Key Defintions
Intimate Partner Violence (IPV): A range of harmful behaviors including physical violence, sexual violence, stalking, financial, emotional, and psychological aggression perpetrated by a current or former intimate partner, designed to exert power and control over other the partner.
Adverse Childhood Experiences (ACES): Potentially traumatic events—such as abuse, neglect, or household dysfunction—that happen before the age of 18. These experiences can harm long-term health, brain development, and life opportunities.
Managed Care Plan (MCP): In California, a Managed Care Plan (MCP) is a highly specialized health care delivery system contracted by the California Department of Health Care Services (DHCS) to provide coordinated, high-quality, and cost-effective medical services to Medi-Cal (California’s Medicaid program) beneficiaries.
Community-Based Organization (CBO): A nonprofit or community organization providing services directly to community members, including DV advocacy, legal aid, housing support, and other social needs services.
Community Health Worker (CHW): A frontline public health worker who is a trusted member of the community they serve. They act as a bridge between individuals and health or social services, helping people navigate care, get health education, and address social barriers.
Closed-Loop Referral (CLR): A referral model in which the originating entity (MCP, PCP, or care manager) tracks the referral to confirmed service connection and receives outcome data back from the receiving organization.
CUES Framework: Confidentiality, Universal Education, Empowerment, and Support is a trauma-informed, survivor-centered approach to IPV education and response used as the evidence-based standard in this toolkit.
Community of Practice (CoP): A specialized IPV learning community for MCPs facilitated by the PopHealth Learning Center. Participants volunteered to participate in the learning community to build an IPV strategy.
Enhanced Care Management (ECM): A Medi-Cal benefit that provides person-centered, community-based care coordination for members with complex clinical and non-clinical challenges. It assigns a single Lead Care Manager to integrate physical, mental, dental, and social services wherever the patient prefers to meet.
Social Drivers of Health (SDoH): Non-clinical factors—including housing, food security, economic stability, transportation, and safety—that influence health outcomes and equity.
Health Related Social Needs (HRSN): The specific, individual-level unmet social and economic conditions—such as food insecurity, unstable housing, or lack of transportation—that negatively impact a person’s health, well-being, and ability to access medical care.
Health Risk Assessment (HRA): A screening tool and questionnaire used to evaluate an individual’s overall health status, lifestyle habits, and medical history. Its main goal is to identify potential health risks, encourage preventive care, and guide personalized wellness or treatment plans.
Managed Care Accountability Set (MCAS): A group of standardized performance metrics used by state health agencies—such as California’s Department of Health Care Services (DHCS)—to evaluate and enforce the quality of care provided by managed care plans.
Healthcare Effectiveness Data and Information Set (HEDIS) measures: Standardized performance metrics used by over 90% of U.S. health plans to evaluate, track, and compare the quality of care and services provided to members. Developed and maintained by the National Committee for Quality Assurance (NCQA), these measures apply to more than 200 million people nationwide.1
National Committee for Quality Assurance (NCQA): A private, nonprofit organization in the U.S. founded in 1990 to measure, accredit, and improve the quality of health care. It sets industry standards and evaluates health plans, managed care organizations, and medical practices to ensure patients receive safe and effective care.
- National Committee for Quality Assurance, “HEDIS and Performance Measurement,” ncqa.org/hedis (HEDIS used by more than 90% of U.S. health plans, covering more than 200 million people). ↩︎