CMS-10434 #22 Health Homes Providers Screenshots

Medicaid and CHIP Program (MACPro) (CMS-10434)

QSSI-MACPro-PRA-HH5

GenIC #22 - Health Home State Plan Amendment (SPA)

OMB: 0938-1188

Document [pdf]
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Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
HH5-Health Homes Providers RU PRA document
Version 1.0
08/11/2017

Document Number: 164-QSSI_MACPro-PRA-HH5-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HH5 – Health Homes Providers Screenshots ........................................................ 1
1.1
1.2
1.3
1.4
1.5
1.6

“Types of Health Homes Providers” Section ................................................... 1
“Types of Health Homes Providers” Section – Path 1 ..................................... 1
“Types of Health Homes Providers” Section – Path 2 ..................................... 3
“Types of Health Homes Providers” Section – Path 3 ..................................... 5
“Provider Infrastructure” and “Supports for Health Homes Providers” Sections7
“Other Health Homes Provider Standards” Section ......................................... 7

List of Figures
Figure 1: Types of Health Homes Providers -1 ............................................................... 1
Figure 2: Types of Health Homes Providers -2 ............................................................... 1
Figure 3: Types of Health Homes Providers -3 ............................................................... 2
Figure 4: Types of Health Homes Providers -4 ............................................................... 2
Figure 5: Types of Health Homes Providers -5 ............................................................... 3
Figure 6: Types of Health Homes Providers -6 ............................................................... 3
Figure 7: Types of Health Homes Providers -7 ............................................................... 4
Figure 8: Types of Health Homes Providers -8 ............................................................... 4
Figure 9: Types of Health Homes Providers -9 ............................................................... 5
Figure 10: Types of Health Homes Providers -10 ........................................................... 5
Figure 11: Types of Health Homes Providers -11 ........................................................... 6
Figure 12: Types of Health Homes Providers -12 ........................................................... 6
Figure 13: Provider Infrastructure and Supports for Health Homes Providers................. 7
Figure 14: Other Health Homes Provider Standards ....................................................... 7

HH5-Health Homes Providers RU PRA document Version 1.0

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CMS XLC

HH5 – Health Homes Providers Screenshots

1. HH5 – Health Homes Providers Screenshots
1.1

“Types of Health Homes Providers” Section

Figure 1: Types of Health Homes Providers -1

1.2

“Types of Health Homes Providers” Section – Path 1

Figure 2: Types of Health Homes Providers -2

HH5-Health Homes Providers RU PRA document Version 1.0

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HH5 – Health Homes Providers Screenshots

Figure 3: Types of Health Homes Providers -3

Figure 4: Types of Health Homes Providers -4

HH5-Health Homes Providers RU PRA document Version 1.0

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HH5 – Health Homes Providers Screenshots

Figure 5: Types of Health Homes Providers -5

1.3

“Types of Health Homes Providers” Section – Path 2

Figure 6: Types of Health Homes Providers -6

HH5-Health Homes Providers RU PRA document Version 1.0

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HH5 – Health Homes Providers Screenshots

Figure 7: Types of Health Homes Providers -7

Figure 8: Types of Health Homes Providers -8

HH5-Health Homes Providers RU PRA document Version 1.0

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1.4

HH5 – Health Homes Providers Screenshots

“Types of Health Homes Providers” Section – Path 3

Figure 9: Types of Health Homes Providers -9

Figure 10: Types of Health Homes Providers -10

HH5-Health Homes Providers RU PRA document Version 1.0

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CMS XLC

HH5 – Health Homes Providers Screenshots

Figure 11: Types of Health Homes Providers -11

Figure 12: Types of Health Homes Providers -12

HH5-Health Homes Providers RU PRA document Version 1.0

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CMS XLC

1.5

HH5 – Health Homes Providers Screenshots

“Provider Infrastructure” and “Supports for Health Homes
Providers” Sections

Figure 13: Provider Infrastructure and Supports for Health Homes Providers

1.6

“Other Health Homes Provider Standards” Section

Figure 14: Other Health Homes Provider Standards

HH5-Health Homes Providers RU PRA document Version 1.0

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