CMS-10434 #22 Population and Enrollment Screenshots

Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
HH2 - Population and Enrollment PRA document
Version 1.0
08/10/2017

Document Number: 168-QSSI-MACPro-PRA-HH2-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HH2 – Population and Enrollment Screenshots .................................................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8

“Categories of Individuals and Populations Provided Health Homes Services”
Section ............................................................................................................ 1
“Population Criteria” Section ........................................................................... 1
“Population Criteria” Section – Path 1 ............................................................. 2
“Population Criteria” Section – Path 2 ............................................................. 2
“Population Criteria” Section – Path 3 ............................................................. 2
“Enrollment of Participants” Section – Path 1 .................................................. 3
“Enrollment of Participants” Section – Path 2 .................................................. 3
“Enrollment of Participants” Section – Path 3 .................................................. 3

List of Figures
Figure 1: Categories of Individuals and Populations Provided Health Homes Services .. 1
Figure 2: Population Criteria ............................................................................................ 1
Figure 3: Population Criteria - 1 ...................................................................................... 2
Figure 4: Population Criteria - 2 ...................................................................................... 2
Figure 5: Population Criteria - 3 ...................................................................................... 2
Figure 6: Enrollment of Participants - 1 ........................................................................... 3
Figure 7: Enrollment of Participants - 2 ........................................................................... 3
Figure 8: Enrollment of Participants - 3 ........................................................................... 3

HH2 - Population and Enrollment PRA document Version 1.0

i

08/10/2017

HH2 – Population and Enrollment ScreenshotsCMS XLC

HH2 – Population and Enrollment Screenshots

1. HH2 – Population and Enrollment Screenshots
1.1

“Categories of Individuals and Populations Provided Health
Homes Services” Section

Figure 1: Categories of Individuals and Populations Provided Health Homes Services

1.2

“Population Criteria” Section

Figure 2: Population Criteria

HH2 - Population and Enrollment PRA document Version 1.0

1

08/10/2017

HH2 – Population and Enrollment ScreenshotsCMS XLC

1.3

HH2 – Population and Enrollment Screenshots

“Population Criteria” Section – Path 1

Figure 3: Population Criteria - 1

1.4

“Population Criteria” Section – Path 2

Figure 4: Population Criteria - 2

1.5

“Population Criteria” Section – Path 3

Figure 5: Population Criteria - 3

HH2 - Population and Enrollment PRA document Version 1.0

2

08/10/2017

HH2 – Population and Enrollment ScreenshotsCMS XLC

1.6

HH2 – Population and Enrollment Screenshots

“Enrollment of Participants” Section – Path 1

Figure 6: Enrollment of Participants - 1

1.7

“Enrollment of Participants” Section – Path 2

Figure 7: Enrollment of Participants - 2

1.8

“Enrollment of Participants” Section – Path 3

Figure 8: Enrollment of Participants - 3

HH2 - Population and Enrollment PRA document Version 1.0

3

08/10/2017