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ARKANSAS MEDICAID PATIENTCENTERED MEDICAL HOME PROGRAM PRACTICE WITHDRAWAL FORM1 Practice name (must match Practice Participation Agreement): (Please print, stamp or type practice name)2 Practice
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What is ARKANSAS MEDICAID PATIENT-CENTERED MEDICAL HOME PROGRAM Form?

The ARKANSAS MEDICAID PATIENT-CENTERED MEDICAL HOME PROGRAM is a writable document that should be submitted to the relevant address to provide certain info. It has to be filled-out and signed, which is possible manually in hard copy, or with a particular solution e. g. PDFfiller. It allows to fill out any PDF or Word document directly in your browser, customize it according to your purposes and put a legally-binding e-signature. Right away after completion, the user can send the ARKANSAS MEDICAID PATIENT-CENTERED MEDICAL HOME PROGRAM to the appropriate receiver, or multiple ones via email or fax. The editable template is printable as well thanks to PDFfiller feature and options presented for printing out adjustment. In both digital and in hard copy, your form will have got neat and professional outlook. You can also turn it into a template for later, so you don't need to create a new document again. Just edit the ready sample.

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The Arkansas Medicaid Patient-Centered Medical Home (PCMH) is a program designed to improve the quality and coordination of care for Medicaid beneficiaries.
Healthcare providers that are designated as PCMHs by the Arkansas Medicaid program are required to file.
Providers can fill out the Arkansas Medicaid PCMH application online through the Arkansas Medicaid website.
The purpose of the Arkansas Medicaid PCMH program is to enhance the patient experience, improve health outcomes, and reduce costs through improved care coordination.
Providers must report on patient access and communication, care management, patient and caregiver support, and performance measurement.
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