CMS-10434 #22 Health Homes Service Delivery Systems – Screenshots

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

QSSI-MACPro-PRAHH6

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

OMB: 0938-1188

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

Medicaid and CHIP Program (MACPro)
HH6-Health Homes Delivery Systems PRA
document
Version 1.0
08/16/2017

Document Number: 184-QSSI-MACPro-PRAHH6-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HH6-Health Homes Service Delivery Systems – Screenshots ............................. 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7

Health Homes Service Delivery Systems ........................................................ 1
Health Homes Service Delivery Systems – Path 1.......................................... 1
Health Homes Service Delivery Systems – Path 2.......................................... 2
Health Homes Service Delivery Systems – Path 3.......................................... 3
Health Homes Service Delivery Systems – Path 4.......................................... 4
Health Homes Service Delivery Systems – Path 5.......................................... 4
Health Homes Service Delivery Systems – Path 6.......................................... 5

List of Figures
Figure 1 : Health Homes Service Delivery - 1 ................................................................. 1
Figure 2: Health Homes Service Delivery - 2 .................................................................. 1
Figure 3: Health Homes Service Delivery - 3 .................................................................. 2
Figure 4: Health Homes Service Delivery – 4 .................................................................. 2
Figure 5: Health Homes Service Delivery – 5 .................................................................. 3
Figure 6: Health Homes Service Delivery – 6 .................................................................. 3
Figure 7: Health Homes Service Delivery – 7 .................................................................. 4
Figure 8: Health Homes Service Delivery – 8 .................................................................. 4
Figure 9: Health Homes Service Delivery – 9 .................................................................. 4
Figure 10: Health Homes Service Delivery – 10 .............................................................. 5

HH6-Health Homes Delivery Systems PRA document Version 1.0

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HH6-Health Homes Service Delivery Systems – Screenshots

1. HH6-Health Homes Service Delivery Systems –
Screenshots
1.1

Health Homes Service Delivery Systems

Figure 1 : Health Homes Service Delivery - 1

1.2

Health Homes Service Delivery Systems – Path 1

Figure 2: Health Homes Service Delivery - 2

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HH6-Health Homes Service Delivery Systems – Screenshots

Figure 3: Health Homes Service Delivery - 3

1.3

Health Homes Service Delivery Systems – Path 2

Figure 4: Health Homes Service Delivery – 4

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1.4

HH6-Health Homes Service Delivery Systems – Screenshots

Health Homes Service Delivery Systems – Path 3

Figure 5: Health Homes Service Delivery – 5

Figure 6: Health Homes Service Delivery – 6

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1.5

HH6-Health Homes Service Delivery Systems – Screenshots

Health Homes Service Delivery Systems – Path 4

Figure 7: Health Homes Service Delivery – 7

Figure 8: Health Homes Service Delivery – 8

1.6

Health Homes Service Delivery Systems – Path 5

Figure 9: Health Homes Service Delivery – 9

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1.7

HH6-Health Homes Service Delivery Systems – Screenshots

Health Homes Service Delivery Systems – Path 6

Figure 10: Health Homes Service Delivery – 10

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