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Eligibility Requirements: Identifying Potential Members ...

Eligibility requirements : Identifying Potential Members for health Home services Individuals previously receiving TCM services through a COBRA HIV or OMH TCM. program, receiving substance use case management services through Managed Addiction Treatment services (MATS) programs, or those formerly receiving services in the Chronic Illness Demonstration Project (CIDP) have been transitioned to health Home care management. For adults who may be eligible for health Home services , the State identifies individuals through an analysis of claims and encounter data and provides lists of these individuals to health Homes for outreach and engagement.

9/23/14 updated 3/2/17, 8/31/18, 11/30/18, 2/2019, 4/2019 Page 1 of 9 Eligibility Requirements: Identifying Potential Members for Health Home Services

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