health home services

(A)The term “health home services” means comprehensive and timely high-quality services described in subparagraph (B) that are provided by a designated provider, a team of health care professionals operating with such a provider, or a health team. (B)The services described in this subparagraph are— (i)comprehensive care management; (ii)care coordination and health promotion; (iii)comprehensive transitional care, including appropriate follow-up, from inpatient to other settings; (iv)patient and family support (including authorized representatives); (v)referral to community and social support services, if relevant; and (vi)use of health information technology to link services, as feasible and appropriate.


42 USC § 1396w-4(h)(4)(A)

Scoping language

In this section
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