CMS-10434 #22 Health Homes Services Screenshots

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

Medicaid and CHIP Program (MACPro)
HH4 – Health Homes Services RU PRA document
Version 1.0
08/11/2017

Document Number: 165-QSSI-MACPro-PRA-HH4-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. HH4 – Health Homes Services Screenshots .......................................................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7

“Service Definitions” Section – Comprehensive Care Management................ 1
“Service Definitions” Section – Care Coordination .......................................... 4
“Service Definitions” Section – Health Promotion ............................................ 6
“Service Definitions” Section – Comprehensive Transitional Care from
Inpatient to Other Settings............................................................................... 9
“Service Definitions” Section – Individual and Family Support ...................... 11
“Service Definitions” Section – Referral to Community and Social Support
Services ........................................................................................................ 14
“Health Homes Patient Flow” Section ........................................................... 17

List of Figures
Figure 1: Service Definitions - 1 ...................................................................................... 1
Figure 2: Service Definitions - 2 ...................................................................................... 1
Figure 3: Service Definitions - 3 ...................................................................................... 2
Figure 4: Service Definitions - 4 ...................................................................................... 2
Figure 5: Service Definitions - 5 ...................................................................................... 3
Figure 6: Service Definitions - 6 ...................................................................................... 3
Figure 7: Service Definitions - 7 ...................................................................................... 4
Figure 8: Service Definitions - 8 ...................................................................................... 4
Figure 9: Service Definitions - 9 ...................................................................................... 4
Figure 10: Service Definitions - 10 .................................................................................. 5
Figure 11: Service Definitions - 11 .................................................................................. 5
Figure 12: Service Definitions - 12 .................................................................................. 6
Figure 13: Service Definitions - 13 .................................................................................. 6
Figure 14: Service Definitions - 14 .................................................................................. 6
Figure 15: Service Definitions - 15 .................................................................................. 7
Figure 16: Service Definitions - 16 .................................................................................. 7
Figure 17: Service Definitions - 17 .................................................................................. 8

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List of Figures

Figure 18: Service Definitions - 18 .................................................................................. 8
Figure 19: Service Definitions - 19 .................................................................................. 9
Figure 20: Service Definitions - 20 .................................................................................. 9
Figure 21: Service Definitions - 21 .................................................................................. 9
Figure 22: Service Definitions - 22 ................................................................................ 10
Figure 23: Service Definitions - 23 ................................................................................ 10
Figure 24: Service Definitions - 24 ................................................................................ 11
Figure 25: Service Definitions - 25 ................................................................................ 11
Figure 26: Service Definitions - 26 ................................................................................ 11
Figure 27: Service Definitions - 27 ................................................................................ 12
Figure 28: Service Definitions - 28 ................................................................................ 12
Figure 29: Service Definitions - 29 ................................................................................ 13
Figure 30: Service Definitions - 30 ................................................................................ 13
Figure 31: Service Definitions - 31 ................................................................................ 14
Figure 32: Service Definitions - 32 ................................................................................ 14
Figure 33: Service Definitions - 33 ................................................................................ 14
Figure 34: Service Definitions - 34 ................................................................................ 15
Figure 35: Service Definitions - 35 ................................................................................ 15
Figure 36: Service Definitions - 36 ................................................................................ 16
Figure 37: Service Definitions - 37 ................................................................................ 16
Figure 38: Health Homes Patient Flow .......................................................................... 17

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HH4 – Health Homes Services Screenshots

1. HH4 – Health Homes Services Screenshots
1.1

“Service Definitions” Section – Comprehensive Care Management

Figure 1: Service Definitions - 1

Figure 2: Service Definitions - 2

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HH4 – Health Homes Services Screenshots

Figure 3: Service Definitions - 3

Figure 4: Service Definitions - 4

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Figure 5: Service Definitions - 5

Figure 6: Service Definitions - 6

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Figure 7: Service Definitions - 7

1.2

“Service Definitions” Section – Care Coordination

Figure 8: Service Definitions - 8

Figure 9: Service Definitions - 9

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HH4 – Health Homes Services Screenshots

Figure 10: Service Definitions - 10

Figure 11: Service Definitions - 11

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Figure 12: Service Definitions - 12

Figure 13: Service Definitions - 13

1.3

“Service Definitions” Section – Health Promotion

Figure 14: Service Definitions - 14

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Figure 15: Service Definitions - 15

Figure 16: Service Definitions - 16

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Figure 17: Service Definitions - 17

Figure 18: Service Definitions - 18

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Figure 19: Service Definitions - 19

1.4

“Service Definitions” Section – Comprehensive Transitional Care
from Inpatient to Other Settings

Figure 20: Service Definitions - 20

Figure 21: Service Definitions - 21

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Figure 22: Service Definitions - 22

Figure 23: Service Definitions - 23

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Figure 24: Service Definitions - 24

Figure 25: Service Definitions - 25

1.5

“Service Definitions” Section – Individual and Family Support

Figure 26: Service Definitions - 26

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Figure 27: Service Definitions - 27

Figure 28: Service Definitions - 28

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Figure 29: Service Definitions - 29

Figure 30: Service Definitions - 30

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Figure 31: Service Definitions - 31

1.6

“Service Definitions” Section – Referral to Community and Social
Support Services

Figure 32: Service Definitions - 32

Figure 33: Service Definitions - 33

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Figure 34: Service Definitions - 34

Figure 35: Service Definitions - 35

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Figure 36: Service Definitions - 36

Figure 37: Service Definitions - 37

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1.7

HH4 – Health Homes Services Screenshots

“Health Homes Patient Flow” Section

Figure 38: Health Homes Patient Flow

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