CMS-10434 #22 Health Homes Payment Methodologies – Screenshots

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

QSSI-MACPro-PRA-HH7

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)
HH7-Health Homes Payment Methodologies PRA
document
Version 1.0
08/16/2017

Document Number: 185-QSSI-MACPro-PRA-HH7-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HH7-Health Homes Payment Methodologies – Screenshots ............................... 1
1.1
1.2
1.3
1.4

“Payment Methodology” Section ..................................................................... 1
“Payment Methodology” Section – Path 1 ....................................................... 1
“Payment Methodology” Section – Path 2 ....................................................... 3
“Assurances” Section ...................................................................................... 3

List of Figures
Figure 1: Payment Methodology – 1 ............................................................................... 1
Figure 2: Payment Methodology – 2 ............................................................................... 1
Figure 3: Payment Methodology – 3 ............................................................................... 2
Figure 4: Payment Methodology – 4 ............................................................................... 2
Figure 5: Payment Methodology – 5 ............................................................................... 3
Figure 6: Assurances ...................................................................................................... 3

HH7-Health Homes Payment Methodologies PRA document Version 1.0

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HH7-Health Homes Payment Methodologies – Screenshots

1. HH7-Health Homes Payment Methodologies –
Screenshots
1.1

“Payment Methodology” Section

Figure 1: Payment Methodology – 1

1.2

“Payment Methodology” Section – Path 1

Figure 2: Payment Methodology – 2

HH7-Health Homes Payment Methodologies PRA document Version 1.0

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HH7-Health Homes Payment Methodologies – Screenshots

Figure 3: Payment Methodology – 3

Figure 4: Payment Methodology – 4

HH7-Health Homes Payment Methodologies PRA document Version 1.0

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1.3

HH7-Health Homes Payment Methodologies – Screenshots

“Payment Methodology” Section – Path 2

Figure 5: Payment Methodology – 5

1.4

“Assurances” Section

Figure 6: Assurances

HH7-Health Homes Payment Methodologies PRA document Version 1.0

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