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Healthy Medicaid

Medicaid is primarily for low income families and is managed by both the state and federal governments. An individual can have both Medicare and Medicaid. www.scdhhs.gov > 1-888-549-0820 P.O. Box 8206, Columbia, SC 29202 What services are covered by Medicaid? Healthy Connections Medicaid covers certain medically necessary services. Some

Official Site: msp.scdhhs.gov

FileName: Healthy Connections Medicaid Brochure Final 11.21.19.pdf

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Total: 49 Results

Healthy Opportunities in Medicaid Managed Care

Value-Added Services/In-Lieu of Services Promoting “Healthy Opportunities” is a core focus of North Carolina’s transformation to Medicaid Managed Care—for both Standard Plan (SPs) and Behavioral Health and Intellectual and Developmental Disability Tailored Plans (BH I/DD TPs)* Key Healthy Opportunities Initiatives Healthy Opportunities

Download: Healthy-Opportunities-Benchmarks-Annual-Meeting-November-14-2019.pdf

From: files.nc.gov

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Medicaid and Population Health

f achieving healthy outcomes for medicaid enrollees requires allocating resources to more than acute care services. although medicaid is primarily a source of health insurance coverage, it also covers services other payers may not cover. Examples include counseling and education, targeted case management, habilitative

Download: Medicaid-and-Population-Health.pdf

From: macpac.gov

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Healthy Connections Medicaid Update

•Healthy Connections Medicaid is the name of South Carolina’s Medicaid program •Managed by the South Carolina Department of Health and Human Services (SCDHHS)

Download: Platt - Healthy Connections Medicaid Update.pdf

From: scaap.org

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MEDICAID SERVICES CHART

MEDICAID SERVICES CHART . January 2021 . NOTE: The points of contact listed in this document is applicable to Medicaid recipients in the fee- for-service Medicaid program. Healthy Louisiana Plan members should contact their Plan’s member services department with questions about how to …

Download: Medicaid_Services_Chart.pdf

From: ldh.la.gov

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Healthy Connections Medicaid Update

•Healthy Connections Medicaid is the name of South arolina’s Medicaid program •Managed by the South Carolina Department of Health and Human Services (SCDHHS)

Download: Platt - Healthy Connections Medicaid Update pdf.pdf

From: scaap.org

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Medicaid Mental Health Services

Medicaid Mental Health Services The Family and Social Services Administration (FSSA) Indiana Medicaid website provides information on Most behavioral health services are carved into the Healthy Indiana Plan (HIP), Hoosier Care Connect, and Hoosier Healthwise managed care programs. Other than services that are specifically carved out the

Download: Medicaid Mental Health Services.pdf

From: in.gov

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HEALTH TRACKS

the cost of necessary medical services; and • Rehabilitation and other services to help such families and individuals to attain or retain the capability of independence or self-care. This program is referred to as Medicaid, or Title XIX. Funding is provided by a combination of state and federal dollars.

Download: training-health-tracks-epsdt.pdf

From: nd.gov

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Medicaid’s Role in Health Care for American Indians and

February 2021 Advising Congress on Medicaid and CHIP Policy Medicaid’s Role in Health Care for American Indians and Alaska Natives . The Indian Health Service (IHS) is the agency within the U.S. Department of Health and Human Services (HHS) that is primarily responsible for providing health care services to American Indian and Alaska Native

Download: Medicaids-Role-in-Health-Care-for-American-Indians-and-Alaska-Natives.pdf

From: macpac.gov

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WORKING HEALTHY & WORK

4 PROGRAM HIGHLIGHTS Working Healthy offers the following for Medically Needy persons with disabilities who are employed • Earn more income without loss of medical coverage • Accumulate assets • Elimination of spend down • Medicaid coverage • Help with Medicare expenses • In some instances, payment of employer premiums • Personal assistance services under WORK

Download: working-healthy-work-presentation.pdf?sfvrsn=0

From: kdads.ks.gov

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Healthy Blue Medicaid Managed Care Provider Manual

All covered Specialized Behavioral Health services except Coordinated System of Care (CSoC) services Effective May 1, 2021*, children under 19 who may not be eligible for Medicaid may register for the Children’s Medicaid option if they meet these eligibility requirements: Already covered under a major medical health insurance plan.

Download: LALA_CAID_ProviderManual_4.pdf?v=202104132112

From: provider.healthybluela.com

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Presentation to the 2021 Health and Human Services

The Division carries out this mission by administering numerous services programs; including Medicaid, Healthy Montana Kids, Medicaid Expansion, and Big Sky Rx. HRD pays for eligible Montanans to receive a wide range of preventive, primary and acute care services from private and public providers.

Download: HRDPresentationForAppropriationSubcommittee.pdf

From: dphhs.mt.gov

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Home Health Services

services provided under the fee-for-service (FFS) delivery system. For information about services provided through the managed care delivery system – including Healthy Indiana Plan (HIP), Hoosier Care Connect, and Hoosier Healthwise services – providers must contact the member’s managed care entity (MCE) or refer to the MCE provider manual.

Download: home health services.pdf

From: in.gov

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Healthy Michigan Plan Frequently Asked Questions About

Healthy Michigan Plan Frequently Asked Questions About Specialty Behavioral Health Services 7/2/2014 General . How is the Healthy Michigan Plan different than traditional Medicaid? The Healthy Michigan Plan is a plan that meets the requirements set forth in the Affordable Care Act. It

Download: HMP_BH_FAQ_-_Final_461986_7.pdf

From: michigan.gov

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Medicaid Health Plan Common Formulary Contents

In order to streamline drug coverage policies for Medicaid and Healthy Michigan Plan members and providers, the Michigan Department of Health and Human Services (MDHHS) has created a formulary that is common across all contracted Medicaid Health Plans (MHPs) for the current Comprehensive Health Plan Contract.

Download: Managed_Care_Common_Formulary_Listing_506275_7.pdf

From: michigan.gov

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Healthy Blue Member Handbook

and Human Services to give Medicaid members access to quality, cost- effective health care. Your health is our priority. We work hard to make sure you get the care you need to stay healthy. To do this, we have contracts with doctors, specialists, hospitals, pharmacies and other health care providers to provide you the services offered by

Download: nene_caid_memberhandbook_eng.pdf

From: healthybluene.com

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Centers for Medicare & Medicaid Services (CMS)

Healthy Texas Women Approval period: January 22, 2020 through December 31, 2024 Page 1 of 61 CENTERS FOR MEDICARE & MEDICAID SERVICES EXPENDITURE AUTHORITY NUMBER: 11 -W-00326/6 TITLE: Healthy Texas Women AWARDEE: Texas Health and Human Services Commission Under the authority of section 1115(a)(2) of the Social Security Act (the Act

Download: tx-healthy-women-ca.pdf

From: medicaid.gov

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A GUIDE TO EXPANDING MEDICAID FUNDED SCHOOL …

Medicaid spending on school health services was estimated to be $3.3 billion in 2016 (with an additional $1.2 billion spent on related administrative services). Medicaid provides a significant amount of funding in almost every state for school health services, particularly for children with disabilities, although it’s only a …

Download: A-Guide-to-Expanding-Medicaid-Funded-School-Health-Services-12-19-19.pdf

From: healthyschoolscampaign.org

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PROVIDER ADMINISTRATIVE AND BILLING MANUAL

The back of the Healthy Connections Medicaid card includes: • A toll-free number for providers to contact the PSC for assistance; • A toll-free number for the beneficiary if he or she has questions about enrollment or Medicaid covered services; and • A toll-free number for the beneficiary if he or she has questions regarding pharmacy

Download: Provider Administrative and Billing Guide.pdf

From: scdhhs.gov

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Utah Medicaid Provider Manual Rehabilitative Mental Health

that provides comprehensive and preventive health care services for children. Medicaid members who are enrolled in Traditional Medicaid age birth through 20 may receive EPSDT services. Medicaid members aged 19 through 20 who ae enrolled in Non-Traditional Medicaid …

Download: RehabMentalHealthSubAbuse4-19.pdf

From: medicaid.utah.gov

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HP 2021 03 Medicaid Demonstrations and Impacts on Health

policies to the Centers for Medicare & Medicaid Services (CMS), 13 of which are in states that have adopted Medicaid expansion under the ACA.2 Of these 23 demonstration projects, 13 were approved by CMS (4 approvals have been blocked by the courts), 8 are pending CMS review, and 2 were rejected by the state after CMS approval.

Download: medicaid-waiver-evidence-review.pdf

From: aspe.hhs.gov

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State of Louisiana Department of Health Healthy Blue

State of Louisiana Department of Health Healthy Blue Annual External Quality Review Technical Report FINAL REPORT Review Period: July 1, 2019 – June 30, 2020

Download: AnnualTechnicalReport2019-2020HealthyBlue.pdf

From: ldh.la.gov

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North Carolina Medicaid and NC Health Choice

Social Services, providers and advocacy groups to help distribute updates. As providers worked relentlessly t o deliver care to beneficiaries in new ways, NC Medicaid adjusted funding and policy to support our provider community. Temporary rate increases due to COVID-19 were enacted for most Medicaid services .

Download: SFY2020-MedicaidAnnualReport-20201223.pdf

From: files.nc.gov

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Healthy Behavior Incentives: Opportunities for Medicaid

Medicaid expansion proposals under the Affordable Care Act (ACA). States interested in requiring traditional or expansion Medicaid populations to participate in a healthy behavior incentive program must submit a State Plan Amendment or Section 1115 Waiver to the Centers for Medicare & Medicaid Services (CMS) for approval.

Download: Healthy-Behavior-Incentives_Opportunities-for-Medicaid_1.pdf

From: chcs.org

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Billing Manual

(Centers for Medicare & Medicaid Services) billing requirements. For questions regarding billing requirements, contact a New Hampshire Healthy Families Provider Services Representative at 1-866-769-3085. It is important that providers ensure New Hampshire Healthy Families has accurate billing information on file.

Download: NHHF-Billing-Guide-Final-20140908.pdf

From: nhhealthyfamilies.com

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Cabinet for Health and Family Services Department for

The Kentucky Cabinet for Health and Family Services, Department for Medicaid Services (DMS) Managed Care Quality Strategy (MCQS) is a dynamic document. It is built on the foundation of improving not only the health of approximately 1.36 million Kentuckians that are covered by Medicaid and the Kentucky Children’s Health

Download: MedicaidQualityStrategy.pdf

From: chfs.ky.gov

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Application for Nursing Home, Residential or In Home Care

United States Citizenship and Immigration Services (USCIS) documents, such as an I-551 (Green Card) or I-94. Anyone applying as a non-citizen for emergency services only is not required to provide USCIS documents or a SSN. Some family members of applicants may choose not to apply for Medicaid.

Download: 3401_HealthyConnections_Inst_OSS.pdf

From: scdhhs.gov

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AK DHSS Medicaid FY2020

Spending on Medicaid Services, Actuals, Projected in First Long-Term Forecast (February 2006), and Current Forecast. 2. The following is a brief summary of FY 2020 Medicaid activities and accomplishments. Additional details for each are provided later in the report.

Download: FY-2020-Annual-Medicaid-Reform-Report.pdf

From: dhss.alaska.gov

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Federal Evaluation of Indiana's Healthy Indiana Plan — HIP 2

Federal Evaluation of Indiana’s Healthy Indiana Plan — HIP 2.0 . Report Date: November 30, 2020 . Prepared for: Centers for Medicare & Medicaid Services Center for Medicaid and CHIP Services State Demonstrations Group . Authored by Sharon K. Long, Teresa A. Coughlin, Christal Ramos, Lea Bart, Haley Samuel-Jakubos, Malvika Govil , and

Download: summative-eval-rpt-indiana-2020.pdf

From: medicaid.gov

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Presentation to the 2021 Health and Human Services Joint

MEDICAID AND HEALTH SERVICES MANAGEMENT 7 2019 LEGISLATIVE SESSION PL - 12001 - MMIS/MPATH/SLR Operations The executive requests a present law adjustment to maintain existing services for Medicaid administration in the Medicaid Health Services Branch. The change package requests total funds of $8,314,507 for the biennium.

Download: MedicaidandHealthServicesManagementPresentation2021.pdf

From: dphhs.mt.gov

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Louisiana Department of Health Informational Bulletin 20 5

Healthcare services provided as a result of a public health quarantine or isolation order or recommendation, when otherwise covered by Louisiana Medicaid, are always considered medically necessary. Hospital-Based Utilization Management for Medical Stays Medicaid MCOs have been instructed that all hospital-based utilization management (UM) for

Download: LALA_CAID_STATECOVID19IBProviderPortal_22321a.pdf?v=202105071922

From: provider.healthybluela.com

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Non Emergency Transportation

To schedule transportation to provider offices or facilities for services provided directly by NH Healthy Families, call MTM toll-free at 1-888-597-1192 (TDD/TTY: 711). For more information, contact NH Healthy Families Member Services at 1-866 …

Download: NHHF-Transportation-Flier-20200901.pdf

From: nhhealthyfamilies.com

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Medicaid Provider Manual

The Medicaid Program is the program which implements Title XIX of the Social Security Act. It is administered by the South Carolina Department of Health and Human Services (SCDHHS) with a brand name of South Carolina Healthy Connections (SCHC). SCDHHS takes applications and

Download: manual_sc_ProviderHandbook.pdf

From: molinahealthcare.com

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Budget Briefing: HHS

Medical services through the Healthy Michigan Plan (HMP) Special payments made for Special Medicaid Reimbursement to various health providers, GF/GP-funded DSH, School-Based Services, and …

Download: DHHS_Medicaid_BudgetBriefing_fy17-18.pdf

From: house.mi.gov

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NH Department of Health and Human Services New …

NH Department of Health and Human Services New Hampshire Medicaid Program July 21, 2020 (Updated) ID Description of Administrative Protocol Member’s COVID-19 Status Administrative Protocols for Fee-for-Service, AmeriHealth Caritas New Hampshire, NH Healthy Families, and the Well Sense Health Plan, referred to as NH Medicaid Payers below

Download: covid-admin-protocols.pdf

From: dhhs.nh.gov

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Annual Report Planning for Healthy Babies Program (P4HB

Georgia’s ®Planning for Healthy Babies Program (P4HB®), Georgia’s section 1115(a) Medicaid Demonstration expanded the provision of family planning services to uninsured female citizens capable of childbirth, ages 18 through 44 years, with family incomes at or below 200 percent of

Download: download

From: medicaid.georgia.gov

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South Carolina Healthy Connections Prime CY 2021 Final

average daily patient liability amount of $33.94) and the waiver services portion of the HCBS Waiver base rate. Table 1 South Carolina Department of Health and Human Services Healthy Connections Prime Program – Medicaid Component Effective Calendar Year 2021 Rate Cell Medicaid Rate Community $ 89.17 Nursing Facility $ 6,198.31

Download: 11-SC CY21 Final Rate Report Medicare and Medicaid Components.pdf

From: msp.scdhhs.gov

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Introduction to Healthy Connections Prime for Providers

Healthy Connection Prime is a demonstration designed to improve health care for dually eligible beneficiaries in South Carolina. Jointly administered by the Centers for Medicare & Medicaid Services (CMS) and the South Carolina Department of Health and Human Services (SCDHHS), the demonstration will allow eligible beneficiaries

Download: SCProviderFAQ.pdf

From: cms.gov

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Medicaid Transformation Overview

PHPs are required to offer current Medicaid services and may choose to offer additional or enhanced services Focus on whole-person care: Physical and behavioral health Healthy Opportunities pilot (social determinants of health) 13

Download: II. Medicaid Transformation Overview.pdf

From: ncleg.gov

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MICHIGAN’S MEDICAID PROGRAM

Medicaid Services Federal law and regulations have established both mandatory and optional medical services that are covered by the program Mandatory Medicaid services include: – Inpatient and outpatient hospital services – Physician’s services – Nursing facility services – Laboratory and x-ray services – Emergency services

Download: Medicaid_Background_Briefing.pdf

From: house.mi.gov

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Department for Medicaid Services

Medicaid Spend • Maternal and child health (MCH) number of covered lives –There were 55,449 live births in Kentucky in 2018 •45% of Kentucky births are paid by Medicaid –There were 27,542 Medicaid-covered babied born during SFY 2018. –There were 24,839 deliveries by a Medicaid-covered mother during SFY 2018.

Download: OCT 7 2019-DMS-DPH Maternal Health and Wellness - Final.pdf

From: apps.legislature.ky.gov

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Case Studies in Healthcare Financing of Healthy Homes Services

Case Studies in Healthcare Financing of Healthy Homes Services: Medicaid Reimbursement for Home-Based Asthma Services in New York National Center for Healthy Housing A large body of evidence suggests that home visiting programs that address indoor environmental triggers (e.g., cockroaches, mice, tobacco smoke, and mold)

Download: case-study_healthcare-financing-of-hh-services_asthma_ny.pdf

From: nchh.org

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Texas Medicaid

Medicaid, it is a violation of Texas Medicaid rules when a provider fails to provide health-care services or items to Medicaid clients, including HTW clients, in accordance with accepted medical community standards and standards that govern occupations, as explained in Title 1 Texas Administrative Code (TAC) §371.1659.

Download: 2_HTW.pdf

From: tmhp.com

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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for …

that c overs your Medicare, South Carolina Healthy Connections Medicaid, and prescription drug benefits. This Healthy Connections Prime Medicare-Medicaid Plan is designed to help your Medicare and Medicaid work better together, and includes new benefits and services that are …

Download: 04%2019%202019%20hpms_guidance%20and%20call%20center%20information%20for%20united%20healthca_8.pdf

From: hhs.gov

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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for …

1901. As this statutory text makes clear, two Medicaid objectives are to enable states to “furnish … medical assistance” – i.e., healthcare services – to certain vulnerable populations and to furnish those populations with rehabilitation and other services to help them “attain or retain capability for independence or self-care.”

Download: FL_MMA_Extension_STCs_1.15.2021.pdf

From: ahca.myflorida.com

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GEORGIA MEDICAID QUICK REFERENCE GUIDE Programs …

All services/procedures are subject to benefit coverage, limitations and exclusions as described in the applicable plan coverage guidelines. The GA MMIS portal is the official source to verify member eligibility.

Download: GA_Caid_Provider_Quick_Reference_Guide_Eng_2021_R.ashx

From: wellcare.com

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Using Medicaid Levers to Support Health Care Partnerships

support their work. Results from the Partnership for Healthy Outcomes RFI show that partnerships draw on multiple sources of funding, including health philanthropies, private donors, state and tribal governments, in- kind services, private coverage, and Medicaid. 15 Grant funding is important for start -up costs and some program

Download: CBO-HCO-Partnership-Medicaid-Fact-Sheet_102417_chcs.pdf

From: chcs.org

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Texas Medicaid and CHIP Reference Guide

who received Medicaid or CHIP services over a period of time, is noted if used. Total caseload numbers combine Medicaid and CHIP, unless otherwise noted. Cost information : Costs include both partial- and full-benefit clients, unless otherwise noted. Funds exclude …

Download: 13th-edition-introduction.pdf

From: hhs.texas.gov

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Chapter 20: SOBRA Outreach Program

The State of Florida Section 1915(b) Medicaid Managed Care waiver provides funding that enables Healthy Start coalitions to establish MomCare, a system to ensure pregnant women are screened for risk, and have access to health care services and care management services during their pregnancy.

Download: final-chapter20-momcare04-09-final.pdf

From: floridahealth.gov

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FAQ Medicaid services healthy

Does medicaid qualify as health insurance?

You may qualify for free or low-cost care through Medicaid based on income and family size. In all states, Medicaid provides health coverage for some low-income people, families and children, pregnant women, the elderly, and people with disabilities. In some states the program covers all low-income adults below a certain income level.

Can you have health insurance and medicaid?

Absolutely, you can obtain life insurance while on medicaid. Medicaid is health insurance. Health and life insurance are mutually exclusive so having one does not prevent you from having the other. In fact, life insurance is often a very prudent and savvy addition to anyone's financial and estate planning portfolio.

What is home health medicaid?

A health home (aka Medicaid health home) — as defined in Section 2703 of the Affordable Care Act — offers coordinated care to individuals with multiple chronic health conditions, including mental health and substance use disorders. The health home is a team-based clinical approach that includes the consumer,...

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