The following terms and definitions apply to the Health Improvement Program:

(1) "Eligible client" means a Montana Medicaid or Healthy Montana Kids Plus (HMK Plus)client who has the Health Improvement Program's specified combination of eligibility and risk factors.

(2) "Enrolled client" means an eligible client who has been notified in writing of enrollment in the Health Improvement Program and who has not declined to participate.

(3) "Evidence based health care practice" means a clinical approach to practicing medicine based on the clinician's awareness of medical evidence and the strength of that evidence to support the management of a treatment process.

(4) "Health center" means a tribal health center or a community-based health clinic or center that serves populations with limited access to care, has a patient majority governing board and a sliding payment scale.

(5) "Health improvement program services" means specialized services provided to Medicaid and HMK Plus clients meeting the eligibility criteria listed in ARM 37.86.5205. Health improvement program services are care coordination and client education for improved client self-care, efficiency, and cost effectiveness of services.

(6) "Medical home" means one primary care provider or clinic that delivers the majority of all ambulatory health care services to each client. The medical home is the client's source for routine or preventive health care.