Document Name Document Type
Form HHQM14 GenIC #47 - Health Home Core Sets Form
HHQM1 Admin-Data-Source HHQM1 - Admin-Data-Source.pdf Form
HHQM2 Admin-Hybrid-Data-Source HHQM2 - Admin-Hybrid-Data-Source.pdf Form
HHQM3 Admin-Questions HHQM3 - Admin-Questions.pdf Form
HHQM4 Admin-Screen HHQM4 - Admin-Screen.pdf Form
HHQM5 Admin-Combined-Rates HHQM5 - Combined-Rates.pdf Form
HHQM6 HHQM-ABA HHQM6 - HHQM-ABA.pdf Form
HHQM7 HHQM-AMB HHQM7 - HHQM-AMB.pdf Form
HHQM8 HHQM-CBP HHQM8 - HHQM-CBP.pdf Form
HHQM9 HHQM-CDF HHQM9 - HHQM-CDF.pdf Form
HHQM10 HHQM-CTR HHQM10 - HHQM-CTR.pdf Form
HHQM11 HHQM-FUH HHQM11 - HHQM-FUH.pdf Form
HHQM12 HHQM-IET HHQM12 - HHQM-IET.pdf Form
HHQM13 HHQM-IU HHQM13 - HHQM-IU.pdf Form
HHQM14 HHQM-NFU HHQM14 - HHQM-NFU.pdf Form
HHQM15 HHQM-PCR HHQM15 - HHQM-PCR.pdf Form
HHQM16 HHQM-PQI92 HHQM16 - HHQM-PQI92.pdf Form
HHQM17 HHQM-SSGM HHQM17 - HHQM-SSGM.pdf Form
HHQM18 Hybrid-Data-Source HHQM18 - Hybrid-Data-Source.pdf Form
HHQM19 Hybrid-or-EHR HHQM19 - Hybrid-or-EHR.pdf Form
HHQM20 If-Data-Not-Reported HHQM20 - If-Data-Not-Reported.pdf Form
HHQM21 Technical-Assistance HHQM21 - Technical-Assitance.pdf Form
47 - Health Home Core Sets Supporting Statement (version 2).docx Generic Supporting Statement IC Document

            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.