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P: 315.424.3744 800.234.2211 F: 315.424.3745 independent 477home.org www.IndependentHCS.orgAcknowledgement of Roles and Responsibilities I (print Community Member/Designated Representative name) acknowledge
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Nascentia Health Home is a care management program for Medicaid recipients with complex medical and behavioral health needs.
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Providers must report patient medical history, treatment plans, medications, and progress notes on Nascentia Health Home forms.
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