CMS-10434 #22 Geographic Limitations Screenshots

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

Medicaid and CHIP Program (MACPro)
HH3 – Geographic Limitations RU PRA document
Version 1.0
08/10/2017

Document Number: 172-QSSI-MACPro-PRA-HH3-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HH3 – Geographic Limitations Screenshots ......................................................... 1
1.1
1.2
1.3
1.4
1.5

Geographic Limitations – Path 1 ..................................................................... 1
Geographic Limitations – Path 2 ..................................................................... 1
Geographic Limitations – Path 3 ..................................................................... 2
Geographic Limitations – Path 4 ..................................................................... 2
Geographic Limitations – Path 5 ..................................................................... 2

2. Geographic Limitations Add or Edit Phase Screenshots ..................................... 3
2.1
2.2
2.3
2.4
2.5

Geographic Limitations - Add or Edit Phase – Path 1 ..................................... 3
Geographic Limitations - Add or Edit Phase – Path 2 ..................................... 3
Geographic Limitations - Add or Edit Phase – Path 3 ..................................... 3
Geographic Limitations - Add or Edit Phase – Path 4 ..................................... 3
Geographic Limitations - Add or Edit Phase.................................................... 4

List of Figures
Figure 1: Geographic Limitations - 1 ............................................................................... 1
Figure 2: Geographic Limitations - 2 ............................................................................... 1
Figure 3: Geographic Limitations – 3............................................................................... 2
Figure 4: Geographic Limitations – 4............................................................................... 2
Figure 5: Geographic Limitations - 5 ............................................................................... 2
Figure 6: Geographic Limitations - Add or Edit Phase -1 ................................................ 3
Figure 7: Geographic Limitations - Add or Edit Phase – 2............................................... 3
Figure 8: Geographic Limitations - Add or Edit Phase – 3............................................... 3
Figure 9: Geographic Limitations - Add or Edit Phase - 4 ............................................... 3
Figure 10: Geographic Limitations - Add or Edit Phase – 5............................................. 4
Figure 11: Geographic Limitations - Add or Edit Phase - 6 ............................................. 4

HH3 – Geographic Limitations RU PRA document Version 1.0

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08/10/2017

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HH3 – Geographic Limitations Screenshots

1. HH3 – Geographic Limitations Screenshots
1.1

Geographic Limitations – Path 1

Figure 1: Geographic Limitations - 1

1.2

Geographic Limitations – Path 2

Figure 2: Geographic Limitations - 2

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1.3

HH3 – Geographic Limitations Screenshots

Geographic Limitations – Path 3

Figure 3: Geographic Limitations – 3

1.4

Geographic Limitations – Path 4

Figure 4: Geographic Limitations – 4

1.5

Geographic Limitations – Path 5

Figure 5: Geographic Limitations - 5

HH3 – Geographic Limitations RU PRA document Version 1.0

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Geographic Limitations Add or Edit Phase Screenshots

2. Geographic Limitations Add or Edit Phase Screenshots
2.1

Geographic Limitations - Add or Edit Phase – Path 1

Figure 6: Geographic Limitations - Add or Edit Phase -1

2.2

Geographic Limitations - Add or Edit Phase – Path 2

Figure 7: Geographic Limitations - Add or Edit Phase – 2

2.3

Geographic Limitations - Add or Edit Phase – Path 3

Figure 8: Geographic Limitations - Add or Edit Phase – 3

2.4

Geographic Limitations - Add or Edit Phase – Path 4

Figure 9: Geographic Limitations - Add or Edit Phase - 4

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2.5

Geographic Limitations Add or Edit Phase Screenshots

Geographic Limitations - Add or Edit Phase

Figure 10: Geographic Limitations - Add or Edit Phase – 5

Figure 11: Geographic Limitations - Add or Edit Phase - 6

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