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Form MAD602 Health Home Opt-In / Opt-Out Form - New Mexico
What Is Form MAD602?
This is a legal form that was released by the New Mexico Human Services Department - a government authority operating within New Mexico. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the MAD602 Health Home Opt-In/Opt-Out Form?
A: The MAD602 Health Home Opt-In/Opt-Out Form is a document used in New Mexico to make a decision regarding participation in the Health Home program.
Q: What is the Health Home program in New Mexico?
A: The Health Home program in New Mexico is a coordinated care program for individuals with chronic health conditions.
Q: What does opting in mean?
A: Opting in means choosing to participate in the Health Home program and receive coordinated care services.
Q: What does opting out mean?
A: Opting out means choosing not to participate in the Health Home program and not receive coordinated care services.
Q: Who can opt-in or opt-out of the Health Home program?
A: Any individual with chronic health conditions who meets the eligibility criteria can opt-in or opt-out of the Health Home program.
Q: What information is required on the MAD602 Health Home Opt-In/Opt-Out Form?
A: The form requires personal information such as name, contact details, and identification number, along with the decision to opt-in or opt-out.
Q: Is opting in or opting out of the Health Home program mandatory?
A: Participation in the Health Home program is voluntary, and individuals have the choice to opt-in or opt-out based on their needs and preferences.
Q: What are the benefits of participating in the Health Home program?
A: Benefits of participating in the Health Home program include access to coordinated care, improved health outcomes, and assistance in managing chronic health conditions.
Q: Can I change my decision to opt-in or opt-out of the Health Home program?
A: Yes, you can change your decision to opt-in or opt-out of the Health Home program at any time by completing a new MAD602 form.
Form Details:
- Released on January 26, 2016;
- The latest edition provided by the New Mexico Human Services Department;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form MAD602 by clicking the link below or browse more documents and templates provided by the New Mexico Human Services Department.
Download Form MAD602 Health Home Opt-In / Opt-Out Form - New Mexico
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