HHQM20 If-Data-Not-Reported

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

HHQM20 - If-Data-Not-Reported

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 - If Data Not Reported PRA document
Version 1.0
08/21/2017

Document Number: 196-QSSI-MACPro-PRA-HHQM-HH2-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

If Data not Reported Screen............................................................................ 1

Appendix A:

Acronyms ......................................................................................... 2

List of Figures
Figure 1: If Data not Reported ......................................................................................... 1

List of Tables
Table 1: Acronyms .......................................................................................................... 2

HHQM - If Data Not Reported PRA document Version 1.0

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08/21/2017

CMS XLC

If Data not Reported Screen

1. Administrative Questions and Cost Saving Data
1.1

If Data not Reported Screen

Figure 1: If Data not Reported

HHQM - If Data Not Reported PRA document Version 1.0

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08/21/2017

CMS XLC

If Data not Reported Screen

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

HHQM

Health Homes Quality Measure

PRA

Paper Reduction Act of 1995

HHQM - If Data Not Reported PRA document Version 1.0

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