HHQM3 Admin-Questions

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

HHQM3 - Admin-Questions

GenIC #47 - Health Home Core Sets

OMB: 0938-1188

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

Medicaid and CHIP Program (MACPro)
HHQM - Admin Questions PRA document
Version 1.0
08/21/2017

Document Number: 197-QSSI-MACPro-PRA-HHQM-HH1a-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Administrative Questions and Cost Saving Data .................................................. 1
1.1
1.2
1.3

Administrative Questions Screen .................................................................... 1
Cost Saving Data ............................................................................................ 2
Report Documents .......................................................................................... 2

Appendix A:

Acronyms ......................................................................................... 3

List of Figures
Figure 1: Administrative Questions ................................................................................. 1
Figure 2: Cost Saving Data ............................................................................................. 2
Figure 3: Report Documents ........................................................................................... 2

List of Tables
Table 1: Acronyms .......................................................................................................... 3

HHQM - Admin Questions PRA document Version 1.0

i

08/21/2017

CMS XLC

List of Tables

1. Administrative Questions and Cost Saving Data
1.1

Administrative Questions Screen

Figure 1: Administrative Questions

HHQM - Admin Questions PRA document Version 1.0

1

08/21/2017

CMS XLC

1.2

List of Tables

Cost Saving Data

Figure 2: Cost Saving Data

1.3

Report Documents

Figure 3: Report Documents

HHQM - Admin Questions PRA document Version 1.0

2

08/21/2017

CMS XLC

List of Tables

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

HHQM

Health Homes Quality Measure

PRA

Paper Reduction Act of 1995

HHQM - Admin Questions PRA document Version 1.0

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