MCSC) (for ...

Source of Definition

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System

Primary Care Manager [DoDI 6000.14] (PCM)

Glossary Term
Date of Publication
9/26/2011

Licensed and credentialed healthcare providers privileged to provide primary and preventive care services and to facilitate appropriate referrals for other services, including specialty services, for all active duty members and TRICARE Prime ...

Source of Definition

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System

External Appeal

Glossary Term
Date of Publication
9/26/2011

An appeal that has been elevated to the external chain of responsibility at the national quality monitoring contractor (NQMC) and  Defense Health Agency (DHA) levels, to provide an independent review. An external appeal may be exercised ...

Source of Definition

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System

National Quality Monitoring Contractor (NQMC)

Glossary Term
Date of Publication
9/26/2011

A contract peer review organization that monitors the quality of MHS-delivered care and serves the Office of the Assistant Secretary of Defense for Health Affairs OASD(HA) as the external peer reviewer for medical necessity determination ...

Source of Definition

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System
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