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INFORMATION ABOUT THE COMPLAINANT Name Please print First Name and Last Name Address Home Phone Work Phone Email Address Designated Person to contact if you cannot be reached II. Name of County staff person Title County Department Date of alleged discriminatory act s Basis of complaint e.g. race color national origin disability etc. Please explain as clearly as possible what happened and why you believe you were discriminated against Please indicate other agencies Local State or Federal where...
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How to fill out health home wwwtompkinscountynygov
How to fill out health home wwwtompkinscountynygov
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Step 1: Go to the website www.tompkinscountyny.gov
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Step 2: Navigate to the Health Home section
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Step 3: Click on the 'Fill out Health Home form' link
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Step 4: Follow the prompts and provide all the necessary information
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Step 5: Review the filled-out form for accuracy
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Step 6: Submit the form electronically or print it out and mail it to the designated address
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Health Home wwwtompkinscountynygov is a program that provides coordinated care management services for Medicaid recipients with complex or chronic health conditions in Tompkins County, New York.
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Healthcare providers and organizations participating in the Health Home program in Tompkins County are required to file health home wwwtompkinscountynygov.
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The purpose of health home wwwtompkinscountynygov is to ensure that Medicaid recipients with complex health needs receive coordinated care management to improve their overall health outcomes.
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Healthcare providers must report patient demographics, medical history, current health conditions, treatment plans, and care coordination activities on health home wwwtompkinscountynygov.
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