CMS-10434 #22 Health Homes Program Termination – Screenshots

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

QSSI-MACPro-PRA-HH9

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)
HH9-Health Homes Program Termination PRA
document
Version 1.0
08/16/2017

Document Number: 187-QSSI-MACPro-PRA-HH9-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. HH8-Health Homes Program Termination – Screenshots .................................... 1
1.1
1.2
1.3

Health Homes Program Termination ............................................................... 1
Health Homes Program Termination – Path 1................................................. 1
Health Homes Program Termination – Path 2................................................. 2

List of Figures
Figure 1: Health Homes Program Termination – 1 .......................................................... 1
Figure 2: Health Homes Program Termination – 2 .......................................................... 1
Figure 3: Health Homes Program Termination – 3 .......................................................... 2

HH9-Health Homes Program Termination PRA document Version 1.0 i

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CMS XLC

HH8-Health Homes Program Termination – Screenshots

1. HH8-Health Homes Program Termination –
Screenshots
1.1

Health Homes Program Termination

Figure 1: Health Homes Program Termination – 1

1.2

Health Homes Program Termination – Path 1

Figure 2: Health Homes Program Termination – 2

HH9-Health Homes Program Termination PRA document Version 1.0 1

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CMS XLC

1.3

HH8-Health Homes Program Termination – Screenshots

Health Homes Program Termination – Path 2

Figure 3: Health Homes Program Termination – 3

HH9-Health Homes Program Termination PRA document Version 1.0 2

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