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43.1.10.1 Medical Home Concept
HHSC and DSHS encourage providers participating in the Texas Medicaid Program to practice the "medical home concept" for clients with Medicaid. To realize the maximum benefit of health care, each family and individual needs to be a participating member of a readily identifiable, community-based medical home.
The medical home provides primary medical care and preventive health services and is the individual's and family's initial contact point when accessing health care. It is a partnership among the individual and family, health-care providers within the medical home, and extended network of consultative and specialty providers with whom the medical home has an ongoing and collaborative relationship.
The providers in the medical home are knowledgeable about the individual's and family's specialty care and health-related social and educational needs and are connected with necessary resources in the community that will assist the family in meeting those needs.
When referring for consultation, specialty/hospital services, and health and health-related services, the medical home maintains the primary relationship with the individual and family, keeps abreast of the current status of the individual and family through a planned feedback mechanism, and provides continuing primary medical care and preventive health services.
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