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Administrative Health Home Services Agreement (DRAFT Revision as of 6/12/15) THIS HEALTH HOME SERVICES AGREEMENT (Agreement) is made and entered into as of (Effective Date) by and between (MCO) and
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How to fill out administrative health home services:

01
Gather all necessary documents and information, such as identification, medical history, insurance details, and contact information.
02
Contact the administrative health home services provider to obtain the required forms or visit their website to download them.
03
Carefully read and understand the instructions provided with the forms. Ensure you have all the required information and attachments before proceeding.
04
Fill out the forms accurately and completely. Double-check the information to avoid any mistakes or missing details.
05
If you have any questions or need assistance, reach out to the administrative health home services provider for guidance.
06
Submit the completed forms and any additional documentation as instructed. Keep copies for your records.
07
Follow up with the provider to confirm the receipt of your application and to inquire about the next steps in the process.

Who needs administrative health home services?

01
Individuals with chronic health conditions who require extensive medical care and support at home.
02
Elderly individuals who need assistance with daily activities and medical supervision.
03
People with disabilities who require specialized care and assistance in managing their health needs.
04
Patients recently discharged from the hospital who need a temporary or long-term care plan in their home environment.
05
Individuals who need coordination and management of their healthcare services to ensure continuity and quality of care.
06
Caregivers who may require support and guidance in caring for a loved one with complex medical needs.
Note: The specific eligibility criteria for administrative health home services may vary depending on the location and healthcare system in place. It is advisable to consult with the provider or relevant authorities for accurate and up-to-date information.
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Administrative health home services refer to the administrative tasks and coordination of care provided by health homes for individuals with complex healthcare needs.
Health home providers and organizations are required to file administrative health home services for their patients.
Administrative health home services can be filled out electronically through the designated platform provided by the healthcare system or organization.
The purpose of administrative health home services is to ensure coordinated care and support for individuals with complex healthcare needs, ultimately leading to improved health outcomes.
Information such as patient demographics, medical history, treatment plans, medication management, and care coordination activities must be reported on administrative health home services.
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