[Medicaid] Identifying Medicaid Payment for Physician Administered Drugs (CMS-10215)

ICR 202404-0938-008

OMB: 0938-1026

Federal Form Document

Forms and Documents

Document Name	Status
CMS-10215 - Supporting Statement Part A (2024 version 5).docx Supporting Statement A	2024-04-12

IC Document Collections

IC ID	Document Title	Status
181535	Identifying Medicaid Payment for Physician Administered Drugs	Modified