| 0938-1487 |
Medicare Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey (CMS-10931) |
2026-03-20 |
| 0938-1486 |
Supplemental to Form CMS-2552-10: Weighted Median Medicare Advantage Organization Payer- Specific Negotiated Charge Data (CMS-10935) |
2025-12-08 |
| 0938-1485 |
[IRA Collection] Medicare Prescription Drug Inflation Rebate Program: Sections 11101 and 11102 of the Inflation Reduction Act (IRA) (CMS-10930) |
2025-11-21 |
| 0938-1484 |
Accreditation of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers (CMS-10932) |
2025-12-03 |
| 0938-1476 |
Generic Collections for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398 Part II) |
2024-07-11 |
| 0938-1475 |
The Medicare Advantage and Prescription Drug Programs: Part C and Part D Medicare Prescription Payment Plan Model Documents (CMS-10882) - IRA |
2025-07-29 |
| 0938-1474 |
Rebate Reduction Requests underSections 11101 and 11102 of the Inflation Reduction Act (CMS-10858) - IRA |
2024-07-19 |
| 0938-1473 |
Supplemental to Form CMS-2552-10 Payment Adjustment for Establishing and Maintaining Access to Buffer Stock of Essential Medicines (CMS-10897) |
2024-08-29 |
| 0938-1472 |
Quality Measures and Administrative Procedures for the Skilled Nursing Facility Value-Based Purchasing Program and Quality Reporting Program for the FY 2025 SNF PPS Proposed Rule (CMS-10895) |
2025-07-01 |
| 0938-1471 |
ADA Dental Claim Form (CMS-10883) |
2024-04-04 |
| 0938-1470 |
Patient Provider Dispute Resolution Requirements Related to Surprise Billing: Part II (CMS-10853) |
2023-09-11 |
| 0938-1468 |
The Medicare Advantage and Prescription Drug Programs: Part C and Part DMedicare Advantage Prescription Drug (MARx) System Updates for the Medicare Prescription Payment Plan Program (CMS-10887 - IRA |
2024-04-08 |
| 0938-1467 |
Medicare Change of Status Notice (MCSN) (CMS-10868) |
2024-10-18 |
| 0938-1466 |
Retrospective Appeal Requests (CMS-10885) |
2024-10-18 |
| 0938-1465 |
Part D Drug Management Program (CMS-10874) |
2025-09-02 |
| 0938-1464 |
Medicare Health Outcomes Survey Field Test (CMS-10861) |
2025-12-08 |
| 0938-1463 |
Supporting Statement for Direct Enrollment Entities (CMS-10877) |
2024-04-22 |
| 0938-1462 |
Reporting Requirements and Corrective Action Plans Under Section 1902(tt) of the Social Security Act (CMS-10875) |
2024-01-30 |
| 0938-1461 |
Non-Standardized Plan Option Limit Exception Justification Form (CMS-10878) |
2024-04-18 |
| 0938-1460 |
Special Requirements for Rural Emergency Hospitals (REHs) (CMS-10863) |
2023-08-28 |
| 0938-1459 |
Generic Clearance for CMS and Medicare Administrative Contractor (MAC)Generic Customer Experience (CMS-10731) |
2023-04-27 |
| 0938-1458 |
Ambulatory Surgical Center (ASC) Covered Procedure List (CPL) Pre-Proposed Rule Recommendation Request (CMS-10809) |
2023-08-25 |
| 0938-1457 |
CMS Health Equity Award – Call for Nominations (CMS-10866) |
2023-11-27 |
| 0938-1456 |
Medicare Plan Performance Warning Information (CMS-10836) |
2023-03-15 |
| 0938-1455 |
Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA–PD Plan (CMS-10834) |
2025-12-17 |
| 0938-1454 |
Rural Emergency Hospital Quality Reporting (REHQR) (CMS-10870) |
2026-01-13 |
| 0938-1453 |
[Medicaid] Medicaid Managed Care and Supporting Regulations (CMS-10856) |
2024-06-14 |
| 0938-1452 |
Drug Price Negotiation Process under Sections 11001 and 11002 of the Inflation Reduction Act (CMS-10849) - (IRA) |
2025-11-24 |
| 0938-1451 |
Medicare Part D Manufacturer Discount Program Agreement - IRA (CMS-10846) |
2025-09-30 |
| 0938-1450 |
End-stage Renal Disease (ESRD) Quality Incentive Program (QIP): Study of Quality and Patient Experience (CMS-10823) |
2023-05-11 |
| 0938-1449 |
Negotiation Data Elements under Sections 11001 and 11002 of the Inflation Reduction Act (CMS-10847) |
2023-06-30 |
| 0938-1448 |
Payment Adjustment for Low-Volume Hospitals Under the Hospital Inpatient Prospective Payment System (IPPS) (CMS-10857) |
2023-08-29 |
| 0938-1447 |
Medicare Disproportionate Share Hospital (DSH) Payments: Counting Days Associated With Section 1115 Demonstrations in the Medicaid Fraction (CMS-10839) |
2023-08-28 |
| 0938-1446 |
List of Screening Instruments for Housing Stability, Food Security, and Transportation Questions on Health Risk Assessments (HRAs) and Requirements for Integrated HRAs (CMS-10825) |
2025-01-27 |
| 0938-1445 |
[Medicaid] Medicaid Managed Care and Supporting Regulations (CMS-10855) |
2026-01-21 |
| 0938-1444 |
Annual Notice of Change and Evidence of Coverage for Applicable Integrated Plans in States that Require Integrated Materials (CMS-10824) |
2025-12-16 |
| 0938-1443 |
Small Biotech Exception and Biosimilar Delay Information Collection Request for Initial Price Applicability Year 2027 (CMS-10844) - IRA |
2025-09-30 |
| 0938-1442 |
Medicare Advantage and Prescription Drug Program: Communications and Marketing Provisions (CMS-10837) |
2023-05-01 |
| 0938-1441 |
Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program (CMS-10831) |
2025-04-07 |
| 0938-1440 |
Medicare Part C and Medicare Part D Enrollment Form Interviews (CMS-10816) |
2023-12-08 |
| 0938-1439 |
Improper Payment Pre-Testing and Assessment (IPPTA) (CMS-10829) |
2024-11-22 |
| 0938-1438 |
Supporting Statement for Agent/Broker Consent Information Collection (CMS-10840) |
2026-02-27 |
| 0938-1437 |
Advancing Interoperability and Improving Prior Authorization Processes (CMS-10843) |
2026-04-20 |
| 0938-1436 |
Customer Satisfaction Survey for Enterprise Portal Services (EPS) Users (CMS-10789) |
2022-11-10 |
| 0938-1435 |
Dispute Resolution for Discarded Drug Refunds (CMS-10835) |
2024-08-08 |
| 0938-1434 |
Patient-Reported Indicator Survey (PaRIS) (CMS-10792) |
2022-03-02 |
| 0938-1433 |
Requirements Related to Surprise Billing; Part II (CMS-10791) |
2023-03-29 |
| 0938-1432 |
Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Field Test (CMS-10793) |
2022-02-07 |
| 0938-1431 |
Medicare Severity Diagnosis Related Groups Reclassification Request (MS-DRGs) (CMS-10775) |
2025-09-04 |
| 0938-1430 |
SUPPORT for Patients and Communities Act Section 1003 Demonstration Evaluation (CMS-10786) |
2022-02-23 |
| 0938-1429 |
Transparency in Pricing Information (CMS-10715) |
2026-02-12 |
| 0938-1428 |
Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) (CMS-10798) |
2025-06-18 |
| 0938-1427 |
National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection (CMS-10749) |
2025-09-25 |
| 0938-1426 |
Application For Medicare Part A and Part B Special Enrollment Period - Exceptional Circumstances (CMS-10797) |
2025-03-28 |
| 0938-1425 |
Supplemental to Form CMS-2552-10, Payment Adjustment for Domestic NIOSH-Approved Surgical N95 Respirators (CMS-10821) |
2022-12-02 |
| 0938-1424 |
Evaluation of the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC) (CMS-10769) |
2024-01-26 |
| 0938-1423 |
Transparency in Pricing Information (CMS-10715) |
2022-03-25 |
| 0938-1422 |
D-SNP Enrollee Advisory Committee and SNP Standardized Questions on Health Risk Assessments (CMS-10799) |
2025-06-17 |
| 0938-1421 |
Medicare Advantage, Section 1876 Cost Plans, and Prescription Drug Program: Notification of Free Interpreter Services (CMS-10802) |
2024-04-05 |
| 0938-1420 |
Pre-Claim Review Demonstration for Inpatient Rehabilitation Facility Services (CMS-10765) |
2025-07-31 |
| 0938-1419 |
FOIA/Privacy Act Requests for Medicare Claims Data via CMS FOIA Public Portal (CMS-10781) |
2025-11-25 |
| 0938-1418 |
The ESRD Network Peer Mentoring Program (CMS-10768) |
2021-10-12 |
| 0938-1417 |
Medicare-Funded GME Residency Positions in accordance with Section 126 of the Consolidated Appropriations Act, 2020 (Public Law 116-93) (CMS-10790) |
2024-08-29 |
| 0938-1416 |
Estimation of Improper Payments of the Advanced Payment of Premium Tax Credit (APTC) in State Exchanges under the Affordable Care Act (CMS-10794) |
2022-01-21 |
| 0938-1415 |
Essential Community Provider-Network Adequacy (ECP/NA) Data Collection to Support QHP Certification (CMS-10803) |
2026-03-03 |
| 0938-1414 |
Omnibus COVID-19 Health Care Staff Vaccination (IFC) (CMS-10801) |
2022-01-07 |
| 0938-1413 |
Medicare Beneficiary Experiences with Care Survey (MBECS) System (CMS-10701) |
2021-07-30 |
| 0938-1412 |
Patient Access Through Application Programming Interfaces (API) (CMS-10767) |
2024-12-06 |
| 0938-1411 |
Data Management Plan Self-Attestation Questionnaire (DMPSAQ) (CMS-10733) |
2021-02-19 |
| 0938-1410 |
Dual Eligible Special Needs Plan Contract with the State Medicaid Agency (CMS-10796) |
2025-03-28 |
| 0938-1409 |
The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD–10–PCS) (CMS-10774) |
2024-06-12 |
| 0938-1408 |
Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program – Contracting Forms (CMS-10744) |
2020-11-05 |
| 0938-1407 |
Prescription Drug Data Collection (RxDC) Reporting Instructions |
2026-04-13 |
| 0938-1406 |
Complaints Submission Process under the No Surprises Act (CMS-10779) |
2026-03-04 |
| 0938-1405 |
Prescription Drug and Health Care Spending (CMS-10788) |
2021-11-23 |
| 0938-1404 |
The Home Health Care CAHPS® Survey (HHCAHPS) Mode Experiment (CMS-10784) |
2021-10-18 |
| 0938-1403 |
Agent and Broker Disclosure and Reporting Requirements (CMS-10787) |
2021-09-17 |
| 0938-1402 |
Conditions of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID) (CMS-10777) |
2025-06-24 |
| 0938-1401 |
Requirements Related to Surprise Billing: Qualifying Payment Amount, Notice and Consent, Disclosure on Patient Protections Against Balance Billing, and State Law Opt-in (CMS-10780) |
2025-06-09 |
| 0938-1400 |
Evaluation of Risk Adjustment Data Validation (RADV) Appeals and Health Insurance Exchange Outreach Training Sessions (CMS-10764) |
2021-06-28 |
| 0938-1399 |
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections (CMS-10695) |
2024-08-12 |
| 0938-1398 |
Accrediting Organization use of CMS Online Hospice Basic Training (CMS-10778) |
2021-07-15 |
| 0938-1397 |
Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams (CMS-10706) |
2024-05-09 |
| 0938-1396 |
Medicare Part D Electronic Prescribing Tools (42 CFR 423.128(d)(4)-(5) and 423.160(b)(1)) (CMS-10755) |
2025-08-14 |
| 0938-1395 |
Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols (CMS-10717) |
2023-10-17 |
| 0938-1394 |
Pharmacy Benefit Manager Transparency (CMS-10725) |
2024-04-30 |
| 0938-1393 |
Non-Quantitative Treatment Limitation Analyses and Compliance Under MHPAEA (CMS-10773) |
2024-09-26 |
| 0938-1392 |
Electronic Medical Documentation Interoperability (EMDI) Pre and Post Pilot Measures Survey (CMS-10714) |
2020-03-12 |
| 0938-1391 |
CLIA Collection of Information Requirements Related to SARS-CoV-2 Test Results Reporting (CMS-10757) |
2021-07-29 |
| 0938-1390 |
Administrative Simplification HIPAA Compliance Review (CMS-10662) |
2025-06-18 |
| 0938-1389 |
Review and Approval Process for Waivers for State Innovation (CMS-10383) |
2020-01-09 |
| 0938-1388 |
Value in Opioid Use Disorder Treatment Demonstration (CMS-10728) |
2023-05-31 |
| 0938-1387 |
Medicare Coverage of Items and Services for Coverage with Evidence Development (CMS-10697) |
2020-12-01 |
| 0938-1386 |
Applicable Integrated Plan Coverage Decision Letter (CMS-10716) |
2025-07-28 |
| 0938-1385 |
[Medicaid] Annual State Report on Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements (CMS-10722) |
2024-05-03 |
| 0938-1384 |
Submissions of 1135 Waiver Request Automated Process (CMS-10752) |
2026-04-14 |
| 0938-1383 |
Program Integrity Portal FWA Reporting Module - Part C Plans (CMS-10724) |
2020-02-20 |
| 0938-1382 |
Generic Clearance for Improving Customer Experience: OMB Circular A–11, Section 280 Implementation) (CMS-10710) |
2024-02-29 |
| 0938-1381 |
Collection of Premium Credit Adjustment Data Related to COVID-19 Emergency (CMS-10751) |
2020-08-25 |
| 0938-1380 |
Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization Model Process and Requirements (CMS-10708) |
2023-07-14 |
| 0938-1379 |
Medicare Current Beneficiary Survey (MCBS) COVID-19 Rapid Response Supplement (CMS-P-0015A) |
2020-07-23 |
| 0938-1378 |
Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form (CMS-10718) |
2025-12-16 |
| 0938-1377 |
Medicare Enrollment Application for Clinics/Group Practices and Other Suppliers (CMS-855B) |
2025-07-03 |
| 0938-1376 |
Temporary Extraordinary Circumstances Exception for Excepted Provider-Based Departments (CMS-10730) |
2020-05-11 |
| 0938-1375 |
Excepted Benefit Health Reimbursement Arrangements |
2020-09-10 |
| 0938-1374 |
Hospital Survey for Specified Covered Outpatient Drugs (SCODs) (CMS-10709) |
2020-08-10 |
| 0938-1373 |
Accrediting Organization Change of Ownership Requirements (CMS-10705) |
2022-05-12 |
| 0938-1372 |
Transparency in Pricing Information (CMS-10715) |
2021-10-25 |
| 0938-1371 |
Data Request and Attestation for PDP Sponsors (CMS-10691) |
2026-02-27 |
| 0938-1370 |
Testing of Web Survey Design and Administration for CMS Experience of Care Surveys (CMS-10694) |
2019-04-18 |
| 0938-1369 |
Requirements for Hospitals to Make Public a List of Their Standard Charges (CMS-10707) |
2025-11-25 |
| 0938-1368 |
Proposed Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711) |
2024-05-24 |
| 0938-1367 |
Religious Nonmedical Health Care Institutions (RNHCIs) Conditions of Participation and Supporting Regulations (CMS-10712) |
2026-04-17 |
| 0938-1366 |
Information Collection Requirements Contained in the State Flexibility to Stabilize the Market Grant Program (CMS-10657) |
2022-01-07 |
| 0938-1365 |
Information Collection Requirement for Mid-Year Formulary Change Reporting and Notice Requirement (CMS-10696) |
2019-04-09 |
| 0938-1364 |
Home Health (HH) National Provider Survey (CMS-10688) |
2019-03-21 |
| 0938-1363 |
Reform of Requirements for Long-Term Care Facilities (CMS-10573) |
2024-07-25 |
| 0938-1362 |
Home and Community Based Services (HCBS) Incident Management Survey (CMS-10692) |
2022-06-29 |
| 0938-1361 |
Health Reimbursement Arrangements and Other Account-Based Group Health Plans (CMS-10704) |
2023-06-20 |
| 0938-1360 |
Electronic Visit Verification (EVV) Compliance Survey (CMS-10680) |
2025-09-30 |
| 0938-1359 |
21st Century Cures Act Section 12002 IMD Study (CMS-10684) |
2019-02-05 |
| 0938-1358 |
Supporting Statement for Billing and Collection of the Separate Payment for Certain Abortion Services (CMS-10681) |
2020-04-06 |
| 0938-1357 |
CLIA Proficiency Testing (PT) (CMS-10690) |
2025-12-02 |
| 0938-1356 |
Evaluation of the CMS Quality Improvement Organizations: Medication Safety and Adverse Drug Event Prevention (CMS-10675) |
2018-12-06 |
| 0938-1355 |
Medicare Enrollment Application for Physician and Non-Physician Practitioners; (CMS-855i) |
2026-03-03 |
| 0938-1354 |
Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration (CMS-10673) |
2019-04-29 |
| 0938-1353 |
Marketplace Operations (CMS-10637) |
2025-12-16 |
| 0938-1352 |
Quality Measures and Administrative Procedures for the Hospital-Acquired Condition Reduction Program for the FY 2019 IPPS Program Year (CMS-10668) |
2026-05-27 |
| 0938-1351 |
Limited Wraparound Coverage Reporting (CMS-10571) |
2018-04-17 |
| 0938-1350 |
CMS Tribal Long Term Services and Supports (LTSS) Program Survey |
2018-01-10 |
| 0938-1349 |
State Permissions for Enrollment in Qualified Health Plans in the Federally Facilitated Exchange & Non-Exchange Entities (CMS-10650) |
2024-08-30 |
| 0938-1348 |
QIC Demonstration Evaluation Contractor (QDEC): Analyze Medicare Appeals to Conduct Formal Discussions and Reopenings with Suppliers |
2020-09-25 |
| 0938-1347 |
PRA for the Add-On Payments for New Medical Services and Technologies Policy(CMS-10638) |
2026-05-05 |
| 0938-1346 |
Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans (CMS-10636) |
2024-12-18 |
| 0938-1345 |
Appropriate Use Criteria (AUC) for Diagnostic Imaging Services: Consultation of Specified Applicable AUC through a Qualified Clinical Decision Support Mechanism (CDMS) (CMS-10654) |
2018-12-18 |
| 0938-1344 |
Coverage of Certain Preventive Services Under the Affordable Care Act (CMS-10653) |
2026-02-09 |
| 0938-1343 |
Virtual Groups for Merit-Based Incentive Payment System (MIPS) (CMS-10652) |
2024-01-24 |
| 0938-1342 |
Evaluating Coverage to Care in Communities (CMS-10632) |
2023-02-02 |
| 0938-1341 |
Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (CMS-10592) |
2024-01-26 |
| 0938-1340 |
National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) (CMS-10639) |
2026-01-09 |
| 0938-1339 |
Evaluating a Pilot Mobile Health Program (CMS-10634) |
2017-01-20 |
| 0938-1338 |
De Minimis for LIS Individuals and Uniform Exceptions and Appeals Process for Prescription Drug Plans and MA-PD Plans |
2010-11-23 |
| 0938-1337 |
Changes to Close the Part D Coverage Gap, Improvements to MTM Programs, Independence of LTC Consultant Pharmacists |
2010-12-06 |
| 0938-1336 |
Agent Broker Training Requirements |
2010-12-13 |
| 0938-1335 |
Notification of Involuntary Disenrollment by the Centers for Medicare & Medicaid Services for Failure to Pay the Part D Income Related Monthly Adjustment Amount |
2010-11-23 |
| 0938-1334 |
Credentialing and Privileging Process for Physicians and Practitioners Providing Telemedicine Services |
2010-07-22 |
| 0938-1333 |
The Medicare Advantage and Prescription Drug Program: Customized Enrollee Data |
2010-12-06 |
| 0938-1332 |
Montana Health and Economic Livelihood Partnership (HELP) Federal Evaluation (CMS-10635) |
2017-05-16 |
| 0938-1331 |
Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs (CMS-10598) |
2025-08-06 |
| 0938-1330 |
(CMS-10622) Evaluation of the CMS Quality Improvement Organizations: Reducing Healthcare-Acquired Conditions in Nursing Homes |
2016-11-15 |
| 0938-1329 |
Information Collection Requirements for Non-Exchange Entities (CMS-10666) |
2026-02-06 |
| 0938-1328 |
Initial Request for State Implemented Moratorium Form (CMS-10628) |
2026-04-07 |
| 0938-1327 |
The PACE Organization (PO) Monitoring and Audit Process in Part 460 of 42 CFR (CMS-10630) |
2025-07-16 |
| 0938-1326 |
The PACE Organization Application Process in 42 CFR Part 460 (CMS-10631) |
2024-11-12 |
| 0938-1325 |
(CMS-10578) Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers |
2026-02-09 |
| 0938-1324 |
Testing Experience and Functional Tools Demonstration: Personal Health Record (PHR) User Survey (CMS-10623) |
2016-10-05 |
| 0938-1323 |
Medicare Program; Reporting and Returning of Overpayments (CMS-10405) |
2016-03-10 |
| 0938-1322 |
CMS Healthcare.gov Site Wide Online Survey |
2016-10-14 |
| 0938-1321 |
Information Collection Requirements for Non-Exchange Entities (CMS-10633) |
2016-10-06 |
| 0938-1320 |
The Health Insurance Enforcement and Consumer Protections Grant Program (CMS-10605) |
2016-12-20 |
| 0938-1319 |
[Medicaid] Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations under 42 CFR 440.70(f) and (g) (CMS-10609) |
2026-04-01 |
| 0938-1318 |
Home Health Face-to-Face Encounter Clinical Templates (CMS-10564) |
2015-12-29 |
| 0938-1317 |
Reapplication Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10596) |
2016-02-19 |
| 0938-1316 |
(CMS-10600) Evaluation of the Medicare Patient Intravenous Immunoglobulin Demonstration |
2016-05-03 |
| 0938-1315 |
Appropriate Use Criteria (AUC) for Diagnostic Imaging Services: Clinical Decision Support Mechanism (CDSM) Application Process (CMS-10624) |
2016-11-22 |
| 0938-1314 |
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621) |
2026-05-12 |
| 0938-1313 |
Waiver Application for Providers and Suppliers Subject to an Enrollment Moratorium (CMS-10629) |
2017-03-07 |
| 0938-1312 |
Establishment of an Exchange by a State and Qualified Health Plans (CMS-10593) |
2024-03-29 |
| 0938-1311 |
Pre-Claim Review Demonstration For Home Health Services (CMS-10599) |
2025-09-22 |
| 0938-1310 |
Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers (CMS-10572) |
2025-10-01 |
| 0938-1309 |
QECP Annual Report Workbook Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10589) |
2021-01-11 |
| 0938-1308 |
Medicare Outpatient Observation Notice (MOON) (CMS-10611) |
2025-12-09 |
| 0938-1307 |
(CMS-10587) Medicare and Medicaid Programs: Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies |
2015-11-25 |
| 0938-1306 |
Temporary Reclassification for Grandfathered LTCH HwHs for Qualification for Temporary Exception from the Site Neutral Payment Rate for Certain Discharges |
2016-04-27 |
| 0938-1305 |
(CMS-10583) Medicare beneficiaries receiving beta amyloid positron emission tomography (PET) for dementia and neurodegenerative disease |
2015-12-18 |
| 0938-1304 |
Medicare and Medicaid Program; Program Integrity Enhancements to the Provider Enrollment Process (CMS-10576) |
2016-03-02 |
| 0938-1303 |
Small Business Health Options Program (SHOP) Effective Date and Termination Notice Requirements (CMS-10555) |
2015-12-18 |
| 0938-1302 |
Provider Network Coverage Data Collection (CMS-10594) |
2026-02-12 |
| 0938-1301 |
Third Party Payment of QHP Premiums and Additional Notices for QHP Issuers Data Collection (CMS-10595) |
2026-02-19 |
| 0938-1300 |
Healthy Indiana Program (HIP) 2.0 Beneficiary Focus Groups and Informational Interviews (CMS-10615) |
2018-07-05 |
| 0938-1299 |
Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA) (CMS-10539) |
2025-09-24 |
| 0938-1298 |
Federally Qualified Health Center Cost Report Form (CMS-224-14) |
2025-01-14 |
| 0938-1297 |
Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575) |
2022-02-25 |
| 0938-1296 |
Medicare Advantage Model of Care Submission Requirements (CMS-10565) |
2025-06-30 |
| 0938-1295 |
Essential Community Provider Data Collection to Support QHP Certification for PY 2017 (CMS-10561) |
2026-02-19 |
| 0938-1293 |
Medicare Program: Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) (CMS-10524) |
2025-09-03 |
| 0938-1292 |
Coverage of Certain Preventive Services Under the Affordable Care Act (CMS-10459) |
2015-09-23 |
| 0938-1291 |
(CMS–10551) Nursing Home NationalProvider Survey |
2015-06-22 |
| 0938-1290 |
(CMS-10550) Hospital National Provider Survey |
2015-06-22 |
| 0938-1289 |
Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb) (CMS-10569) |
2025-12-01 |
| 0938-1288 |
Appropriate Use Criteria for Advanced Diagnostic Imaging Services (CMS-10570) |
2020-10-29 |
| 0938-1287 |
Rural Health Clinics (RHCs) Reporting of Healthcare Common Procedure Coding System (HCPCS) and Other Codes as Required for RHC Claims and Supporting Regulations (CMS-10568) |
2015-11-17 |
| 0938-1286 |
Quality Improvement Strategy Implementation Plan and Progress Report (CMS-10540) |
2024-08-14 |
| 0938-1285 |
Data Submission Requirements to Receive the Federally-facilitated Exchange User Fee Adjustment (CMS-10492) |
2023-02-02 |
| 0938-1284 |
Information Collection for Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs (CMS-10558) |
2024-03-27 |
| 0938-1283 |
Risk Corridors Data Validation for the 2014 Benefit Year (CMS-10582) |
2015-09-01 |
| 0938-1282 |
[Medicaid] Children's Health Insurance Program Managed Care and Supporting Regulations (CMS-10554) |
2024-06-25 |
| 0938-1281 |
State Review of Accreditation Status, Medicaid Managed Care Quality Rating System, and Quality Strategy (QS) and Supporting Regulations in 438.310, 438.330, 438.332, 438.334, and 438.340 (CMS-10553) |
2024-05-14 |
| 0938-1280 |
[Medicaid] Medical Necessity and Contract Amendments Under Mental Health Parity (CMS-10556) |
2025-12-30 |
| 0938-1279 |
Outcome and Assessment Information Set (OASIS-E2) (CMS-10545) |
2025-12-10 |
| 0938-1278 |
Implementation of Medicare Programs; - Medicare Promoting Interoperability Program (CMS-10552) |
2026-05-27 |
| 0938-1277 |
Program Integrity:Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014; Final Rule II (CMS-10516) |
2024-09-26 |
| 0938-1276 |
Executive Summary Form for Research Identifiable Data (CMS-10522) |
2015-03-12 |
| 0938-1275 |
Generic Clearance for Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS) (CMS-10549) |
2024-04-08 |
| 0938-1274 |
(CMS–10531) Transcatheter Mitral Valve Repair (TMVR) National Coverage Decision (NCD) (CMS-10531) |
2021-09-24 |
| 0938-1273 |
Emergency Department Patient Experience of Care (EDPEC) Survey Mode Experiments (CMS-10543) |
2015-02-27 |
| 0938-1272 |
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Mode Experiment (CMS-10542) |
2015-03-03 |
| 0938-1271 |
Good Cause Processes (CMS-10544) |
2022-05-05 |
| 0938-1270 |
Ambulatory Surgical Center Quality Reporting Program (CMS-10530) |
2026-01-13 |
| 0938-1269 |
Hospice Information for Medicare Part D Plans (CMS-10538) |
2025-05-13 |
| 0938-1268 |
[Medicaid] Medicaid Eligibility and Enrollment (EE) Implementation Advanced Planning Document (IAPD) Template (CMS-10536) |
2024-09-04 |
| 0938-1267 |
Risk Corridors Transitional Policy (CMS-10532) |
2015-01-07 |
| 0938-1266 |
Cost-Sharing Reduction Reconciliation (CMS-10526) |
2024-05-31 |
| 0938-1265 |
Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP (MBES/CBES Forms CMS-21 and -21B, -37, and -64) -- (CMS-10529) |
2024-04-25 |
| 0938-1264 |
Programs of All-Inclusive Care for the Elderly (PACE) PACE Quality Data Monitoring and Reporting (10525) |
2023-12-08 |
| 0938-1263 |
Medicare Health Care Quality (MHCQ) Demonstration Evaluation: Focus Group and Interview Protocols (CMS-10497) |
2013-12-06 |
| 0938-1262 |
The Predictive Learning Analytics Tracking Outcome (PLATO™) - (CMS-10517) |
2020-02-21 |
| 0938-1261 |
Medicare and Medicaid Programs: Conditions of Participation for Community Mental Health Centers and Supporting Regulations in 42 CFR 485 |
2013-10-30 |
| 0938-1260 |
Improving Quality of Care in Medicaid and CHIP through Increased Access to Preventive Services, State Survey (CMS-10521) |
2014-07-25 |
| 0938-1259 |
Health Care Sharing Ministries Information Collection |
2013-10-23 |
| 0938-1258 |
Disclosure of State Rating Requirements Notice (CMS-10454) |
2024-06-10 |
| 0938-1257 |
National Implementation of the Hospice Experience of Care Survey (CAHPs Hospice Survey) - CMS-10537 |
2025-04-24 |
| 0938-1256 |
Evaluation of the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration: Provider Survey |
2014-02-03 |
| 0938-1255 |
(CMS-10519) Physician Quality Reporting System and the Electronic Prescribing Incentive Program Data Assessment, Accuracy and Improper Payments Identification Support |
2016-02-09 |
| 0938-1254 |
Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices (CMS-10527) |
2025-07-01 |
| 0938-1253 |
Evaluation of the Rural Community Hospital Demonstration |
2014-02-12 |
| 0938-1252 |
Prospective Evaluation of Evidence-Based Community Wellness and Prevention Programs (CMS-10509) |
2014-04-28 |
| 0938-1251 |
Healthcare Fraud Prevention Partnership (HFPP): Data Sharing and Information Exchange (CMS-10501) |
2025-09-04 |
| 0938-1250 |
Medicare Coverage of Items and Services in FDA Investigational Device Exemption Clinical Studies--Revision of Medicare Coverage (CMS-10511) |
2025-12-30 |
| 0938-1249 |
Marketplace Quality Standards (CMS-10520) |
2025-08-13 |
| 0938-1248 |
Employer Notification Request to HHS of its Objection to Providing Contraceptive Services (CMS-10535) |
2015-03-09 |
| 0938-1247 |
Generic Social Marketing & Consumer Testing Research (CMS-10437) |
2024-08-06 |
| 0938-1246 |
Application for Participation in the Intravenous Immune Globulin (IVIG) Demonstration (CMS-10518) |
2021-04-26 |
| 0938-1245 |
Conditions of Participation for Community Mental Health Centers and Supporting Regulations (CMS-10506) |
2025-09-30 |
| 0938-1244 |
State-based Marketplace Annual Reporting Tool (SMART) (CMS-10507) |
2026-04-30 |
| 0938-1243 |
Hospice Quality Reporting Program: Program Evaluation |
2014-03-31 |
| 0938-1242 |
Long Term Care Hospitals Quality Reporting Program: Program Evaluation |
2014-03-18 |
| 0938-1241 |
Inpatient Rehabilitation Facilities Quality Reporting Program: Program Evaluation |
2014-03-19 |
| 0938-1240 |
Outpatient and Ambulatory Surgery Experience of Care Survey (CMS-10500) |
2026-02-19 |
| 0938-1239 |
Nationwide Consumer Assessment of Healthcare Providers and Systems (DCAHPS) Survey for Adults in Medicaid (CMS-10493) |
2014-04-28 |
| 0938-1238 |
Community First Choice Option Evaluation |
2014-03-31 |
| 0938-1237 |
Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495) |
2025-12-08 |
| 0938-1236 |
CMS Identity Management System (CMS-10452) |
2021-06-02 |
| 0938-1235 |
Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration (CMS-10471) |
2017-08-07 |
| 0938-1234 |
End Stage Renal Disease (ESRD) System Access Request Form |
2013-10-31 |
| 0938-1233 |
Medicare Enrollment Application for Registration of Eligible Entities That Provide Health Insurance Coverage Complementary to Medicare Part B and Supporting Regulations |
2013-11-12 |
| 0938-1232 |
Medical Loss Ratio (MLR) Report for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10476) |
2026-05-13 |
| 0938-1231 |
Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest |
2013-11-18 |
| 0938-1230 |
Application for Enrollment in Medicare Part B (Medical Insurance) (CMS-40B) |
2025-03-28 |
| 0938-1229 |
Survey on Core Competencies for the Direct Service Workforce (CMS-10512) |
2014-05-08 |
| 0938-1228 |
The Medicare Advantage and Prescription Drug Program: Part C Explanation of Benefits and Supporting Regulations (CMS-10453) - IRA |
2023-12-21 |
| 0938-1227 |
Requirements for the Medicare Incentive Reward Program and Provider Enrollment |
2013-08-13 |
| 0938-1226 |
Physician Quality Reporting System and the Electronic Prescribing Incentive Program |
2014-01-09 |
| 0938-1225 |
Medicaid Emergency Psychiatric Services Demonstration Evaluation |
2013-12-23 |
| 0938-1224 |
Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration: Focus Group Protocols |
2013-09-12 |
| 0938-1223 |
Evaluation of the Multi-Payer Advance Primary Care Practice (MAPCP) Demonstration: Conduct Beneficiary Experience with Care Surveys |
2013-09-10 |
| 0938-1222 |
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment System (MIPS) (CMS-10450) |
2024-02-15 |
| 0938-1221 |
Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488) |
2024-08-01 |
| 0938-1220 |
Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel |
2015-04-27 |
| 0938-1219 |
Medicaid Incentives for Prevention of Chronic Diseases Evaluation (CMS-10477) |
2014-10-01 |
| 0938-1218 |
[Medicaid] Basic Health Program Report for Health Insurance Exchange Premium (CMS-10510) |
2023-11-24 |
| 0938-1217 |
Payment Collections Operations Contingency Plan (CMS-10515) |
2025-10-01 |
| 0938-1216 |
State Health Insurance Exchange Security Incident Report |
2014-03-06 |
| 0938-1215 |
Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges (CMS-10463) |
2022-02-02 |
| 0938-1214 |
Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology (CMS-10469) |
2016-08-15 |
| 0938-1213 |
Program Integrity and Additional State Information Collections |
2013-09-17 |
| 0938-1212 |
Evaluation of the Graduate Nurse Education Demonstration Program (CMS-10467) |
2016-01-21 |
| 0938-1211 |
Evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration |
2013-04-30 |
| 0938-1210 |
Report of a Hospital Dealth Associated with Restraint or Seclusion (CMS-10455) |
2022-08-25 |
| 0938-1209 |
Emergency Room Patient Experiences with Care Survey |
2013-05-01 |
| 0938-1208 |
Hospice Experience of Care Survey |
2013-06-11 |
| 0938-1207 |
Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment (CMS-10468) |
2026-04-10 |
| 0938-1206 |
Evaluation of Patient Satisfaction and Experience of Care for Medicare Beneficiaries with ESRD: Impact of the ESRD Prospective Payment System (PPS) and ESRD Quality Incentive Program (QIP) |
2012-10-18 |
| 0938-1205 |
Standards for Navigators and Non-Navigator Assistance Personnel; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors |
2022-10-25 |
| 0938-1204 |
Agent/Broker Data Collection in Federally-facilitated Health Insurance Exchanges (CMS-10464) |
2025-11-25 |
| 0938-1203 |
Consumer Research Supporting Outreach for Health Insurance Marketplace |
2016-06-27 |
| 0938-1202 |
Transcatheter Valve Therapy Registry and KCCQ-10 |
2020-11-30 |
| 0938-1201 |
Medicare Plan Finder Experiment |
2012-12-07 |
| 0938-1200 |
Evaluation and Development of Outcome Measures for Quality Assessment in Medicare Advantage and Special Needs Plans |
2013-03-08 |
| 0938-1199 |
MAC Satisfaction Indicator (MSI) Participant Registry |
2013-04-04 |
| 0938-1198 |
Medicare Enrollment Application for Clinics/ Group Practice and Certain Other Suppliers |
2013-02-12 |
| 0938-1197 |
Health Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424, Subpart C (CMS-1500 and CMS-1490S) |
2024-07-22 |
| 0938-1196 |
Home Health Change of Care Notice (HHCCN) (CMS-10280) |
2024-09-06 |
| 0938-1195 |
Medicare Advantage Quality Bonus Payment Demonstration |
2013-03-05 |
| 0938-1194 |
Data Collection to Support Eligibility Determinations and Enrollment for Employees in the Small Business Health Options Program (CMS-10438) |
2016-03-28 |
| 0938-1193 |
Data Collection to Support Eligibility Determinations and Enrollment for Small Businesses in the Small Business Health Options Program (CMS-10439) |
2026-03-09 |
| 0938-1192 |
Probable Fraud Measurement Pilot (CMS-10406) |
2016-05-03 |
| 0938-1191 |
Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Health Benefits Exchanges, Medicaid and CHIP Agencies (CMS-10440) |
2025-07-09 |
| 0938-1190 |
Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions (CMS-10466) |
2024-03-14 |
| 0938-1189 |
Minimum Essential Coverage (CMS-10465) |
2025-11-03 |
| 0938-1188 |
Medicaid and CHIP Program (MACPro) (CMS-10434) |
2024-05-02 |
| 0938-1187 |
Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations (CMS-10433) |
2026-04-07 |
| 0938-1186 |
Home and Community-Based Services (HCBS) Experience Survey |
2013-02-04 |
| 0938-1185 |
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (CMS-10415) |
2022-11-29 |
| 0938-1184 |
Minimum Data Set for Medicaid Incentives for Prevention of Chronic Diseases Program Grantees |
2012-10-22 |
| 0938-1183 |
Surveys of Physicians and Home Health Agencies to Assess Access Issues for Specific Medicare Beneficiaries as Defined in Section 3131(d) of the ACA |
2012-06-27 |
| 0938-1182 |
Analysis of Transportation Barriers to Utilization of Medicare Services by American Indian and Alaska Native Medicare Beneficiaries |
2012-04-26 |
| 0938-1181 |
Durable Medical Equipment Face-to-Face Requirements |
2012-11-28 |
| 0938-1180 |
For-Profit PACE Study |
2012-07-27 |
| 0938-1179 |
Medicare Enrollment Application- Reassignment of Medicare Benefits (CMS-855R) |
2019-06-21 |
| 0938-1178 |
Medicare Enrollment Application for Physician and Non-Physician Practitioners |
2012-06-25 |
| 0938-1177 |
Medicare Beneficiary and Family-Centered Satisfaction Survey |
2023-10-30 |
| 0938-1176 |
Recognized Accrediting Entities Data Collection (45 CFR part 156.275) |
2013-08-05 |
| 0938-1175 |
PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431) |
2026-05-13 |
| 0938-1174 |
Essential Health Benefits Benchmark Plans - CMS-10448 |
2024-08-09 |
| 0938-1173 |
Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS-10419) |
2015-02-27 |
| 0938-1172 |
Blueprint for Approval of Affordable State-based and State Partnership Insurance Exchanges (CMS-10416) |
2025-08-29 |
| 0938-1171 |
Requirements for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program (CMS-10432) |
2026-05-28 |
| 0938-1170 |
Payments for Services Furnished by Certain Primary Care Providers and Supporting Regulations in 42 CFR 438.6, 438.804, 447.400, and 447.410 (CMS-10422) |
2014-11-19 |
| 0938-1169 |
Fee-for-Service Recovery Audit Prepayment Review Demonstration and Prior Authorization Demonstration (CMS-10421) |
2018-02-07 |
| 0938-1168 |
Cooperative Agreement to Support Establishment of the Affordable Care Act's Health Insurance Exchanges |
2012-05-21 |
| 0938-1167 |
Community Based Care Transitions Program (CCTP) Implementation and Monitoring |
2014-08-15 |
| 0938-1166 |
Health Plan Identifier, Other Entity Identifier, and Change to National Provider Identifier Requirements |
2012-09-26 |
| 0938-1165 |
Nursing Home Quality Improvement Questionnaire |
2012-02-15 |
| 0938-1164 |
Medical Loss Ratio Annual Reports, MLR Notices, and Recordkeeping Requirements (CMS-10418) |
2024-02-13 |
| 0938-1163 |
Long Term Care Hospital (LTCH) Quality Reporting Program (CMS-10409) |
2026-05-05 |
| 0938-1162 |
[Medicaid] Section 1115 Demonstration Projects Regulations at 42 CFR 431.408, 431.412, 431.420, 431.424, and 431.428 (CMS-10341) |
2025-04-11 |
| 0938-1161 |
Pre-Existing Condition Insurance Plan (PCIP) HIPAA Authorization Form |
2013-06-18 |
| 0938-1160 |
CMS National Balancing Indicators Project (NBIP) Direct Service Workforce (DSW) Data Collection Effort |
2011-11-22 |
| 0938-1159 |
Section 1115 Demonstration: Long Term Services and Supports and Other Service Models for Individuals with Disabilities and Chronic Conditions |
2011-12-20 |
| 0938-1158 |
Medicare and Medicaid Programs; Electronic Health Record Incentive Program |
2018-06-22 |
| 0938-1157 |
Student Health Insurance Coverage (CMS-10377) |
2025-07-15 |
| 0938-1156 |
Establishment of Qualified Health Plans and American Health Benefit Exchanges (CMS-10400) |
2024-06-18 |
| 0938-1155 |
Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment (CMS-10401) |
2025-01-15 |
| 0938-1154 |
Medication Therapy Management Program – Standardized Format (CMS-10396) |
2025-01-15 |
| 0938-1153 |
Hospice Voluntary Quality Data Reporting Program |
2024-09-05 |
| 0938-1152 |
Collection of Risk Adjustment Data from MA Organizations, Section 1876 Cost HMOS/CMPS, Section 1833 HCPPS, MMPS, and PACE Organizations (CMS-10340) |
2025-02-15 |
| 0938-1151 |
Medicaid Program; Medicaid State Plan Preprint for Use by States When Implementing Section 6401, Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid and CHIP |
2011-10-12 |
| 0938-1150 |
Early Retiree Reinsurance Program: Survey of Plan Sponsors |
2013-01-25 |
| 0938-1149 |
Version 5010/ICD-10 Industry Readiness Assessment |
2013-03-08 |
| 0938-1148 |
[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398) |
2024-09-27 |
| 0938-1147 |
[Medicaid] Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010 (CMS-10410) |
2025-12-19 |
| 0938-1146 |
Summary of Benefits and Coverage and Uniform Glossary (CMS-10407) |
2025-04-10 |
| 0938-1145 |
State Balancing Incentive Payments Program (BIPP) |
2011-11-30 |
| 0938-1144 |
Application To Be a Qualified Entity to Receive Medicare Data for Performance Measurement / Reapplication / Annual Report Worksheet (CMS-10394) |
2024-04-08 |
| 0938-1143 |
Consumer Research on Public Reporting of Hospital Quality Measures (CMS-10360) |
2011-07-07 |
| 0938-1142 |
Autism Spectrum Disorders (ASD): State of the States in Services and Supports for People with ASD |
2011-07-25 |
| 0938-1141 |
Rate Increase Disclosure and Review Reporting Requirements (CMS-10379) |
2024-08-27 |
| 0938-1140 |
Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) Item Sets (NP, NO/SO, NS, NOD, NSD) and Supporting Regulations |
2025-09-03 |
| 0938-1139 |
Consumer Operated and Oriented Plan [CO-OP] Program (CMS-10392) |
2015-04-28 |
| 0938-1138 |
eRx Incentive Program Submission of Significant Hardship Exemption to Avoid the eRx Payment Adjustment |
2011-08-29 |
| 0938-1137 |
Letter Requesting Waiver of Medicare/Medicaid Enrollment Application Fee; Submission of Fingerprints; Submission of Medicaid Identifying Information; Medicaid Site Visit and Rescreening (CMS-10357) |
2014-10-03 |
| 0938-1136 |
Provider-Preventable Conditions under 42 CFR 438.6 and 447.26 and Title 2702 Non-Payment Preprint (Attachment 4.19) |
2011-06-06 |
| 0938-1135 |
Medicare Registration Application (CMS-855O) |
2025-09-25 |
| 0938-1134 |
[Medicaid] Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204 (CMS-10391) |
2026-01-29 |
| 0938-1133 |
Disclosure Requirement for the In-Office Ancillary Services Exception (CMS-10332) |
2024-08-27 |
| 0938-1132 |
Medical Loss Ratio - Quarterly Reporting for Mini-med Plans and Expatriate Plans |
2011-06-09 |
| 0938-1131 |
Medicaid Emergency Psychiatric Demonstration |
2011-06-16 |
| 0938-1129 |
Quality Bonus Payment Appeals (CMS-10346) |
2024-01-19 |
| 0938-1128 |
Medicaid State Plan Preprint for Use by States When Implementing Section 6505, the Prohibition on Payments to Institutions or Entities Located Outside of the United States |
2011-03-21 |
| 0938-1127 |
Elimination of Cost-Sharing for full benefit dual-eligible Individuals Receiving Home and Community-Based Services (CMS-10344) |
2026-02-18 |
| 0938-1126 |
State Plan Preprint for Medicaid Recovery Audit Contractor (RAC) Program (CMS-10343) |
2014-10-03 |
| 0938-1125 |
Expedited Checklist: Medicaid Eligibility & Enrollment Systems - Advance Planning Document (E&E-APD ) (CMS-10385) |
2011-10-07 |
| 0938-1124 |
Medicare Community-based Care Transitions Program |
2010-12-28 |
| 0938-1123 |
MMIS APD Template for Use by States When Implementing the Mandatory National Correct Coding Initiative in Medicaid, implementation of Section 6507 of ACA (CMS-10358) |
2011-02-25 |
| 0938-1122 |
Current State Practices Related to Payments to Providers for Health Care-Acquired Conditions |
2011-01-05 |
| 0938-1121 |
Reporting Requirements for Grants to States for Rate Review Cycle IV and Effective Rate Review Program (CMS-10380) |
2019-07-23 |
| 0938-1120 |
Evaluation of Practice Models for Dual Eligibles and Medicare Beneficiaries with Serious Chronic Conditions |
2010-11-26 |
| 0938-1119 |
Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges (CMS-10371) |
2026-04-16 |
| 0938-1118 |
Preliminary Establishment for Territories Cooperative Agreements for the Affordable Care Act Exchanges |
2011-01-14 |
| 0938-1117 |
The Medicare Acute Care Episode Demonstration |
2010-09-30 |
| 0938-1116 |
Patient Safety Survey Under the 9th SOW: Nursing Home In Need (NHIN) |
2010-07-22 |
| 0938-1115 |
Medicare Part C and Part D Data Validation (42 CFR 422.516g and 423.514g) (CMS-10305) |
2025-09-09 |
| 0938-1114 |
Medical Loss Ratio (IFR) Information Collection Requirements and Supporting Regulations (CMS-10361) |
2018-05-23 |
| 0938-1113 |
Medicare Prescription Drug Plan (PDP) and Medicare Advantage Prescription Drug Plan (MA-PD) Disenrollment Reasons Survey |
2024-07-25 |
| 0938-1112 |
Survey to Inform the Children's Health Insurance Program (CHIP) National Outreach & Education Campaign |
2010-08-30 |
| 0938-1111 |
Electronic Submission of Medicare Graduate Medical Education (GME) Affiliation Agreements (CMS-10326) |
2024-10-02 |
| 0938-1110 |
Cooperative Agreements to Support Innovative Exchange Information Technology Systems |
2010-10-20 |
| 0938-1109 |
Information Collection Requirements for the Hospital Outpatient Quality Data Program (HOPQDRP) (CMS-10250) |
2026-01-12 |
| 0938-1108 |
Medicaid Savings Program Protection from Medicaid Estate Recovery -- State Plan Preprint Under Title 19 (CMS-10314) |
2010-09-23 |
| 0938-1107 |
Parts C and D Complaints Resolution Performance Measures |
2013-07-30 |
| 0938-1106 |
Medicare Self-Referral Disclosure Protocol(CMS-10328) |
2025-11-04 |
| 0938-1105 |
Process for Obtaining Waivers of the Annual Limits Requirements of PHS Act Section 2711 |
2011-06-29 |
| 0938-1104 |
Program Evaluation of the Ninth Scope of Work Quality Improvement Organization Program (CMS-10294) |
2010-04-12 |
| 0938-1103 |
Medicare Gainsharing Demonstration Evaluation: Physician Focus Groups |
2011-07-06 |
| 0938-1102 |
Medicare Quality of Care Complaint Form (CMS-10287) |
2026-03-02 |
| 0938-1101 |
Limited Competition for State Planning and Establishment Grants for the Affordable Care Act's Exchanges |
2011-01-13 |
| 0938-1100 |
Pre-Existing Condition Insurance Plan and Supporting Regulations |
2013-08-06 |
| 0938-1099 |
Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers (CMS-10338) |
2026-02-12 |
| 0938-1098 |
Tribal Consultation State Plan Amendment Template (CMS-10293) |
2013-07-30 |
| 0938-1097 |
Grants to States for Consumer Assistance Program |
2016-11-08 |
| 0938-1096 |
Data Collection for Developing Outpatient Therapy Payment Alternatives (DOTPA) |
2010-12-06 |
| 0938-1095 |
Application for Coverage in the Pre-Existing Condition Insurance Plan |
2011-12-19 |
| 0938-1094 |
Notice of Rescission of Coverage and Disclosure Requirements for Patient Protection under the Affordable Care Act (CMS-10330) |
2025-06-25 |
| 0938-1093 |
Disclosure and Recordkeeping Requirements for Grandfathered Health Plans under the Affordable Care Act (CMS-10325) |
2025-07-15 |
| 0938-1092 |
Grants to States for Health Insurance Premium Review |
2010-08-25 |
| 0938-1091 |
Comprehensive Outpatient Rehabilitation Facilites (CORFs) Conditions of Participation (CoP) and Supporting Regulations |
2026-04-27 |
| 0938-1090 |
Electronic Health Records (EHR) Testing |
2009-12-02 |
| 0938-1089 |
Affordable Care Act Enrollment Opportunity Notice Relating to Extension of Dependent Coverage |
2010-05-07 |
| 0938-1088 |
State Medicaid HIT Plan and Template for Implementation of Section 4201 of ARRA (CMS-10292) |
2021-02-09 |
| 0938-1087 |
Early Retiree Reinsurance Program |
2012-02-14 |
| 0938-1086 |
Health Care Reform Insurance Web Portal Requirements 45 CFR part 159 (CMS-10320) |
2025-11-03 |
| 0938-1085 |
Temporary High Risk Pool Program (CMS-10319) |
2011-03-31 |
| 0938-1084 |
Additional State Plan Option for Providing Premium Assistance State Plan Templates under Title XIX and XXI (CMS-10300) |
2010-02-04 |
| 0938-1083 |
Medicare program/Home Health Prospective Payment System Rate Update for CY2010:Physician Narrative Requirement, CY2011 Proposed Physician Face-to-Face Encounter |
2017-03-24 |
| 0938-1082 |
Option to Cover Certain Children and Pregnant Women Lawfully Residing in the U.S. State Plan Amendment Template (CMS-10299) |
2010-07-21 |
| 0938-1081 |
Consumer Research on Public Reporting of Hospital Outpatient Measures (CMS-10310) |
2010-01-25 |
| 0938-1080 |
Medical Necessity Disclosure Under MHPAEA and Claims Denial Disclosure Under MHPAEA (CMS-10307) |
2024-08-26 |
| 0938-1079 |
Grandfathering Provisions of the Medicare DMEPOS Competitive Bidding Program in the Physician Fee Schedule and Other Revisions to Part B for CY 2010 |
2016-08-11 |
| 0938-1078 |
Collection Requirements for Compendia for Determination of Medically-Accepted Indications for Off-label Uses of Drugs and Biologicals in an Anti-Cancer Chemotherapeutic Regimen (CMS-10302) |
2023-06-27 |
| 0938-1077 |
Notice of Research Exception under the Genetic Information Nondiscrimination Act (CMS-10286) |
2025-07-15 |
| 0938-1076 |
State Plan Pre-print to Implement Required Dental Benefits Pursuant of CHIPRA 2009 (CMS-10288) |
2009-10-21 |
| 0938-1075 |
Optional Dental-only Supplemental Coverage SPA Template (CMS-10289) |
2010-11-02 |
| 0938-1074 |
Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007 (CMS-10265) |
2020-12-09 |
| 0938-1073 |
Recovery Act - Reporting Requirements for States Under TMA Provisions (CMS-10295) |
2016-07-22 |
| 0938-1072 |
Evaluation of the Medicare Care Management Performance Demonstration and the Electronic Health Records Demonstration |
2010-02-19 |
| 0938-1071 |
Ambulatory Surgical Centers Conditions of Coverage (CMS-10279) |
2024-06-06 |
| 0938-1070 |
State Plan Amendment Template for Transitional Medical Assistance for Low-Income Families (CMS-10283) |
2009-09-11 |
| 0938-1069 |
Conditions of Participation: Requirements for Approval and Reapproval of Transplant Centers to Perform Organ Transplants and Supporting Regulations in 42 CFR 482.74, 482.94, 482.100, 482.102, 488.61 |
2026-04-17 |
| 0938-1068 |
Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009, State Option Pre-print to Include Pregnant Women in Title XXI. (CMS-10284) |
2009-08-19 |
| 0938-1067 |
Hospice Conditions of Participation and Physician Narrative on the Certification or Recertification of Terminal Illness (42 CFR 418.22(b)(3)) |
2026-06-01 |
| 0938-1066 |
CAHPS Home Health Care Survey (CMS-10275) |
2025-12-02 |
| 0938-1065 |
[Medicaid] State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Website and Hotline (CMS-10291) |
2024-04-25 |
| 0938-1064 |
Evaluation of the Home Health Pay for Performance Demonstration: Survey instrument |
2008-10-21 |
| 0938-1063 |
National Medicare Training Program Needs Assessment Survey |
2008-10-09 |
| 0938-1062 |
Recovery Act of 2009 - Request for Review If You Have Been Denied Premium Assistance |
2009-09-17 |
| 0938-1061 |
Supplemental Appropriations Act of 1008 Mandated Report to Congress (CMS-10281) |
2009-04-29 |
| 0938-1060 |
Hospital Leadership Quality Assessment Tool (HLQAT) |
2009-01-30 |
| 0938-1059 |
Physician Quality Reporting System (PQRS) (CMS-10276) |
2016-03-23 |
| 0938-1058 |
Medicare Registration Summary and Medication History Personal Health Record Evaluation |
2008-10-29 |
| 0938-1057 |
Evaluation of the Medicare Care Management Performance Demonstration |
2008-09-04 |
| 0938-1056 |
Medicare Enrollment Application: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers (Form 855S) |
2025-11-21 |
| 0938-1055 |
HIFA Evaluation Enrollee Survey (CMS-10262) |
2008-06-17 |
| 0938-1054 |
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261) |
2025-09-19 |
| 0938-1053 |
[Medicaid] Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249) |
2024-02-23 |
| 0938-1052 |
Consolidated Renal Operations in a Web Enabled Network (CROWNWeb) Third-party Submission Authorization Form |
2016-09-29 |
| 0938-1051 |
Medicare Advantage Disclosure Requirements referenced in 42 CFR 422.111(d)(2) |
2026-02-17 |
| 0938-1050 |
QualityNet Identity Management System (QIMS) Account Form |
2011-09-28 |
| 0938-1049 |
Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b) (CMS-10242) |
2026-04-22 |
| 0938-1048 |
Evaluation of Care and Disease Management Under Medicare Advantage |
2008-05-19 |
| 0938-1047 |
State Plan Pre-print for Integrated Medicare and Medicaid Programs (CMS-10251) |
2011-05-25 |
| 0938-1046 |
Certificate of Data Destruction for Data Acquired from the Centers for Medicare and Medicaid Services |
2014-09-29 |
| 0938-1045 |
State Plan Template to Implement Section 6062 of the DRA (Opportunity for Families of Disabled Children to Purchase Medicaid Coverage for Such Children) CMS-10232 |
2011-05-25 |
| 0938-1044 |
Submission of Information for the Hospital Outpatient Quality Data Program |
2009-08-19 |
| 0938-1043 |
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645 |
2024-10-16 |
| 0938-1042 |
Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process (CMS-10224) |
2026-04-24 |
| 0938-1041 |
[Medicaid] Survey of Retail Prices (CMS-10241) |
2025-12-11 |
| 0938-1040 |
Testing of Revised OASIS Instrument for Home Health Quality Measures & Data Analysis |
2007-11-21 |
| 0938-1039 |
Data Collection for the Nursing Home Value-Based Purchasing (NHVBP) Demonstration |
2010-09-20 |
| 0938-1038 |
Cost and Resource Utilization (CRU) Data Collection for the Medicare Post Acute Care Payment Reform Demonstration |
2007-12-20 |
| 0938-1037 |
Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool (CMS-10243) |
2023-04-28 |
| 0938-1036 |
Survey of Contract Labor in Selected Health Industries |
2008-01-08 |
| 0938-1035 |
Provider Enrollment Chain and Ownership System (PECOS) Web Security Consent Form (CMS-10220) |
2017-05-24 |
| 0938-1034 |
Disclosures to Patients by Certain Hospitals and Critical Access Hospitals and Supporting Regulations in 42 CFR 489.20 |
2021-05-21 |
| 0938-1033 |
Medicaid State Program Integrity (SPIA) CMS-10244 |
2010-12-17 |
| 0938-1032 |
Regional PPO Risk-Sharing Reconciliation Cost Report |
2007-08-09 |
| 0938-1031 |
Physician Survey for the 2006 Medicare Oncology Demonstration Program |
2007-07-26 |
| 0938-1030 |
Medicare Competitive Acquisition Program (CAP) for Part B Drugs Evaluation: CAP Physician Survey |
2007-07-25 |
| 0938-1029 |
Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs) (CMS-10221) |
2023-06-07 |
| 0938-1028 |
HEDIS Information Collection Request |
2024-02-20 |
| 0938-1027 |
PACE State Plan Amendment Pre-print (CMS-10227) |
2023-02-10 |
| 0938-1026 |
[Medicaid] Identifying Medicaid Payment for Physician Administered Drugs (CMS-10215) |
2024-04-12 |
| 0938-1025 |
Evaluation of the Medical Adult Day-Care Services Demonstration - Phase I |
2007-03-14 |
| 0938-1024 |
State Plan Pre-print implementing Section 6087 of the DRA: Optional Self Direction PAS Program (Cash and Counseling) CMS-10234 |
2010-05-10 |
| 0938-1023 |
Medicare Advantage Chronic Care Improvement Program (CCIP) Attestations (CMS-10209) |
2021-06-17 |
| 0938-1022 |
Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210) |
2026-05-27 |
| 0938-1021 |
Assessing Degrees of Health Care Involvement Survey |
2007-03-13 |
| 0938-1020 |
Requirements for Requests by Hospitals for an Alternative Cost-to-Charge Ratio and Supp. Regs. in 42CFR412.84(i)(2),412.525(a)(4)(ii), 412.525(a)(4)(iv)(A), 412.529(c)(3)(ii) and 412.529(c)(3)(iv)(A) |
2010-06-30 |
| 0938-1019 |
Medicare and Medicare Advantage Programs; Notification Procedures for Hospital Discharges Detaile (CMS-10066) |
2025-12-16 |
| 0938-1018 |
Evaluation of the Medical Adult Day-Care Services Demonstration - Phase I |
2007-02-08 |
| 0938-1017 |
Evaluation of the Medical Adult Day-Care Services Demonstration - Phase I |
2008-05-06 |
| 0938-1016 |
Supporting Statement For Paperwork Reduction Act Submissions - Request for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program and Suppo |
2026-06-04 |
| 0938-1015 |
Evaluation of Medicare National Competitive Bidding Program for DME |
2010-04-19 |
| 0938-1014 |
Data Collection for Administering the Medicare Health Improvement Survey |
2006-11-29 |
| 0938-1013 |
Creditable Coverage Disclosure to CMS OnLine Form and Instructions (CMS-10198) |
2026-02-12 |
| 0938-1012 |
Payment Error Rate Measurement - State Medicaid and SCHIP Eligibility |
2024-08-28 |
| 0938-1011 |
Data Collection for Medicare Facilities Performing Carotid Artery Stenting with Embolic Protection in Patients at High Risk for Carotid Endarterectomy |
2020-08-14 |
| 0938-1010 |
Mail Survey of Medicare Advantage Special Needs Plans / Focus Groups with Enrollees of Medicare Advantage SNPs |
2006-10-04 |
| 0938-1009 |
Physician Self-Referral Exceptions for Electronic Prescribing and Electronic Health Records (CMS-1303-F) |
2013-11-22 |
| 0938-1008 |
Medicare Clinical Laboratory Services Competitive Bidding Demonstration Project : Bidding Form |
2006-08-30 |
| 0938-1007 |
Alternative Benefits State Plan Amendment Health Opportunity Accounts Demonstration Program (CMS-10216) |
2007-06-20 |
| 0938-1006 |
Evaluation of Home Health Independence Demonstration: Home Health Agency Survey |
2006-10-03 |
| 0938-1005 |
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Accreditation Proposals from Independent Accrediting Bodies |
2006-08-11 |
| 0938-1004 |
Medicare Part C Audit Guide, Version 4 contained in 42 CFR 423.502 |
2006-07-12 |
| 0938-1003 |
National Evaluation of the Demonstration to Improve the Direct Service Community Workforce |
2006-07-12 |
| 0938-1002 |
Evaluation of the Medicare Audit Recovery Audit Contractor Demonistration and RAC Provider Satisfaction Survey |
2006-07-10 |
| 0938-1001 |
Voluntary Sample AMP Collection |
2006-07-05 |
| 0938-1000 |
Medicare Parts C and D Universal Audit Guide |
2020-01-07 |
| 0938-0999 |
Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424 Subpart C |
2012-11-28 |
| 0938-0998 |
Evaluation of the Demonstration of Coverage of Chiropractic Services Under Medicare |
2006-06-21 |
| 0938-0997 |
Medicare Uniform Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5 (CMS-1450) |
2024-01-02 |
| 0938-0996 |
Enrolling Low-Income Beneficiaries into the Medicare Prescription Drug Program Survey of State Agency Experiences |
2006-05-16 |
| 0938-0995 |
Strategic and Implementing Plan Regarding Specialty Hospitals - Section 5006 of the DRA |
2007-10-09 |
| 0938-0994 |
Payment Error Rate Measurement in Medicaid & Children's Health Insurance Program (CHIP) (CMS-10178) |
2024-08-28 |
| 0938-0993 |
State Plan preprints to implement Sections of the Deficit Reduction Act of 2006 (CMS-10190) |
2009-10-27 |
| 0938-0992 |
Medicare Part D Reporting Requirements under 42 CFR section 423.505 |
2025-09-19 |
| 0938-0990 |
Model Creditable Coverage Disclosure Notices |
2008-10-29 |
| 0938-0989 |
Individuals Authorized Access to the CMS Computer Services |
2007-10-25 |
| 0938-0988 |
State Children's Health Insurance Program (SCHIP) Report on Payables and Receivables (CMS-10180) |
2020-02-26 |
| 0938-0987 |
Competitive Acquisition Program (CAP) for Medicare Part B Drugs: CAP Physician Election Agreement |
2008-06-27 |
| 0938-0986 |
Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations at 42 CFR 412.20-412.30 (CMS-437A&B) |
2023-04-21 |
| 0938-0985 |
Medicare Health Support Program Medical Records Abstraction |
2006-01-06 |
| 0938-0984 |
Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System (CMS-10175) |
2025-06-27 |
| 0938-0983 |
Medicare EDI Enrollment Form and EDI Registration (CMS-10164 A/B) |
2026-02-19 |
| 0938-0982 |
Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174) - IRA |
2024-03-05 |
| 0938-0981 |
National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) CMS-10102 |
2024-08-28 |
| 0938-0980 |
Medicare Care Improvement Survey |
2005-11-03 |
| 0938-0979 |
New Freedom Initiative - Web-based Reporting System for Grantees (CMS-10161) |
2012-10-11 |
| 0938-0978 |
Part D Coordination of Benefits Data (CMS-10171) |
2025-05-13 |
| 0938-0977 |
Retiree Drug Subsidy Payment Request Instructions (CMS-10170) |
2024-09-23 |
| 0938-0976 |
Notice of Denial of Medicare Prescription Drug Coverage (CMS-10146) |
2024-09-19 |
| 0938-0975 |
Standardized Pharmacy Notice: Your Prescription Cannot be Filled (f/k/a Medicare Prescription Drug Coverage and Your Rights) (CMS-10147) |
2024-11-05 |
| 0938-0974 |
Payment Error Rate Measurement in Medicaid and the State Children Health Insurance Program (CMS-10166) |
2024-08-28 |
| 0938-0973 |
Physician Assessment of Hospital Quality Reports |
2005-09-15 |
| 0938-0972 |
Consumer Assessment of Health Behaviors Survey |
2005-09-15 |
| 0938-0971 |
Medicare Program: Conditions of Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles (CMS-3017-IFC) |
2024-10-09 |
| 0938-0969 |
Medicare Program: Complex Medical Review |
2025-09-04 |
| 0938-0968 |
Data collection for Medicare Beneficiaries Receiving FDG Positron Emission Tomography (PET) for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and All Other Cancers |
2016-05-17 |
| 0938-0967 |
Data Collection for Medicare Beneficiaries Receiving Implantable Cardioverter-defibrillators for Primary Prevention of Sudden Cardiac Death |
2017-05-04 |
| 0938-0965 |
Electronic Health Records (EHR) Demonstration System (EHRDS) - practice application and profile update system |
2010-08-06 |
| 0938-0964 |
Medicare Prescription Drug Benefit Program - IRASA (CMS-10141) |
2024-12-04 |
| 0938-0963 |
1-800-MEDICARE Customer Experience Questionnaire |
2005-12-07 |
| 0938-0960 |
The HIPAA Eligibility Transaction System (HETS) (CMS-10157) |
2024-10-02 |
| 0938-0959 |
HCAHPS Cost Information |
2005-06-08 |
| 0938-0958 |
State Data for the Medicare Modernization Act (MMA) (CMS-10143) |
2023-10-31 |
| 0938-0957 |
Retiree Drug Subsidy (RDS) Application and Instructions (CMS-10156) |
2024-09-23 |
| 0938-0956 |
Beneficiary Survey on the Medicare Home Health Independence Demonstration |
2005-06-03 |
| 0938-0955 |
Medicare Part B Drug and Biological Competitive Acquisition Program Applications |
2009-06-24 |
| 0938-0954 |
Medicare Part B Drug and Biological Competitive Acquisition Program and Supporting Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914, 414.916, and 414.917 |
2011-06-15 |
| 0938-0953 |
Notice of Provider Non-Coverage (CMS-10123) and Detailed Explanation of Non-Coverage (CMS-10124) |
2024-08-07 |
| 0938-0952 |
Federal Funding of Emergency Health Services (Section 1011); Provider Payment Determination and On-Call Cost Forms |
2013-07-19 |
| 0938-0951 |
Collection of Drug Pricing and Network Pharmacy Data from Medicare Prescription Drug Plans (PDP and MA-PD) and Supporting Regulations in 42 CFR 423.48 |
2013-12-06 |
| 0938-0950 |
Appointment of Representative and Supporting Regulations in 42 CFR 405.910 (CMS-1696) |
2025-08-05 |
| 0938-0949 |
Health Insurance Reform: Security Standards; Final Rule |
2013-02-28 |
| 0938-0948 |
HIPPA Administrative Simplification Non-Privacy Enforcement |
2025-11-04 |
| 0938-0944 |
Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10142) |
2026-02-04 |
| 0938-0943 |
Evaluation of Medicare Disease Management Demonstrations |
2005-02-18 |
| 0938-0942 |
Physician Group Practice (PGP) Standardized Ambulatory Care Quality Measure Collection Initiative |
2005-10-26 |
| 0938-0941 |
Medicare Demonstration Ambulatory Care Quality Measure Performance Assessment Tool ("PAT") |
2012-05-22 |
| 0938-0940 |
OASIS Study: OASIS Cost and Benefit Survey of Home Health Agencies and Supporting Regulations 42 CFR Parts 484 and 488 |
2005-02-02 |
| 0938-0939 |
Phone Surveys of Product/Service for Medicare Payment Validation and Supporting Regulations in 42 CFR, 405.502 |
2011-05-13 |
| 0938-0938 |
Public Reporting on Quality Outcomes National Survey of Hospital Executives ("PRO QUO") |
2005-01-26 |
| 0938-0937 |
Beneficiary Survey on the Medicare Drug Replacement Demonstration |
2005-01-26 |
| 0938-0936 |
Solicitation for Applications for Medicare Prescription Drug Plan 2027 Contracts (CMS-10137) |
2025-11-28 |
| 0938-0935 |
Qualification-Medicare Advantage Application for Coordinated Care Private Fee-For-Service, Regional Preferred Preferred Provider Organization, Service Area Expansion for Coordinated Care....... |
2024-11-19 |
| 0938-0934 |
Religious Nonmedical Health Care Institutions (RNHCI) and Supporting Regulations in 42 CFR Section 403.766 |
2004-11-19 |
| 0938-0933 |
1932 State Plan Amendment Template, State Plan Requirements, and Supporting Regulations in 42 CFR 438.50 (CMS-10120) |
2017-04-21 |
| 0938-0932 |
Evaluation of PACE as a Permanent Program and a For Profit Demonstration |
2004-10-20 |
| 0938-0931 |
National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 (CMS-10114) |
2026-04-13 |
| 0938-0930 |
Medicare Authorization to Disclose Personal Health Information (CMS-10106) |
2025-11-20 |
| 0938-0929 |
FEDERAL REIMBURSEMENT OF EMERGENCY HEALTH SERVICES FURNISHED TO UNDOCUMENTED ALIENS (SECTION 1011) PROVIDER ENROLLMENT APPLICATION |
2013-07-19 |
| 0938-0926 |
National Implementation of In-Center Hemodialysis CAHPS Survey (CMS-10105) |
2025-11-26 |
| 0938-0925 |
Grants to State Phamaccurical Assistance Program (SPAP) |
2004-09-23 |
| 0938-0924 |
Application for Participation in Medicare Replacement Drug Demonstration |
2004-11-01 |
| 0938-0922 |
Instrument/tool for refinement of a prospective payment system for patients in inpatient psychiatric hospitals, and units: a pilot test |
2004-05-03 |
| 0938-0921 |
[IRA] Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110) |
2026-04-07 |
| 0938-0920 |
Medicaid Managed Care and Supporting Regulations in 42 CFR 438.6, 438.8, 438.10, 438.12, 138.50, 438.56, 438.102, 438.114, 438.202, 438.206, 438.207, 438.240, 438.242, 438.402, 438.404, 438.406... |
2023-05-03 |
| 0938-0919 |
1-800-MEDICARE Beneficiary Satisfaction Survey (CMS-100098) |
2011-03-04 |
| 0938-0918 |
National Voluntary Hospital Reporting Initiative--Hospital Quality Measures |
2006-10-16 |
| 0938-0917 |
Survey of Medicare Preferred Provider Organization Demonstration |
2004-02-05 |
| 0938-0916 |
Paid Feeding Assistants in Long Term Care Facilities and Supporting Regulations Contained in 42 CFR 483.160 |
2016-07-29 |
| 0938-0915 |
Medicare Contractor Provider Satisfaction Survey (MCPSS) and Supporting Regulations in 42 CFR 421.120, 421.122 and 421.201 |
2010-09-01 |
| 0938-0913 |
Medicare Drug Payment Exceptions Process |
2003-12-29 |
| 0938-0912 |
Medicare Health Survey (MHS) |
2003-12-04 |
| 0938-0911 |
Review of National Coverage Determinations and Local Coverage Determinations and Supporting Regulations in 42 CFR, Sections 426.400 and 426.500 |
2007-03-30 |
| 0938-0910 |
Detailed Explanation of Non-Coverage (42 CFR 422.626(e)(1)), and Notice of Medicare Non-Coverage (42 CFR 422.624(b)(1)) |
2011-06-20 |
| 0938-0909 |
Medicare Endorsed Prescription Drug Discount Card and Transitional Low-Income Assistance Program Response Form |
2003-10-03 |
| 0938-0907 |
Hospital Wage Index Occupational Mix Survey(CMS-10079) |
2025-11-26 |
| 0938-0906 |
Evaluation of the Medicaid Health Reform Demonstrations |
2003-09-05 |
| 0938-0905 |
UPIN (Unique Physician Identification Number)/Participating Physicians Directory |
2007-03-30 |
| 0938-0903 |
CMS/AoA Aging and Disability Resource Center Grant Program (Real Choice Systems Change Grants for Community Living and the Older Americans Act, Public Law 106-501 (Catalog of Federal Domestic... |
2004-01-28 |
| 0938-0902 |
Evaluation of the Illinois and Wisconsin State Pharmacy Assistance Waivers |
2003-07-02 |
| 0938-0901 |
Real Choice Systems Change Grants for Community Living: Included the following ten separate grants: Feasibility Studies and Development Grants 1. Respite for Adults; 2. Respite for...... |
2003-12-24 |
| 0938-0900 |
MSInteractive Survey Tool for cms.hhs.gov website |
2004-09-10 |
| 0938-0899 |
Data Collection for Administering The PACE Health Survey To Beneficiaries Enrolled In The Dual Eligible Demonstrations, Minnesota Senior Health Options and Minnesota Disability Health.. |
2003-05-01 |
| 0938-0898 |
CMSO Survey of States: Performance Measurement Reporting Capability |
2004-10-06 |
| 0938-0897 |
Notification of MACs and CMS of Co-Located Medicare Providers |
2019-12-20 |
| 0938-0896 |
Demonstration to Improve the Direct Service Workforce |
2003-04-14 |
| 0938-0895 |
Medicare Part A Provider and Durable Medical Equipment Supplier Satisfaction Study |
2003-03-25 |
| 0938-0894 |
Medicare Ombudsman Customer Service Feedback Survey (CMS-10068) |
2015-12-09 |
| 0938-0893 |
Data Collection for Administering the Survey for the Evaluation of the Demonstration to Maintain Independence and Employment (DMIE) |
2003-03-25 |
| 0938-0892 |
Publications Use Study |
2009-10-02 |
| 0938-0891 |
Pilot Test of Hospital CAHPS Survey |
2003-06-27 |
| 0938-0890 |
Design and Implementation of a Targeted Beneficiary Survey on Access to Physicians Services Among Medicare Beneficiaries |
2004-01-14 |
| 0938-0889 |
Pharmacy Plus Template Application |
2003-07-30 |
| 0938-0888 |
Survey of Rural Medicare Provider Education Needs |
2004-02-10 |
| 0938-0887 |
Matching Grants to States for the Operation of High Risk Pools |
2013-03-22 |
| 0938-0885 |
Medicare-Endorsed Prescription Drug Card Assistance Initiative |
2002-12-12 |
| 0938-0883 |
Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164 |
2002-10-01 |
| 0938-0882 |
Medicare Endorsed Prescription Drug Card Assistance Initiative |
2002-09-11 |
| 0938-0880 |
Medicare/Medicaid Demonstration/Model Application (CMS-10069) |
2025-06-02 |
| 0938-0879 |
Making Good Choices Survey |
2002-08-15 |
| 0938-0878 |
Collection of Diagnostic Data in the Abbreviated RAPS Format from Medicare Advantage Organizations for Risk Adjusted Payments (CMS-10062) |
2026-02-27 |
| 0938-0877 |
Evaluation of Programs of Coordinated Care and Disease Management |
2002-07-19 |
| 0938-0876 |
Evaluation of the MassHealth Insurance Partnership |
2002-07-23 |
| 0938-0875 |
Durable Medicare Equipment Regional Carrier, Certification of Medical Necessity and Supporting Documentation Requirements |
2006-02-16 |
| 0938-0874 |
HIPAA Standard Unique Employer Identifier and Supporting Regulations in 45 CFR Part 160 and 162 |
2005-09-06 |
| 0938-0873 |
Quality Assessment and Performance Improvement (QAPI) Project Completion Report, 42 CFR 422.152 |
2005-07-21 |
| 0938-0872 |
Minimum Data Set (MDS) For Swing Bed Hospitals and Supporting Regulations in 42 CFR 483.20 and 413.337 |
2008-09-05 |
| 0938-0871 |
Medicare Lifestyle Modification Program Demonstration |
2006-02-16 |
| 0938-0869 |
Survey of Newly Eligible Medicare Beneficiaries |
2009-10-30 |
| 0938-0868 |
Administration Demonstration Initiatives Proposal Solicitation Package |
2002-05-03 |
| 0938-0867 |
Survey of Medicare Private Fee-for-service (PFFS) Enrollees and Nonenrollees |
2002-05-02 |
| 0938-0866 |
ICRs Contained in 45 CFR Part 162; HIPAA Standards for Electronic Transactions |
2013-03-29 |
| 0938-0864 |
Medicare Current Beneficiary Survey -- Supplement on Patient Activation |
2002-03-14 |
| 0938-0863 |
Evaluation of the BadgerCare Medicaid Demonstration |
2001-12-27 |
| 0938-0862 |
Medicare Lifestyle Modification Program Demonstration |
2002-01-31 |
| 0938-0860 |
Recognition of Payment for New Technology Services for Ambulatory Payment Classifications under the Outpatient Propsective Payment System (CMS-10054) |
2024-07-26 |
| 0938-0859 |
NMEP Regional Survey of Medicare Beneficiaries |
2004-09-23 |
| 0938-0857 |
Recognition of pass-through payment for additional (new) categories of devices under the Outpatient Prospective Payment System and Supporting Regulations in 42 CFR, Part 419 |
2025-11-26 |
| 0938-0855 |
Upper Payment Limits Reporting Requirements and Supporting Regulations Contained in 42 CFR 447.272 and 447.321 |
2001-10-26 |
| 0938-0852 |
Durable Medicare Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey: Texas |
2001-09-19 |
| 0938-0851 |
Assessing the CMS Fall Campaigns |
2002-08-15 |
| 0938-0850 |
State Health Insurance Assistance Program (SHIP) Client Report |
2013-02-26 |
| 0938-0848 |
Health Insurance Flexibility and Accountability Section 1115 Model Waiver |
2002-02-28 |
| 0938-0847 |
Long-Term Care Awareness Campaign Demonstration Project |
2005-09-19 |
| 0938-0846 |
Physicians' Referrals to Health Care Entitles With Which They Have Financial Relationships and Supporting Regulations in 42 CFR, Sections 411.352, 411.354,411.355,411.357 and 411.361 |
2007-11-19 |
| 0938-0845 |
"Medicare Endorsed Rx Discount Card Initiative |
2001-07-23 |
| 0938-0844 |
Medicare Health Survey (MHS) and Data Collection for Administering the PACE Health Survey to Beneficiaries Enrolled in PACE and the Dual Eligible Demonstrations |
2004-09-23 |
| 0938-0843 |
Healthy Aging Smoking Cessation Demonstration |
2001-07-12 |
| 0938-0842 |
Request to Use Inpatient Rehabilitation Assessment Instrument and Data Set for PPS for Inpatient Rehabilitation Facilities: Implementation Phase and Supporting Regulations in 42 CFR, .... |
2026-04-13 |
| 0938-0841 |
[Medicaid] State Children's Health Insurance Program and Supporting Regulations (CMS-R-308) |
2024-11-15 |
| 0938-0840 |
Collection of Data on Quality Indicators for Congestive Heart Failure Submitted by Medicare+Choice Organizations Requesting Extra Payments in CY2002 and CY2003 and Supporting Regulations... |
2001-06-14 |
| 0938-0839 |
National Medicare Practitioner and Provider Survey |
2001-06-13 |
| 0938-0838 |
Data Collection to Support Policy Analysis of Choices Offered to Medicare + Choice Enrollees and Choices Made by Enrollees |
2013-07-30 |
| 0938-0837 |
Medicare Program Integrity Customer Service Project |
2002-09-17 |
| 0938-0836 |
Real Choice Systems Change Grants; Nursing Facility Transition/Access Housing Grants; Community Personal Assistance Service and Supports Grants, National Technical Assistance...... |
2001-12-11 |
| 0938-0834 |
Durable Medical Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey |
2001-04-18 |
| 0938-0833 |
Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities (CMS-R-306) |
2026-02-09 |
| 0938-0832 |
Health Insurance Benefit Agreement and Supporting Regulations at 42 CFR Part 489 and 491 (CMS-1561) |
2025-11-26 |
| 0938-0829 |
of Denial of Medical Coverage (NDMC), and the Notice of Denial of Payment (NDP) - 42 CFR 422.568 |
2024-09-19 |
| 0938-0828 |
Medicare Beneficiary Customer Service Survey |
2001-03-12 |
| 0938-0827 |
HIPAA Nondiscrimination Provisions (Regulation HCFA-2022-IFC) |
2009-01-05 |
| 0938-0826 |
Survey of Medicaid Home and Community-Based Services Waiver and Personal Care Option Recipients for the Multi-Site Study of Medicaid HOme and Community-Based Services |
2004-02-10 |
| 0938-0825 |
Stages of Change Survey for Informed Choice in the Medicare Population |
2001-02-08 |
| 0938-0824 |
Restraints/Seclusion Death Reporting for Hospitals and Supporting Regulations at 42 CFR 482.13 |
2001-01-30 |
| 0938-0823 |
Suggestion Program on Methods to Improve Medicare Efficiency and Supporting Regulations in 42 CFR 420.410 |
2001-01-31 |
| 0938-0820 |
Follow-Up of Medicare+Choice Disenrollees Receiving Fee-for-Service Inpatient Hospital Care |
2001-01-30 |
| 0938-0819 |
HIPAAA Nondiscrimination Provisions (Regulation HCFA-2078-P) |
2008-12-17 |
| 0938-0818 |
Expanded Coverage for Diabetes Outpatient Self-Management Training Services and Supporting Regulations Contained in 42 CFR 410.141, 410.142, 410.143, 410.144, 410.145, 410.146.... |
2016-09-29 |
| 0938-0817 |
Survey of Medicare Beneficiaries Who Involuntarily Disenroll From Their Health Plan |
2001-10-01 |
| 0938-0813 |
Evaluation of the OMB and SLMB Programs -- Beneficiary Survey |
2000-10-25 |
| 0938-0812 |
Employee Building Pass Application and File |
2003-10-16 |
| 0938-0811 |
Ticket to Work and Work Incentives: Medicaid Infrastructure Grants |
2003-10-01 |
| 0938-0810 |
Hospital Condition of Participation; Identification of Potential Organ, Tissue, & Eye Donors & Transplant Hospitals' Provision of Transplant-Related Data & Supporting Regulation at 42 CFR 482.45 |
2000-09-13 |
| 0938-0808 |
Study to Support Development and Refinement of a Classification System and Prospective Payment System for Patients in Inpatient Rehabilitation Hospitals and Exempt Rehabilitation Units |
2000-08-10 |
| 0938-0807 |
Oxygen Consumer Survey: Medical Equipment and Supplies Consumer Survey |
2001-08-24 |
| 0938-0806 |
Informatics, Telemedicine, and Education Demonstration Project |
2005-06-06 |
| 0938-0805 |
Collection of Data on Physician Encounters from Medicare + Choice Organizations |
2002-10-03 |
| 0938-0804 |
Medicare DMEPOS Competitive Bidding Demonstration: Follow-up to Original Survey |
2000-07-10 |
| 0938-0802 |
Transitional Pass through payments related to Drugs, Biologicals, and Radiopharmaceuticals to determine eligibility under the Outpatient Prospective Payment System(CMS-10008) |
2024-05-24 |
| 0938-0801 |
Evaluation of QMB and SLMB Outreach Activities |
2000-06-21 |
| 0938-0800 |
Application Requirements: Solicitation for Proposals for the Medicare Coordinated Care Demonstration |
2000-06-14 |
| 0938-0799 |
TWWIIA Demonstration to Maintain Independence and Employment Grants |
2001-01-19 |
| 0938-0798 |
Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 413.65 (CMS-R-240) |
2024-09-06 |
| 0938-0797 |
Individual Market-Guarantee Issue Election Packet, Supporting Regulations 45 CFR 148, and forms/instruction |
2000-05-22 |
| 0938-0796 |
Medicare Consumer Assessment of Health Plan Survey-Fee For Service (CAHPS-FFS) |
2004-01-06 |
| 0938-0795 |
Conflict of Interest and Ownership and Control Information |
2007-09-28 |
| 0938-0794 |
Health Care Services for Deaf and Hard of Hearing Adults - Case Story Forms |
2000-04-24 |
| 0938-0792 |
Rural Health Clinics: Amendments to Participation Requirements & Payment Provisions; & Establishments of a Quality Assessment & Performance Improvement Program & Supporting Regulations..... |
2004-02-10 |
| 0938-0791 |
A Project to Develop an Outcome-Based Continuous Quality Improvement System for PACE |
2004-02-18 |
| 0938-0790 |
Medicare and Medicaid; Programs For All-Inclusive Care For The Elderly (PACE) Contained in 42 CFR Part 460 (CMS-R-244) |
2024-09-04 |
| 0938-0789 |
Survey and Evaluation of New Members of Medicare+Choice Plans |
2000-01-10 |
| 0938-0787 |
Request for Employment Information (CMS-R-297/CMS-L564) |
2024-12-10 |
| 0938-0786 |
[Medicaid] External Quality Review (EQR) of Medicaid and Children’s Health Insurance Program (CHIP) Managed Care, EQR Protocols, and Supporting Regulations (CMS-R-305) |
2024-05-20 |
| 0938-0785 |
HCFA Day One Information Collection |
1999-11-29 |
| 0938-0784 |
Flexibility in Payment Methods for Hospitals, Nursing Facilities, Supporting Regualtions in 42 CFR 447.254 |
2000-10-18 |
| 0938-0783 |
Market Survey of Fraud, Waste, and Abuse Detection Software |
1999-11-09 |
| 0938-0782 |
Multi-State Evaluation of Dual Eligibles Demonstrations: Wisconsin Partnership Program |
1999-10-18 |
| 0938-0781 |
Information Collection Requirements and Supporting Regulations in 42 CFR, Section 484.10(a) |
2009-08-19 |
| 0938-0780 |
Medicare Telephone Customer Satisfaction Survey |
2004-09-22 |
| 0938-0779 |
Medicare CAHPS Disenrollment Surveys and Supporting Regs. in 42 CFR 417.126, 417.470, 422.64, and 422.210 |
2005-07-19 |
| 0938-0778 |
Medicare+Choice Organization Appeals and Grievance Data Collection and Reporting Requirements -- Section 422.111; 422.64 Data Disclosure Requirements -- 42 CFR Section 422.111, 42 CFR... |
2026-05-13 |
| 0938-0777 |
Medicare Lifestyle Modification Program Demonstration and Addendum |
2003-04-04 |
| 0938-0776 |
Medicare Program: Process for Making National Coverage Determinations (CMS-R-290) |
2024-12-02 |
| 0938-0775 |
National Hospital Malpractice Insurance Survey (NHMIS) |
1999-07-07 |
| 0938-0774 |
Medicare Competitive Pricing Demonstration Bid Solicitation Package for Kansas City |
1999-06-25 |
| 0938-0773 |
Collection of Assessment Information on the Partners' Website of www.Medicare.gov/nmep |
1999-12-02 |
| 0938-0772 |
Peer Review Evaluation of Access to and Quality of Home Oxygen Equipment |
1999-06-24 |
| 0938-0771 |
Survey of Medicare Beneficiaries for the National Medicare and You Handbook: 2000 Evaluation |
1999-09-07 |
| 0938-0770 |
Site Visit Assessment Tool (previously known as Community Mental Health Center Site Visit Assessment Tool) and Supporting Regulations in 432 CFR 410.2 |
2005-08-05 |
| 0938-0769 |
Request for Retirement Benefit Information (CMS-R-285) |
2024-08-08 |
| 0938-0768 |
Medicare Agreement Application, Health Care Prepayment Plan, and Supporting Regulations in 42 CFR Section 417.800-.840 |
2002-08-20 |
| 0938-0767 |
Medigap Compare |
2001-06-07 |
| 0938-0766 |
Feedback Postcard |
1999-10-28 |
| 0938-0765 |
Evaluation of Medicare+Choice Medical Savings Account Demonstration; Insurer Survey Component |
1999-04-22 |
| 0938-0764 |
Publication Information Sheet Reorder Form Feedback Questionnaire |
1999-04-15 |
| 0938-0763 |
The Plan Benefit Package (PBP) and Formulary Submission for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDPs) |
2026-03-25 |
| 0938-0761 |
Medicare and Medicaid Programs; Reporting OASIS Data as Part of the CoPs for HHAs and Supporting Regulations in 42 CFR 484.11 and 484.20 |
2006-04-18 |
| 0938-0760 |
Reporting OASIS Data as Part of the CoPs for HHAs and Supporting Regulations in 42 CFR 484.11 and 484.20 |
2015-02-12 |
| 0938-0759 |
Medicare Beneficiary Information Needs: Supplement to the Medicare Current Beneficiary Survey (MCBS) |
1999-02-05 |
| 0938-0758 |
Hospice FacilityCost Report |
2024-10-02 |
| 0938-0757 |
Managed Care Organization Year 2000 Continuity and Contingency Planning (BCCP) Status Report |
1999-05-01 |
| 0938-0756 |
MSInteractive Survey Tool for www.medicare.gov |
2014-11-14 |
| 0938-0755 |
Oxygen Consumer Survey; Medical Equipment and Supplies Consumer Survey |
1999-05-17 |
| 0938-0754 |
Inpatient Psychiatric Services for Individuals Under Age 21 and Supporting regulations in 42 CFR 441.152 |
2005-03-15 |
| 0938-0753 |
Medicare+Choice Program Requirements -- 42 CFR 422.000-422.700 |
2023-01-12 |
| 0938-0752 |
Evaluation of the EverCare Demonstration Program |
1998-11-24 |
| 0938-0751 |
Medicare Current Beneficiary Survey: National Baseline Medicare Beneficiary Knowledge Supplement |
1998-10-13 |
| 0938-0750 |
Best Practices in Coordinated Care |
1998-11-06 |
| 0938-0749 |
On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57 (CMS-R-263) |
2024-09-16 |
| 0938-0748 |
Medicare DMEPOS Competitive Bidding Demonstration: Site 2 |
2000-10-06 |
| 0938-0746 |
Medicaid Disproportionate Share Hospitals/Institutions for Mental Disease |
2024-04-03 |
| 0938-0745 |
Quality Improvement System for Managed Care (QISMC) Standards and Guidelines |
2001-03-09 |
| 0938-0742 |
Managed Care Adjusted Community Rate (ACR) Proposal and Supporting Regulations in 42 CFR Sections 422.300-422.312 |
2003-03-18 |
| 0938-0741 |
Medicare+Choice Disenrollment Form to Original Medicare and Supporting Regulations 422.66 |
2008-11-04 |
| 0938-0740 |
Bounceback Form for Medicare and You on WWW.Medicare.Gov |
1999-01-08 |
| 0938-0739 |
SNF Resident Assessment MDS Data and Supporting Regulations in 42 CFR 413,337, 413.343, 424.32, and 483.20 |
2009-04-02 |
| 0938-0738 |
National Medicare Education Program (NMEP) Community Survey of Medicare Beneficiaries |
2009-08-31 |
| 0938-0737 |
Call-Back Survey of Callers to the Medicare+Choice Toll-Free Hotline |
1999-01-08 |
| 0938-0736 |
Multi-State Evaluation of the Dual Eligible Demonstration |
1998-08-04 |
| 0938-0734 |
Use Agreement (DUA) Limited Data Set (LDS) Forms Research Identifiable Files (FIF) Forms (CMS-R-235) |
2025-06-17 |
| 0938-0733 |
Waiver Requirements and Solvency Standards for Provider-Sponsored Organizations -- 42 CFR 422.350-.390 |
1998-07-22 |
| 0938-0732 |
The Medicare Managed Care CAHPS Survey and Supporting Regulations in 42 CFR 417.126 and 417.470 |
2025-06-17 |
| 0938-0731 |
Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI (CMS-21 and 21B) |
2014-04-28 |
| 0938-0730 |
Subpart D-Private Contracts and Supporting Regulations in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61, 415.110, and 424.24 (CMS-R-234) |
2024-10-10 |
| 0938-0727 |
Evaluation of the Oregon Medicaid Reform Demonstration: Phase II Adult Interview, Phase II Child Interview, Survey of Agency Providers |
1998-04-22 |
| 0938-0726 |
Evaluation of the Medicare Choices Demonstrations |
1998-04-06 |
| 0938-0725 |
Medicare Physician Communication Survey |
1998-03-30 |
| 0938-0723 |
The Medicare Integrity Program (MIP) Contractor Information Collection Requirements and Supporting Regulations as Contained in 42 CFR 421.310 and 421.312 |
2005-12-07 |
| 0938-0722 |
Medicare+Choice Provider Sponsored Organization Waiver Request Form and Supporting Regulations at 42 CFR 422.370 through 422.378 |
2001-07-19 |
| 0938-0721 |
Independent Diagnostic Testing Facility and Supporting Regulations Contained in 42 CFR 410.33 |
2004-05-17 |
| 0938-0720 |
Development of an Assessment System for Post Acute Care |
1998-08-28 |
| 0938-0719 |
Mental Health Parity Act of 1996: Information Collection Requirements Contained in HCFA-2891-IFC -- 45 CFR 146.136 |
1998-03-02 |
| 0938-0718 |
Research and Analytic Support for Implementing Performance Measurement in Medicare Fee for Service |
1998-07-09 |
| 0938-0717 |
Information Collection Requirements Referenced in 42 CFR Section 424.57: Additional DMEPOS Supplier Standards |
2004-07-23 |
| 0938-0715 |
End-Stage Renal Disease Managed Care Demonstration Evaluation |
1998-02-19 |
| 0938-0714 |
Procedures for Advisory Opinions Concerning Physicians Referrals and Supporting Regulations -- Sections 411.370 Through 411.389 |
2014-01-24 |
| 0938-0713 |
Surety Bond Requirements for Home Health Agencies (HHA) and Supporting Regulations -- 42 CFR 441.16, 489.28, 489.66, and 489.67 |
1998-06-17 |
| 0938-0712 |
Survey of Primary Caregivers for the District of Columbia's Managed Care Demonstration for Disabled and Special Needs Children |
1997-12-31 |
| 0938-0711 |
Managed Care Data Using the Uniform Institutional Providers Form and Supporting Statute 1853(a)(3) of the BBA |
2002-11-01 |
| 0938-0710 |
Evaluation of the Oregon Medicaid Reform Demonstration: Adult Interview, Child Interview, Pediatric Asthma Interview, Insulin- Dependent Diabetes Interview, Low Back Pain Interview Medical.... |
1997-09-30 |
| 0938-0709 |
Data Collection for the Second Generation Social Health Maintenance Organization Demonstration |
2007-02-20 |
| 0938-0708 |
Evaluation of the State Medicaid Reform Demonstrations and Evaluation of the Medicaid Health Reform Demonstrations |
2004-02-10 |
| 0938-0707 |
Model Application Template for State Child Health Plan Under Title XXI of the Social Security Act, State Children's Health Insurance Program, and Model Application Template |
2012-09-24 |
| 0938-0705 |
Maximizing the Effective Use of Telemedicine: A Study of the Effects, Cost Effectiveness and Utilization Patterns of Consultations via Telemedicine |
2001-07-16 |
| 0938-0704 |
Data Collection Forms for a Project to Develop a Case-Mix Adjustment System for a National Home Health Prospective Payment Program |
1997-05-02 |
| 0938-0703 |
Information Collection Requirements Referenced in HIPAA, Title 1 for the Individual Market, Supporting Regulations at 45 CFR 148.120, 148.122, 148.124, 148.126, and 148.128, and Forms/.... |
2009-08-04 |
| 0938-0702 |
Information Collection Requirements Referenced in HIPAA, Title 1, for the Group Market, Supporting Regulations at 45 CFR 146.111, 146.115, 146.117, 146.150, 146.152, 146.160, and 146.180, and... |
2025-08-11 |
| 0938-0701 |
Medicare Health Outcomes Survey (HOS) and Supporting Regulations at 42 CFR 422.152 (CMS-10203) |
2025-01-14 |
| 0938-0700 |
Incentive Arrangement Disclosure Form and Supporting Regulations 42 CFR 417.479, 417.500, 422.208, 422.210, 434.44, 434.67, 434.70, 1003.100, 1003.101, 1003.103, 1003.106 |
2000-12-01 |
| 0938-0699 |
Notification Procedures for States Implementing Alternative Mechanisms in the Individual Health Insurance Market and Supporting Notice -- BPD-882-N |
1997-01-16 |
| 0938-0698 |
Hospital Standards for Potentially HIV Infectious Blood and Blood Products -- 42 CFR 482.27 |
1996-11-22 |
| 0938-0697 |
Medicaid Report on Payables and Receivables (R-199) |
2020-02-26 |
| 0938-0694 |
Evaluation of the Per-Episode Home Health Prospective Payment Demonstration |
1996-07-31 |
| 0938-0693 |
Federally Qualified Health Center (FQHC) Survey |
1996-12-31 |
| 0938-0692 |
Medicare and Medicare Advantage Programs; Notification Procedures for Hospital Discharges: Important Message From Medicare (CMS-R-193) |
2016-07-20 |
| 0938-0691 |
Medicare Disproportionate Share Adjustment Procedures and Criteria and Supporting Regulations in 42 CFR 412.106 |
2018-10-05 |
| 0938-0690 |
Granting and Withdrawal of Deeming Authority to National Accreditation Organizations and Supporting Regulations at 42 CFR 488.4-488.9, and 488.201 |
2002-08-21 |
| 0938-0688 |
Conditions of Coverage for Organ Procurement Organizations (OPOs) and Supporting Regulations in 42 CFR, Section 486.304, 486.306, 486.307, 486.310, 486.316, 486.218, and 486.325 |
2026-02-19 |
| 0938-0687 |
Maximizing the Effectiveness of Home Health Care: The Influence of Service Volume and Integration with Other Care Settings on Patient Outcomes |
1996-03-20 |
| 0938-0686 |
Granting and Withedrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and of State Exemption Under State Laboratory Programs and Supporting Regs |
2024-01-11 |
| 0938-0685 |
Medicare Health Care Provider Enrollment Application and Supporting Regulations -- 42 CFR 405.2401; 410.40, .69; 491.2; 414.451, .52, .56, .60; 424.57, .73; 440.30 |
2024-08-01 |
| 0938-0684 |
National Provider System |
1996-12-26 |
| 0938-0683 |
Evaluation of the Medicare Cataract Surgery Alternate Payment Demonstration |
1995-11-13 |
| 0938-0682 |
Data Collection and Analysis for Generating Procedure-Specific Cost Estimates |
1995-11-07 |
| 0938-0681 |
Evaluation of the Oregon Medicaid Reform Demonstration, Baseline Survey |
1995-11-01 |
| 0938-0680 |
Field Testing of the Uniform Needs Assessment Instrument (UNAI): Small-Scale Trial Phase 2 |
1999-04-26 |
| 0938-0679 |
Durable Medical Equipment Regional Carrier, Certificates of Medical Necessity |
2020-02-27 |
| 0938-0678 |
Evaluation of Intermediate Care Facilities for Persons with Mental Retardation |
1995-06-30 |
| 0938-0677 |
Study of the Cost of Administering Childhood Immunizations -- HCFA-17-C-90379/3-1 |
1995-04-24 |
| 0938-0676 |
Reconciliation of State Invoice and Prior Quarter Adjustment Statement and Supporting Regulations -- 42 CFR 447.500-42 CFR 447.550 |
2024-03-07 |
| 0938-0675 |
Quality Assurance for Phase II of the Home Health Agency Prospective Payment Demonstration |
1998-04-08 |
| 0938-0674 |
Targetted Race and Ethnicity Survey |
1995-02-07 |
| 0938-0673 |
Medicaid Posteligibility Preprint |
2001-06-07 |
| 0938-0671 |
EVALUATION OF THE DRUG USE REVIEW DEMONSTRATIONS PROJECTS |
1995-01-30 |
| 0938-0670 |
Criteria for Medicare Coverage of Lung Transplants |
2001-03-07 |
| 0938-0669 |
DIALYSIS UNIT HEALTH CARE QUALITY IMPROVEMENT PROGRAM SURVEY |
1994-11-07 |
| 0938-0667 |
Information Collection Requirements Contained in BPD-393, Examination and Treatment for Emergency Medical Conditions and Women in Labor |
2020-07-06 |
| 0938-0665 |
MEDICARE TECHNICAL ADVISORY GROUP (M-TAG) BENEFICIARY SURVEY |
1994-10-17 |
| 0938-0664 |
EVALUATION OF PATIENT AND PHYSICIAN SATISFACTION WITH THE MEDICARE PARTICIPATING HEART BYPASS CENTER DEMONSTRATION |
1994-09-29 |
| 0938-0663 |
EXAMINATION AND TREATMENT OF EMERGENCY MEDICAL CONDITIONS AND WOMEN IN LABOR AND 42 CFR 489.24 ESSENTIALS OF PROVIDER AGREEMENT RESPONSIBILITIES OF MEDICARE PARTICIPATING.... |
1994-09-29 |
| 0938-0662 |
Survey of Applicants to the Program of All-Inclusive Care for the Elederly (PACE) |
1996-05-03 |
| 0938-0660 |
VOLUNTARY "PARTNER/REGULATED ENTITY" CUSTOMER SURVEYS TO IMPLEMENT EXECUTIVE ORDER 12862 WITHIN HCFA |
1994-09-02 |
| 0938-0659 |
[Medicaid] Medicaid Drug Utilization Review (DUR) Program (CMS-R-153) |
2025-01-15 |
| 0938-0658 |
ESRD Network Business Proposal Forms |
2006-12-22 |
| 0938-0657 |
End-Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR 405.2112 |
2020-03-03 |
| 0938-0656 |
EVALUATION OF MEDICARE SELECT AMENDMENTS |
1994-06-16 |
| 0938-0655 |
Clinical Laboratory Improvement Amendments (CLIA) Adverse Action Extract and Supporting Regulations at 42 CFr 493.1840 |
2000-08-03 |
| 0938-0654 |
Post Laboratory Survey Questionnaire, Surveyor |
1996-09-04 |
| 0938-0653 |
Post Laboratory Survey Questionnaire--Laboratory, and Supporting Regulations in 42 CFR 493.1771, 493.1773, and 493.1777 |
2015-08-12 |
| 0938-0652 |
VOLUNTARY CUSTOMER SURVEYS TO IMPLEMENT E.O. 12862 WITHIN THE HEALTH CARE FINANCE ADMINISTRATION (HCFA) |
1994-04-28 |
| 0938-0651 |
MEDICARE AND MEDICAID COVERAGE DATA BANK REPORTS |
1994-04-26 |
| 0938-0650 |
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) FLEXIBLE SURVEY PROTOCOL FORM |
2001-03-16 |
| 0938-0649 |
BENEFICIARY SURVEY FORM |
1994-03-17 |
| 0938-0648 |
EVALUATION OF THE MEDICAID UNINSURED DEMONSTRATIONS |
1994-01-31 |
| 0938-0647 |
EVALUATION OF THE MEDICARE CASE MANAGEMENT DEMONSTRATION |
1994-01-31 |
| 0938-0646 |
OSCAR USERS QUESTIONNAIRE |
1994-01-04 |
| 0938-0644 |
Intake and Assessment Survey Package for the Community Nursing Organization Demonstration |
1997-02-07 |
| 0938-0642 |
STATE SURVEY AGENCY BUDGET/EXPENDITURE REPORT, STATE AGENCY CERTIFICATION WORKLOAD REPORT |
1993-10-14 |
| 0938-0641 |
GRANTEE DATA COLLECTION INSTRUMENT, ICA -- SECTION 4360 |
1993-10-04 |
| 0938-0640 |
MEDIGAP COMPLAINT DATABASE |
1996-10-24 |
| 0938-0637 |
PRENATAL SERVICES AND ASSISTANCE SCREENING QUESTIONNAIRE |
1993-07-26 |
| 0938-0636 |
SURVEYOR SURVEY FOR THE HOME HEALTH AGENCY ASSESSMENT EVALUATION PROJECT |
1993-06-28 |
| 0938-0635 |
CONTRACTOR FINANCIAL REPORTS -- HCFA-750B |
1993-06-11 |
| 0938-0634 |
CONTRACTOR FINANCIAL REPORTS -- HCFA-750A |
1993-06-11 |
| 0938-0632 |
STATUS OF ACCOUNTS RECEIVABLE -- HCFA-751B |
1993-06-11 |
| 0938-0630 |
STATUS OF ACOUNTS RECEIVABLE |
1993-06-11 |
| 0938-0629 |
MONITORING AND EVALUATION OF THE MEDICARE CATARACT SURGERY ALTERNATE PAYMENT DEMONSTRATION |
1994-10-31 |
| 0938-0628 |
STUDY OF MEDICAID UTILIZATION MANAGEMENT INITIATIVES |
1993-04-21 |
| 0938-0627 |
Video Display Terminal (VDT) Operators' Eye Care Program |
1996-06-24 |
| 0938-0626 |
Electronic Funds Transfer Authorization Agreement (CMS-588) |
2023-05-15 |
| 0938-0625 |
EVALUATION OF MARYLAND ACCESS TO CARE PROGRAM |
1993-02-16 |
| 0938-0624 |
REQUEST FOR APPROVAL AS A HOSPITAL PROVIDER OF EXTENDED CARE SERVICES (SWING-BED) IN THE MEDICARE AND MEDICAID PROGRAMS |
2000-03-09 |
| 0938-0623 |
LONG TERM CARE PROGRAM AND MARKET CHARACTERISTICS STUDY |
1993-01-11 |
| 0938-0622 |
EVALUATION OF MEDICAID EXTENSION DEMONSTRATION |
1993-01-11 |
| 0938-0621 |
MEDICAID CAPITATED MANAGED CARE PROGRAM FOR SSI DISABLED |
1992-10-30 |
| 0938-0620 |
IMPACT OF HOME HEALTH CARE PLAN MANAGEMENT AND EVALUATION, HOME CARE QUALITY STUDIES -- TASK 3.1 |
1994-01-05 |
| 0938-0619 |
MEDICARE CURRENT BENEFICIARY SURVEY, ROUND 5 OMB SUPPLEMENT |
1992-09-01 |
| 0938-0618 |
[Medicaid] Limitations on Provider Related Donations and Health Care Related Taxes; Medicaid and Supporting Regulations in 42 CFR 433.68 and 433.74 (CMS-R-148) |
2026-02-17 |
| 0938-0617 |
OUTPATIENT RESOURCE COSTING STUDY (18-C-901-23/3-01), DATA COLLECTION OF PROVIDERS OF OUTPATIENT SERVICES |
1992-12-22 |
| 0938-0616 |
CERTIFICATION RECOMMENDATION, CLIA LABORATORY |
1993-10-04 |
| 0938-0615 |
MEDICARE PHYSICIAN SURVEY FORM -- PILOT |
1993-08-18 |
| 0938-0613 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN THE REGULATION FOR HOME AND COMMUNITY-BASED SERVICES WAIVER FOR INDIVIDUALS AGE 65 OR OLDER |
1992-05-22 |
| 0938-0612 |
Information Collection Requirements (ICR) Contained in the Clinical Laboratory Improvement Amendments (CLIA) Regulations 42 CFR Part 493.801, 493.803, 493.1232, 493.1233, 493.1234,... |
2024-01-12 |
| 0938-0611 |
SCREENING MAMMOGRAPHY SERVICES DATA REPORT |
1993-10-04 |
| 0938-0610 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BPD-718: ADVANCE DIRECTIVES (MEDICARE AND MEDICAID) |
2017-02-27 |
| 0938-0609 |
MEDICARE INTERMEDIARY PART A AND PART B APPEALS REPORT |
1992-03-26 |
| 0938-0608 |
MEDICARE COVERAGE OF SCREENING MAMMOGRAPHY |
1993-04-26 |
| 0938-0607 |
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS OF 1988, FEE COLLECTION -- 42 CFR SECTIONS 493.614, 493.633, AND 493.634 |
1992-03-23 |
| 0938-0606 |
INTAKE AND FOLLOW-UP SURVEY OF MEDICARE BENEFICIARIES IN STAFF-ASSISTED HOME DIALYSIS DEMONSTRATION |
1992-03-19 |
| 0938-0605 |
PHYSICIAN PAYMENT DIFFERENTIALS IN GROUP PRACTICES SURVEY |
1992-03-19 |
| 0938-0604 |
State Survey Agency List of Positions and Schedule of Equipment Purchases |
1996-06-20 |
| 0938-0603 |
ATTENDING PHYSISIANS PARENTERAL/ENTERAL NUTRITION CERTIFICATION OF MEDICAL NECESSITY |
1992-02-24 |
| 0938-0602 |
EVALUATION OF THE OBRA 1967 MEDICARE PAYMENT FOR THERAPEUTIC SHOES BENEFICIARY SURVEY |
1992-02-06 |
| 0938-0601 |
PRECLEARANCE: INFORMATION COLLECTION FOR COMMUNITY NURSING ORGANIZATION DEMONSTRATION |
1992-01-23 |
| 0938-0600 |
Medicare Credit Balance Reporting Requirements and Supporting Regulations in 42 CFR 405.371, 405.378, and 413.20 |
2019-04-12 |
| 0938-0599 |
CLIA Budget/Expenditure Report, CLIA Planned Workload Report |
2024-02-28 |
| 0938-0597 |
TASK 4: HOME CARE WORKER SUPPLY AND HOME CARE QUALITY STUDIES |
1991-11-18 |
| 0938-0595 |
MEDICAID PROVIDERS TAXES AND DONATIONS PROGRAMS APPLICATION |
1991-10-29 |
| 0938-0594 |
MEDICARE SUPPLIER NUMBER APPLICATION |
1992-08-05 |
| 0938-0593 |
DISCHARGE AND FOLLOW-UP PATIENT INTERVIEWS (EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION) |
1991-10-01 |
| 0938-0592 |
TASK 3.2 ACCESS TO AND ADEQUACY OF PARAPROFESSIONAL HOME CARE - HOME CARE QUALITY STUDIES |
1991-09-30 |
| 0938-0591 |
COST REPORT FORMAT FOR PEER REVIEW ORGANIZATIONS |
1991-08-23 |
| 0938-0590 |
HOME CARE AGENCY SCREENING INSTRUMENT AND FOLLOW-UP TELEPHONE INTERVIEW |
1991-08-21 |
| 0938-0588 |
A POLICY STUDY OF THE COST-EFFECTIVENESS OF INSTITUTIONAL SUBACUTE CARE ALTERNATIVES AND SERVICES |
1991-07-29 |
| 0938-0587 |
EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION |
1992-01-06 |
| 0938-0586 |
PHYSICIAN FINANCIAL INTEREST IN CLINICAL LABORATORIES SURVEY FORM |
1992-06-24 |
| 0938-0585 |
APPLICATION TO PROVIDE COMMUNITY SUPPORTED LIVING ARRANGEMENTS (CSLA) SERVICES |
1991-06-20 |
| 0938-0583 |
Survey Team Composition and Workload Report |
1996-01-26 |
| 0938-0582 |
State Drug Rebate, Medicaid |
2024-04-15 |
| 0938-0581 |
PARTS A AND B APPLICATION FORMS FOR PROVISIONAL CERTIFICATES |
2025-09-12 |
| 0938-0580 |
Criteria for Medicare Coverage of Liver Transplants |
2001-03-07 |
| 0938-0579 |
Business Proposal Forms For Quality Improvement Organizations (QIOs) (CMS-718-721) |
2021-04-14 |
| 0938-0578 |
Medicaid Drug Rebate Program, Manufacturers |
2023-05-03 |
| 0938-0576 |
PRECLEARANCE - PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) EVALUATION |
1991-05-07 |
| 0938-0575 |
Medicare Physician Fee Schedule Geographic Practice Expense Index (GPCI) |
2006-10-16 |
| 0938-0574 |
END STAGE RENAL DISEASE (ESRD) MEDICAL CASE REVIEW |
1992-10-02 |
| 0938-0573 |
MEDICARE GEOGRAPHICAL CLASSIFICATION REVIEW BOARD PROCEDURES AND CRITERIA |
2025-08-01 |
| 0938-0572 |
TERMINATION OF ENROLLMENT REGULATION -- BPD-306 |
1995-03-10 |
| 0938-0571 |
ESTABLISHING PROCEDURES FOR TRANSMITTING INFORMATION BETWEEN MEDICARE CARRIERS AND MEDICARE SUPPLEMENTAL INSURERS |
1993-11-19 |
| 0938-0570 |
PATIENT INTAKE DATA FORM FOR THE NATIONAL HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION |
1993-11-15 |
| 0938-0569 |
AGENCY CHARACTERISTICS FORM FOR THE NATIONAL HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION |
1993-11-08 |
| 0938-0568 |
MEDICARE CURRENT BENEFICIARY SURVEY: ROUNDS 7-10 |
2025-11-21 |
| 0938-0567 |
Request for Part B Medicare Hearing by an Administrative Law Judge and Supporting Regulations in 42 CFR 498, Subpart D and E |
2000-08-21 |
| 0938-0566 |
Medicare -- ICR in BPD-458F, Section 411.408(d)(2) and (f) |
2025-11-21 |
| 0938-0565 |
IRS/SSA/CMS Data Match and Supporting Regulations in 42 CFR Sections 411.20-411.206 |
2013-09-13 |
| 0938-0564 |
Proper Claim Not Filed and Supporting Regulation Contained in 42 CFR 411.32(c) |
2006-10-17 |
| 0938-0563 |
STATE SURVEY AGENCY BUDGET REQUEST - LONG-TERM CARE FACILITY WORKLOAD |
1990-01-25 |
| 0938-0562 |
STATE SURVEY AGENCY QUARTERLY EXPENDITURE REPORT - LONG-TERM FACILITY WORKLOAD |
1990-01-25 |
| 0938-0561 |
PRECLEARANCE: IMPLEMENTATION AND EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION |
1989-12-12 |
| 0938-0560 |
UNIFORM COST REPORT DEMONSTRATION--VALIDATION QUESTIONNAIRE |
1989-12-11 |
| 0938-0559 |
HOSPITAL AND HOSPITAL HEALTH CARE COMPLEX COST REPORT, FORM HCFA-2552-DEMO |
1991-05-16 |
| 0938-0558 |
INFORMATION COLLECTION REQUIREMENTS AT 42 CFR 411.54(C)(1) ITEMIZED STATEMENT OF HOSPITAL CHARGES |
1991-11-12 |
| 0938-0557 |
TAX EQUITY AND FISCAL RESPONSIBILITY ACT (TEFRA) HMO AND CMP PROGRAM EVALUATION BENEFICIARY SURVEY |
1989-11-09 |
| 0938-0556 |
INFORMATION COLLECTION REQUIREMENTS IN BPD-311-F, REVALUATION OF ASSETS |
1989-10-20 |
| 0938-0555 |
INFORMATION COLLECTION REQUIREMENTS IN BQC-64-F, STATE PLAN REQUIREMENTS AND OTHER PROVISIONS RELATING TO THIRD-PARTY LIABILITY (TPL) PROGRAMS |
1993-01-11 |
| 0938-0554 |
INFORMATION COLLECTION REQUIREMENTS FOR REQUESTING COST AVOIDANCE WAIVERS AS PROVIDED FOR IN BQC-64 |
1993-01-11 |
| 0938-0553 |
INFORMATION COLLECTION REQUIREMENTS FOR THE THIRD-PARTY LIABILITY (TPL) ACTION PLAN AS PROVIDED FOR IN BQC-64 |
1994-11-04 |
| 0938-0552 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-483, SECTION 403.408 DEMONSTRATION COST REPORT |
1989-09-08 |
| 0938-0550 |
PRECLEARANCE: HOME CARE QUALITY STUDIES |
1989-07-13 |
| 0938-0549 |
MEDICARE: SUPPORTING STATEMENT FOR REQUEST FOR MEDICAL REVIEW INFORMATION FOR PART B OUTPATIENT BILLS |
1991-06-17 |
| 0938-0548 |
MEDICARE - HMO REPORTING FORMS |
1991-05-07 |
| 0938-0547 |
MEDICARE - PILOT STUDY - OUTCOMES MANAGEMENT - HMOS |
1989-04-24 |
| 0938-0546 |
MEDICARE INFLUENZA VACCINE DEMONSTRATION |
1994-05-18 |
| 0938-0544 |
Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and supporting regulations in 42 CFR 493.1-493.2001 |
2021-11-02 |
| 0938-0543 |
PILOT TEST OF A HOME HEALTH AGENCY FUNCTIONAL ASSESSMENT INSTRUMENT |
1989-04-06 |
| 0938-0542 |
MEDICARE - INFORMATION COLLECTION REQUIREMENTS FOR HOME HEALTH AGENCIES & HOSPICES AT 42 CFR 421.117(E) AND (F) AND SECTION 140 OF THE HHA & HOSPICE MANUALS, ETC. |
1989-02-16 |
| 0938-0538 |
COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 485.56, 485.58, 485.60, 485.64, 485.66, AND 405.262 |
1992-08-05 |
| 0938-0537 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-408-F PAYMENT FOR KIDNEYS SENT TO FOREIGN COUNTRIES OR TRANSPLANTED IN PATIENTS OTHER THAN MEDICARE BENEFICIARIES |
1989-04-17 |
| 0938-0535 |
REFUNDING OF FEDERAL SHARE OF OVERPAYMENTS MADE TO MEDICAID PROVIDERS |
1989-06-16 |
| 0938-0534 |
ATTENDING PHYSICIANS CERTIFICATION OF MEDICAL NECESSITY "MEDICARE" FOR HOME OXYGEN THERAPY |
2016-05-11 |
| 0938-0533 |
MEDICARE THERAPEUTIC SHOES FOR SEVERE DIABETIC FOOT DISEASE DEMONSTRATION PRESCRIPTION FORM |
1991-06-21 |
| 0938-0532 |
PRECLEARANCE - EVALUATION OF THE MEDICARE ALZHEIMER'S DISEASE DEMONSTRATION |
1989-06-07 |
| 0938-0531 |
PRO Reporting Forms |
1996-01-29 |
| 0938-0528 |
SECTION 4005(D) OBRA: EXPANSION OF SWING BED PROGRAM |
1989-06-28 |
| 0938-0527 |
MEDICARE, MEDICAID, AND CLINICAL LABORATORIES IMPROVEMENT ACT (CLIA) PATIENT CONFIDENTIALITY RULES, 42 CFR 74.53(B) (C), 405.1316(F)(2)(3) AND 441.16(A)(B) AND (C) |
1988-04-18 |
| 0938-0526 |
Quality Improvement (formerly Peer Review) Organization Contracts: Solicitation of Statement of Interest from In-State Organizations, General Notice and Supporting... |
2007-12-20 |
| 0938-0525 |
SUPPLEMENTAL SURVEY MECHANISM |
1989-03-13 |
| 0938-0524 |
HMO/CMP DISENROLLMENT SURVEY FORM |
1989-03-13 |
| 0938-0523 |
Information Collection Requirements Contained in 42 CFR 447.253 |
1996-09-23 |
| 0938-0522 |
WORKSHEET FOR SECTION 1867 OF THE SOCIAL SECURITY ACT: EXAMINATION AND TREATMENT FOR EMERGENCY MEDICAL CONDITIONS AND WOMEN IN ACTIVE LABOR |
1989-04-06 |
| 0938-0521 |
MEDICAID - INFORMATION COLLECTION REQUIREMENTS IN HSQ-127-F 42 CFR SECTIONS 442.114(A), 441.115(A) AND 442.116(A)(C) AND (D) |
1988-02-11 |
| 0938-0520 |
MEDICARE - HMO REPORTING FORMS |
1988-01-19 |
| 0938-0519 |
Medicare Home Health Quality Assurance Demonstration -- 42 CFR 484 |
1998-07-17 |
| 0938-0518 |
BENEFICIARY INCENTIVES TO PARTICIPATE IN ALTERNATIVE HEALTH PLANS |
1988-01-04 |
| 0938-0517 |
DATA COLLECTION TO ESTABLISH A FEE SCHEDULE FOR THE SERVICES OF CRNAS |
1987-11-30 |
| 0938-0516 |
PRE CLEARANCE FOR: A988 PHYSICIANS PRACTICE COSTS AND INCOMES SURVEY |
1987-10-28 |
| 0938-0515 |
MEDICARE - EVALUATION OF OPA MARKETING EDUCATIONAL PROMOTION SURVEY QUESTIONNAIRE |
1987-10-08 |
| 0938-0514 |
PILOT TEST - HOME HEALTH AGENCY SURVEY FORMS |
1988-04-28 |
| 0938-0513 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-356-F "LIMITS ON PAYMENTS FOR DRUGS" |
1987-09-08 |
| 0938-0512 |
Organ Procurement Organization's Request for Designation and Supporting Regulations in 42 CFR 486.304, 486.306, 486.307 |
2023-10-18 |
| 0938-0511 |
Skilled Nursing Facility Prospective Payment System Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 |
1997-11-12 |
| 0938-0510 |
MEDICARE - INFORMATION COLLECTION REQUIREMENTS IN SOM SECTION 2280 AND ROM - SECTION - 5223 DIALYSIS AT HOME PROGRAM |
1989-04-03 |
| 0938-0509 |
THE HOME AND COMMUNITY-BASED SERVICES WAIVERS MANUAL INSTRUCTIONS |
1989-04-18 |
| 0938-0508 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-371-FC, APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN MEDICARE |
1992-11-17 |
| 0938-0507 |
Medicare Managed Care Disenrollment Form |
2003-06-19 |
| 0938-0506 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 42 CFR 416.43 AND 416.47 |
1997-09-18 |
| 0938-0505 |
MISCELLANEOUS CONFORMING AMENDMENTS |
1987-03-30 |
| 0938-0504 |
INFORMATION COLLECTION REQUIREMENTS IN BPO-41P, ADJUSTMENT OF FEDERAL SHARE FOR UNCASHED OR CANCELLED CHECKS, 45 CFR SECTIONS 201.5 (A)(3), 201.67 (C)(2) & 201.67(D)(2) |
1987-03-30 |
| 0938-0503 |
PRECLEARANCE FOR: EVALUATION OF TEFRA HMO AND CMP PROGRAM (PRECLEARANCE NO. 008) |
1987-03-24 |
| 0938-0502 |
Medicaid: Determining Third-Party Liability (TPL) State Plan Preprint and Supporting Regulations in 42 CFR 433.138 |
2009-03-30 |
| 0938-0501 |
Medicare Qualification Statement for Federal Employees and Supporting Regulations in 42 CFR 406.15 |
2004-02-18 |
| 0938-0500 |
EVALUATION OF THE MEDICARE COMPETITION DEMONSTRATIONS |
1987-02-27 |
| 0938-0499 |
RECORDKEEPING REQUIREMENTS CONTAINED IN PROVIDER REIMBURSEMENT MANUAL SECTIONS 2198 AND 2746 |
1993-10-14 |
| 0938-0497 |
"MEDICAID" INFORMATION COLLECTION REQUIREMENTS IN BPO-47-FN, MMIS REQUIREMENTS FOR PHYSICIAN AND SUPPLIER SERVICES |
1987-02-17 |
| 0938-0496 |
"MEDICARE" NEW YORK BILLING FORM |
1987-02-17 |
| 0938-0492 |
MEDICARE ESRD OUTCOME SURVEY REPORT FORM |
1986-11-03 |
| 0938-0491 |
MEDICARE - PRO REPORTING FORMS |
1989-04-06 |
| 0938-0490 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-362-PN CRITERIA FOR MEDICARE COVERAGE OF HEART TRANSPLANTS |
2002-07-31 |
| 0938-0489 |
INFORMATION COLLECTION REQUIREMENTS FOR SOLE COMMUNITY HOME HEALTH AGENCIES AT 42 CFR 424.22(B) (2), (F), AND (G) |
1999-02-03 |
| 0938-0488 |
MEDICAID - INFORMATION COLLECTION REQUIREMENTS IN ALTERNATIVE SANCTIONS FOR LONG TERM CARE FACILITIES, 42 CFR 442.118(B) |
1989-08-29 |
| 0938-0487 |
Systems Performance Review (SPR) |
1997-06-26 |
| 0938-0486 |
Request for Part A Medicare Hearing by an Administrative Law Judge and Supporting Regulations in 42 CFR 498 Subpart D and E |
2000-08-21 |
| 0938-0485 |
MEDICARE/MEDICAID HOSPITAL SWING-BED SURVEY REPORT FORM |
1993-01-11 |
| 0938-0484 |
EMERGENCY AND FOREIGN HOSPITAL SERVICES--BENEFICIARY STATEMENT IN CANADIAN TRAVEL CLAIMS |
2006-09-15 |
| 0938-0483 |
INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED PROTOTYPE SURVEY REPORT FORM |
1986-06-20 |
| 0938-0482 |
MEDICARE - ELECTION TO RECALCULATE MEDICARE REIMBURSEMENT BASED ON 42 CFR 405.457 |
1988-07-19 |
| 0938-0481 |
Sterilization Regulations and Consent Form |
2000-10-19 |
| 0938-0479 |
TITLE XIX SUPERIOR UTILIZATION REVIEW (UR) SYSTEM WAIVER REQUEST INFORMATION COLLECTION REQUIREMENT-SECTIONS 9320-9330 OF STATE MEDICAID MANUAL |
1989-07-25 |
| 0938-0478 |
THE LONG TERM CARE REQUEST FOR CERTIFICATION |
1989-08-03 |
| 0938-0477 |
PAYMENT ADJUSTMENT FOR SOLE COMMUNITY HOSPITALS, 42 CFR 412.92 |
2005-08-04 |
| 0938-0476 |
HOSPICE CORE SERVICE: NURSING (HOSPICE MANUAL) |
1989-04-06 |
| 0938-0475 |
Hospice Core Service: Nursing Information Collection |
1996-04-30 |
| 0938-0473 |
INFORMATION COLLECTION REQUIREMENTS IN BERC-240-F, RECOGNITION OF STATE REIMBURSEMENT CONTROL SYSTEM |
1986-04-28 |
| 0938-0472 |
Requirement to Disclose HMO Financial Information to Members and Supporting Regulations in 42 CFR 417.124 |
1997-09-26 |
| 0938-0471 |
42 CFR PART 110 - (NPRM) HEALTH MAINTENANCE ORGANIZATIONS |
1986-04-22 |
| 0938-0470 |
The Application for Federal Qualification (CMS 901A) Regulations in 42 CFR Section 417.140 and the Medicare Health Care Prepayment Plan Application (CMS 901D) in 42 CFR 417.800. |
2010-08-06 |
| 0938-0469 |
The Fiscal Soundness Reporting Requirements (FSRR) |
2025-05-21 |
| 0938-0467 |
[Medicaid] Income and Eligibility Verification System Reporting and Supporting Regs. (CMS-R-74) |
2025-11-26 |
| 0938-0465 |
PROCEDURES FOR DETERMINING WHETHER PROVIDERS, PRACTITIONERS, OR OTHER SUPPLIERS OF SERVICES ARE LIABLE FOR_CERTAIN UNCOVERED SERVICES, MEDICARE -- BERC-273F |
2000-09-20 |
| 0938-0464 |
MEDICAID PROGRAM CHARACTERISTICS QUESTIONNAIRE |
1986-02-13 |
| 0938-0463 |
Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 |
2024-06-07 |
| 0938-0461 |
MEDICARE - INFORMATION COLLECTION REQUIREMENTS IN HCFA-PUB. 14-3 CARRIER MANUAL SECTIONS 2070.2, 3060.2.D., 4110.2 AND 4110.4 - PHYSICIAN/SUPPLIER BACKGROUND INFORMATION |
1989-05-03 |
| 0938-0460 |
INFORMATION COLLECTION REQUIREMENT IN HCFA-PUB. 14-3 SECTION 2120.1 CARRIER MANUAL-AMBULANCE SERVICE |
1993-04-26 |
| 0938-0459 |
INFORMATION COLLECTION REQUIREMENTS IN BPO-500-F, THIRD-PARTY LIABILITY FOR MEDICAL ASSISTANCE, FFP RATES FOR SKILLED PROFESSIONAL MEDICAL PERSONNEL AND SUPPORTING STAFF |
1994-11-04 |
| 0938-0458 |
UNIFORM HOSPITAL BILL (HCFA-1450) AND RELATED ELECTRONIC MEDIA CLAIM FORMAT - MEDICAID SYSTEM REQUIREMENTS |
1991-04-16 |
| 0938-0457 |
SECTION 2405.3 OF THE PROVIDER REIMBURSEMENT MANUAL - SINGLE DAY METHOD FOR COUNTING INTERNS AND RESIDENTS TO FACILITATE PAYMENT OF INDIRECT MEDICAL EDUCATION COSTS |
1989-06-19 |
| 0938-0456 |
Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105 (CMS-R-64) |
2024-03-01 |
| 0938-0454 |
Physician Certifications/Recertifications in Skilled Nursing Facilities, (SNF's) |
2022-12-21 |
| 0938-0452 |
MEDICARE, CARRIER APPEAL REPORT |
1992-03-09 |
| 0938-0451 |
JCAH HOSPICE MAIL SURVEY QUESTIONNAIRE |
1985-08-30 |
| 0938-0450 |
EVALUATION OF SOCIAL/HEALTH MAINTENANCE ORGANIZATION (S/HMO) DEMONSTRATION |
1988-11-02 |
| 0938-0449 |
[Medicaid] Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003) |
2024-07-31 |
| 0938-0448 |
ESRD DEATH NOTIFICATION |
2025-05-14 |
| 0938-0447 |
MEDICARE: ESRD FACILITY SURVEY |
2025-06-17 |
| 0938-0446 |
RECIPIENT, USE AND EXPENDITURES FOR MEDICAID ENROLLEES COVERED UNDER SECTION 1619(A) AND (B) OF THE SOCIAL SECURITY ACT |
1986-08-01 |
| 0938-0445 |
Quality Improvement Organization (QIO) Assumption of Responsibilities and Supporting Regulations (CMS-R-71) |
2025-01-15 |
| 0938-0444 |
INFORMATION COLLECTION REQUIREMENTS IN HSQ-109-F, PEER REVIEW ORGANIZATION SANCTIONS, 42 CFR 474.36(B), 474.38(A), (B), & (C), 474.39(A) & (B), AND 474.40(A) AND (B) |
2024-12-23 |
| 0938-0443 |
PRO RECONSIDERATIONS AND APPEALS IN 42 CFR 473.18 (A) AND (B), 473.34 (A) AND (B), 47.36 (A) AND (B) AND 473.42 (A) |
2025-11-26 |
| 0938-0442 |
MMIS - CONDITION OF APPROVAL AND REAPPROVAL AND PROCEDURES FOR REDUCTION OF FFP, 42 CFR 433.112, 433.116 AND 433.117 |
1989-06-27 |
| 0938-0441 |
PROVIDER OVERPAYMENT REPORT |
1992-08-17 |
| 0938-0440 |
PRO SEMIANNUAL RESOURCES ALLOCATION REPORT |
1985-11-01 |
| 0938-0439 |
PHYSICIAN/SUPPLIERS OVERPAYMENT REPORT |
1995-07-13 |
| 0938-0438 |
INFORMATION COLLECTION REQUIREMENTS CONCERNING CLAIMS PROCESSING ASSESSMENT SYSTEM (CPAS), HCFA R-91, HCFA-331, HCFA-503, & CURRENTLY APPROVED HCFA-R-93 TO BE CONSOLIDATED |
1993-02-18 |
| 0938-0437 |
COURT ORDERED REGULATIONS REGARDING PROSPECTIVE PAYMENT AMOUNTS AND ADMINISTRATIVE REVIEW |
1985-06-28 |
| 0938-0436 |
Pacemaker Related Data |
1995-03-24 |
| 0938-0434 |
AMBULATORY SURGICAL CENTER PAYMENT RATE SURVEY |
1993-12-10 |
| 0938-0433 |
INTERMEDIARY'S REQUEST TO HOSPITALS FOR MEDICAL INFORMATION ON OUTPATIENT CLAIMS |
1985-06-24 |
| 0938-0432 |
NATURE, PROCESS, AND MODES OF HOSPICE CARE DELIVERY HOSPICE SURVEY PROFILE AND HOSPICE ASSESSMENT AND SURVEY |
1985-06-13 |
| 0938-0431 |
INFORMATION COLLECTION REQUIREMENTS IN BOC-18-F, CLAIMS PROCESSING ASSESSMENT SYSTEM (CPAS) |
1989-06-26 |
| 0938-0430 |
NATIONWIDE EVALUATION OF MEDICAID COMPETITION DEMONSTRATIONS--MEDICAID CONSUMER SURVEY |
1988-04-05 |
| 0938-0429 |
INFORMATION COLLECTION REQUIREMENT IN 42 CFR SECTION 447.53(E) IMPOSITION OF COST-SHARING CHARGES UNDER MEDICAID |
2010-10-27 |
| 0938-0428 |
STATE MEDICAID MANUAL, PART 3, ON ASSIGNMENT OF RIGHTS |
1985-05-07 |
| 0938-0427 |
PRECLEARANCE FOR: COMPETITIVE BIDDING FOR DURABLE MEDICAL EQUIPMENT DEMONSTRATION (NO. 003) |
1985-05-01 |
| 0938-0426 |
Information Collection Requirements in HSQ-110, Acquisition, Protection and Disclosure of Peer Review Organization Information and Supporting Regulations in 42 CFR, Section 480.104, 480.105,.. |
2025-11-26 |
| 0938-0425 |
PRECLEARANCE FOR: PROSPECTIVE PAYMENT AND ANALYTICAL SUPPORT STUDIES |
1985-04-29 |
| 0938-0423 |
PRECLEARANCE: EVALUATION OF THE CLINICAL LABORATORY SERVICES DEMONSTRATION |
1985-01-10 |
| 0938-0422 |
COVERAGE OF OXYGEN FOR USE IN A PATIENT'S HOME - BERC-024 FNC AND MANUAL INSTRUCTIONS, "MEDICARE" |
1988-11-22 |
| 0938-0421 |
PRECLEARANCE: DESIGN AND EVALUATION OF THE HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION |
1985-03-29 |
| 0938-0419 |
ADMISSION AND QUALITY OBJECTIVE PROGRESS REPORTS |
1985-03-19 |
| 0938-0418 |
QUARTERLY ACUTE CARE GENERAL HOSPITAL REPORT SUMMARY AND THE QUARTERLY SPECIALTY HOSPITAL REVIEW REPORTING SUMMARY |
1986-10-02 |
| 0938-0414 |
MEDICAID STATE AGENCY THIRD PARTY LIABILITY INVENTORY FORM |
1991-05-07 |
| 0938-0413 |
REPORT OF PRO REVIEW ACTIVITY |
1986-10-23 |
| 0938-0408 |
Methodology for Estimating Waiver Costs of HCFA Demonstration Projects |
2000-06-21 |
| 0938-0407 |
ELECTRONIC MEDIA CLAIM (EMC)/HARD COPY (HC) STUDY |
1985-02-19 |
| 0938-0406 |
INFORMATION COLLECTION REQUIREMENTS IN BERC-247-F, PAYMENTS TO HEALTH MAINTENANCE ORGANIZATIONS AND COMPETITIVE MEDICAL PLANS, R-29 |
1985-02-14 |
| 0938-0405 |
RECONSIDERATION DETERMINATION AND SANCTION REPORT |
1985-02-07 |
| 0938-0404 |
SKILLED NURSING FACILITY SURVEY FORM |
1985-09-20 |
| 0938-0402 |
STATEMENT OF CUMULATIVE EXPENDITURES FOR DEMONSTRATION PROJECTS (EXPENDITURE REPORT) |
1988-03-29 |
| 0938-0400 |
PATIENT CARE AND SERVICES SURVEY REPORT FORM AND SKILLED NURSING FACILITY SURVEY FORM |
1989-07-05 |
| 0938-0399 |
MEDICARE PROGRAM CARRIER PERFORMANCE REPORT |
1993-03-09 |
| 0938-0397 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 42 CFR, SECTIONS 447.413 AND 447.415 (BPO-07-F) |
1984-11-09 |
| 0938-0396 |
PRECLEARANCE: NONCERTIFIED HOSPICE COST ANALYSIS |
1985-11-14 |
| 0938-0395 |
HEALTH FACILITY LICENSURE AND CERTIFICATION DIRECTORS SURVEY QUESTIONNAIRE |
1984-10-26 |
| 0938-0394 |
DIALYSIS PATIENT QUESTIONNAIRE |
1984-10-05 |
| 0938-0393 |
HOME HEALTH AGENCY COST REPORT, SUPPLEMENT K |
1984-09-20 |
| 0938-0392 |
HOSPICE COST REPORT AND DATA FORM |
1989-03-02 |
| 0938-0391 |
Statement of Deficiencies and Plan of Correction and Supporting Regulations Contained in 42 CFR 488.18, 488.26, and 488.28 |
2022-01-07 |
| 0938-0390 |
Post-Certification Revisit Report |
1996-06-20 |
| 0938-0389 |
SURVEY OF SELF INSURED PLANS |
1988-09-29 |
| 0938-0387 |
SCHEDULE OF NET HOURS AVAILABLE |
1984-09-12 |
| 0938-0386 |
MEDICARE, INFORMATION COLLECTION REQUIREMENTS IN 405.2112, 405.2123, 405.2136, 405.2137, 405.2138, 405.2139, 405.2140, AND 405.2171 |
2025-05-15 |
| 0938-0385 |
PRECLEARANCE: EVALUATION OF SOCIAL/HEALTH MAINTENANCE ORGANIZATION (S/HMO) DEMONSTRATION |
1984-08-23 |
| 0938-0384 |
QUARTERLY PERIODIC INTERIM PAYMENT (PIP) REPORT |
1990-09-25 |
| 0938-0383 |
Medicare: Information on Provider Refunds and Supporting Regulations in 42 CFR 489.40-41 |
1997-06-16 |
| 0938-0382 |
Medicare/Medicaid Hospital Surveyor's Worksheet and Supporting Regulations at 42.C.F.R. 488.26 and 442.30 |
2003-09-05 |
| 0938-0381 |
REPAYMENT REQUEST DOCUMENTS - HOSPITAL, SNF, HHA |
1984-08-06 |
| 0938-0380 |
Hospital Request for Certification in the Medicare/Medicaid Program |
2000-06-02 |
| 0938-0379 |
HOSPICE SURVEY REPORT FORM |
2022-12-27 |
| 0938-0378 |
The Medicare/Medicaid Psychiatric Hospital Survey Data Contained in 42 CFR and Supporting Regultions in 42 CFR 482.60, 482.61, and 482.62 |
2021-04-14 |
| 0938-0377 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-297-FC & RELATED INSTRUCTIONS IMPLEMENTING THE U.S. DISTRICT COURT'S DECISION IN LYNCH V. RANK |
1987-02-04 |
| 0938-0376 |
MEDICARE HISTOCOMPATIBILITY TESTING LABORATORIES SURVEY REPORT FORM |
1989-06-30 |
| 0938-0373 |
MEDICARE PHYSICIAN OR SUPPLIER AGREEMENT |
2025-07-11 |
| 0938-0372 |
ESRD Beneficiary Selection and Supporting Regulations Contained in 42 CFR 414.330 |
2007-12-17 |
| 0938-0371 |
INTERMEDIARY BENEFIT PAYMENT REPORT |
1993-03-16 |
| 0938-0370 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 442.307, 442.308, 442.309, 442.313, 442.314, 442.318, 442.319, AND 442.320, 442.311-CONDIT. OF PARTICIPAT. FOR INTERMED. FAM. |
1989-02-13 |
| 0938-0368 |
INFORMATION COLLECTION REQUIREMENTS IN 42 CFR PART 405.1315, 1316, AND 1317 CONDITIONS OF PARTICIPATION FOR LABORATORIES |
1987-05-22 |
| 0938-0366 |
ITERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED, CONDITIONS OF PARTICIPATION, ICF/MR |
1993-07-26 |
| 0938-0365 |
MEDICARE - INFORMATION COLLECTION REQUIREMENTS INCLUDED IN "CONDITIONS OF PARTICIPATION OF HOME HELATH AGENCIES" |
2017-03-02 |
| 0938-0364 |
INFORMATION COLLECTION REQUIREMENTS IN 405.1121, 405.1124, 405.1136, & 405.1137-CONDITIONS FOR PARTICIPATION FOR SNFS 405.1122, 405.1123, 405.1125, 405, 1126, 405.1127, 405.1128 |
1986-07-07 |
| 0938-0361 |
MONTHLY CONTRACTOR FINANCIAL REPORT (HCFA 1522)/CONTRACTOR DRAWS ON LETTER OF CREDIT (HCFA 1521) |
1993-03-11 |
| 0938-0360 |
MEDICARE END STAGE RENAL DISEASE FACILITY SURVEY REPORT |
2022-05-04 |
| 0938-0359 |
MEDICARE: MEDICAL RECORDS REVIEW UNDER PPS |
2008-05-02 |
| 0938-0358 |
STATE AGENCY WORK SHEETS FOR VERIFYING EXCLUSIONS FROM THE PROSPECTIVE PAYMENT SYSTEM |
2021-06-01 |
| 0938-0357 |
PLAN OF TREATMENT AND HOME HEALTH CERTIFICATION FORM, MEDICAL INFORMATION FORM, ADDENDUM TO THE POT AND MIF FOR, AND INTERMEDIARY MEDICAL INFORMATION REQUEST |
2002-08-15 |
| 0938-0356 |
HCFA FORMS AND MANUAL ORDER |
1992-11-17 |
| 0938-0355 |
MEDICARE - HOME HEALTH AGENCY - REQUEST FOR CERTIFICATION IN THE MEDICARE/MEDICAID PROGRAM AND THE HOME HEALTH SURVEY REPORT FORM |
2023-01-31 |
| 0938-0354 |
INFORMATION COLLECTION IN EARLY & PERIODIC SCREENING, DIAGNOSIS & TREATMT. PROG. REG. (BERC-506-F), SEC. 441.56(A) (2)(I)-(IV), 56(D), 58(B), 60(A)(4)(5), & 61(A) |
2026-04-16 |
| 0938-0351 |
INFORMATION COLLECTED FROM FISCAL INTERMEDIARIES AND CARRIERS - FINANCIAL COLLECTIONS CATEGORY |
1984-03-15 |
| 0938-0350 |
MEDICARE CONTRACTOR ADMINISTRATIVE BUDGET AND COST REPORTING SYSTEM FORMS |
1992-12-10 |
| 0938-0349 |
SURVEY OF SEC. 2176 HOME & COMMUNITY BASED MEDICAID WAIVER PROGRAMS (SURVEY FOR THE DEVELOPMENTALLY DISABLED & CHRONICALLY MENTALLY ILL) - SURVEY OF THE IE OR OTHER PDP |
1985-10-02 |
| 0938-0347 |
HOSPITAL WAGE INDEX SURVEY |
1984-02-29 |
| 0938-0346 |
MEDICARE/MEDICAID HEALTH CARE FACILITY SURVEY AND CERTIFICATION FORMS |
1984-02-17 |
| 0938-0345 |
[Medicaid] Transformed - Medicaid Statistical Information System (T-MSIS) (CMS-R-284) |
2024-09-20 |
| 0938-0344 |
MEDICAID ELIGIBILITY QUALITY CONTROL - INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 431.804(D)(3) AND (4) |
1989-12-11 |
| 0938-0342 |
1984 LONG-TERM CARE SURVEY |
1983-12-27 |
| 0938-0341 |
REPORT OF MEDICAL REVIEW ACTIVITY |
1983-12-21 |
| 0938-0340 |
MEDICAID QUALITY CONTROL (MQC) DISPOSITION LIST |
1983-12-16 |
| 0938-0339 |
42 CFR 433.113, FFP FOR OPERATION OF MECHANIZED CLAIMS PROCESSING AND INFORMATION RETRIEVAL SYSTEMS |
1983-12-15 |
| 0938-0338 |
Medicare and Medicaid Programs: Conditions of Participation for Portable X-ray Suppliers (CMS-R-43) |
2021-10-12 |
| 0938-0337 |
INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 405.460 EXCEPTIONS TO COST LIMITS |
1985-03-21 |
| 0938-0336 |
INFORMATION COLLECTION REQUIREMENTS IN 42 CFR, PART 405.1722, 1725, 1736 - CONDITIONS OF PARTICIPATION FOR OUTPATIENT CLINICS |
1996-08-14 |
| 0938-0334 |
Medicare and Medicaid Programs: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR Part 491 (CMS-R-38) |
2024-10-07 |
| 0938-0328 |
INFORMATION COLLECTION REQUIREMENTS IS 42 CFR PART 482 HOSPITAL CONDITIONS OF PARTICIPATION |
2026-02-02 |
| 0938-0326 |
INFORMATION REQUIREMENT RELATING TO REGULATION BPP-504- MEDICAID PROGRAM CONTRACTS WITH HMO'S AND PREPAID HEALTH PLANS |
1986-01-10 |
| 0938-0325 |
STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS AND SERVICES |
1983-11-02 |
| 0938-0313 |
Hospice Request for Certification in the Medicare Program and Supporting Regulations contained in 42 CFR Part 489.11 and 489.20 |
2025-09-03 |
| 0938-0312 |
RECALCULATION OF CASE-MIX INDEX BASED ON TOTAL MEDICARE DISCHARGES |
1985-03-28 |
| 0938-0310 |
MQC STATISTICAL TABLES |
1995-01-30 |
| 0938-0309 |
INFORMATION COLLECTION REQUIREMENTS IN REGULATIONS SECTION 405.476(B) SOLE COMMUNITY HOSPITAL EXCEPTION (PROSPECTIVE PAYMENT, BERC-263) |
1983-10-20 |
| 0938-0308 |
INFORMATION COLLECTION REQUIREMENTS IN REGULATIONS SECTION 405.476(D) SOLE COMMUNITY HOSPITAL REQUEST FOR ADDITIONAL PAYMENT (PROSPECTIVE PAYMENT, BERC-263) |
1984-09-28 |
| 0938-0306 |
INFORMATION COLLECTION REQUIREMENTS IN REG. SEC. 405.1627 & 405.1629, PHYSICIAN CERTIFICATION & RECERTIFICATION (PROSPECTIVE PAYMENT REG, BERC-263) |
1983-11-10 |
| 0938-0305 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN REGULATION SECTION 405.1042(C), HOSPITAL UTILIZATION REVIEW PLAN (PROSPECTIVE PAYMENT, BERC-263) |
1983-12-14 |
| 0938-0304 |
INFORMATION COLLECTION REQUIREMENTS IN REGULATION 489.23(B) AND (C) (WAIVER OF REQUIREMENTS TO BILL NON-PHYSICIAN SERVICES ON PART A-PROSPECTIVE PAYMENT, BERC-263) |
1983-08-29 |
| 0938-0302 |
Information Collection Requirements in the Hospice Conditions for Coverage. The following regulations are affected: 42CFR 418.22; 418.24; 418.28; 418.56(b),(e)(1),(e)(3); 418.58;...... |
2006-06-12 |
| 0938-0301 |
PROVIDER COST REPORT REIMBURSEMENT QUESTIONNAIRE, MEDICARE |
2017-04-20 |
| 0938-0300 |
Quality Control of Negative Case Actions (NCA) |
2001-08-24 |
| 0938-0298 |
PROFESSIONAL STANDARDS REVIEW ORGANIZATION ROUTINE FEDERAL REPORTING REQUIREMENTS |
1983-07-27 |
| 0938-0296 |
REQUEST FOR EXCEPTION TO COMPOSITE RATE FOR OUTPATIENT DIALYSIS SERVICES, PROVIDER REIMBURSEMENT MANUAL, SECTION 2721, 2722, 2725 |
2007-04-15 |
| 0938-0295 |
FREEDOM OF CHOICE: WAIVERS OF AND EXCEPTIONS TO STATE PLAN REQUIREMENTS, 42 CFR 431.54(F)(3) AND 431.55(B)(2) |
1986-08-01 |
| 0938-0294 |
PRECLEARANCE: EVALUATION OF THE MEDICAID COMPETITION DEMONSTRATION |
1983-05-24 |
| 0938-0291 |
EARLY PERIODIC SCREENING DIAGNOSTIC AND TREATMENT (EPSDT) REPORT |
1987-07-14 |
| 0938-0290 |
NATIONAL (RURAL) SWING BED PROGRAM EVALUATION |
1986-08-01 |
| 0938-0289 |
MEDICARE EVALUATION OF THE MEDICARE COMPETITION SURVEY QUESTIONNAIRE |
1985-12-31 |
| 0938-0288 |
TRANSMITTAL OF SUPPLEMENTARY INFORMATION FOR DETERMINATION OF THE TARGET AMOUNT UNDER THE MEDICARE PROSPECTIVE PAYMENT SYSTEM |
1983-04-06 |
| 0938-0287 |
WITHHOLDING THE FEDERAL SHARE SECTION 2104 OF P.L. 97-35 |
2023-11-24 |
| 0938-0286 |
EVALUATION OF MEDICARE AND MEDICAID ALCOHOLISM SERVICES DEMONSTRATION |
1985-06-28 |
| 0938-0285 |
PAYMENT FOR PHYSICIANS' SERVICES FURNISHED IN HOSPITALS, SNFS, AND CORFS |
1990-01-12 |
| 0938-0284 |
SURVEY OF PHYSICIAN PRACTICE COSTS AND INCOMES |
1989-05-05 |
| 0938-0282 |
QUARTERLY SHOWING VALIDATION SURVEYS |
2000-10-18 |
| 0938-0281 |
EVALUATION OF ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM |
1984-12-03 |
| 0938-0279 |
UNIFORM HOSPITAL BILL |
2005-09-16 |
| 0938-0278 |
MEDICARE HHA PROSPECTIVE PAYMENT DEMONSTRATION |
1983-01-12 |
| 0938-0275 |
PSRO ROUTINE FEDERAL REPORTING REQUIREMENTS, HCFA 111, 121-B 135, 153, SF 269 |
1982-12-13 |
| 0938-0273 |
Request for Certification in the Medicare and/or Medicaid Program to Provide Outpatient Physical Therapy (OPT) and/or Speech Pathology Services (OSP)- Initial and Extension Site Requests (CMS-381) |
2024-06-12 |
| 0938-0272 |
[Medicaid] Annual Report on §1915(c) Home and Community-Based Services Waivers (CMS-372(S)) |
2024-09-20 |
| 0938-0271 |
STATEMENT OF REIMBURSABLE COSTS |
1985-03-19 |
| 0938-0270 |
The Financial Statement of Debtor and Supporting Regulations in 42 CFR, Section 405.376 (CMS-379 ) |
2024-11-05 |
| 0938-0269 |
Request for Accelerated Payments Supporting Regulations in 42 CFR, section 412.116 & 413.64 |
2011-10-24 |
| 0938-0268 |
ANNUAL REPORT ON WAIVERS FOR HOME AND COMMUNITY BASED SERVICES |
1982-10-28 |
| 0938-0267 |
COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY SURVEY PROCESS AND ELIGIBILITY FORM |
2025-06-04 |
| 0938-0266 |
AMBULATORY SURGICAL CENTER: CERTIFICATION AND SURVEY REPORT |
2024-08-29 |
| 0938-0264 |
MEDICARE SUPPLEMENTAL POLICIES |
1982-08-09 |
| 0938-0263 |
MEDICARE EXCLUSION OF SERVICES REIMBURSABLE UNDER AUTOMOTIBLE, NO-FAULT OR LIABILITY INSURANCE |
1982-08-09 |
| 0938-0262 |
REPORT ON PROVIDER PARTICIPATION IN THE MEDICAID PROGRAM |
1985-07-03 |
| 0938-0259 |
BILLING FORM FOR THE ALCOHOLISM SERVICES COVERAGE DEMONSTRATION |
1985-04-09 |
| 0938-0258 |
Physical Therapist in Independent Practice Request for Certification in the Medicare Program |
1996-03-20 |
| 0938-0257 |
SURVEY OF RECENT OPTOMETRY GRADUATES TO DETERMINE PRACTICE PATTERNS |
1982-06-01 |
| 0938-0256 |
EVALUATION STUDY OF THE HMO CAPITATION DEMDEMONSTRATION |
1982-05-21 |
| 0938-0255 |
EVALUATION OF MUNICIPAL HEALTH SERVICES PROGRAM |
1982-04-20 |
| 0938-0254 |
PRECLEARANCE OF PROPOSED CONTRACT TO PROVIDE DIRECT REIMBURSEMENT OF CLINICAL SOCIAL WORKERS |
1982-04-14 |
| 0938-0253 |
MEDICARE/MEDICAID HOSPITAL PROVIDERS OF LONG TERM CARE (SWING-BED PROVISION) |
1989-05-18 |
| 0938-0252 |
MEDICARE COMPETITION DEMONSTRATION PRECLEARANCE |
1982-04-02 |
| 0938-0251 |
MEDICARE - APPLICATION FOR HOSPITAL INSURANCE |
2025-06-23 |
| 0938-0249 |
SURVEY OF PRIVATE HEALTH INSURANCE |
1990-03-05 |
| 0938-0247 |
Medicaid Management Information System (MMIS) |
1999-09-30 |
| 0938-0246 |
MEDICAID QUALITY CONTROL REVIEW SCHEDULE (HCFA 301) |
2013-08-26 |
| 0938-0245 |
Request for Enrollment in Supplementary Medical Insurance and Supporting Regulations in 42 CFR 407.10 & 407.11 |
2025-03-28 |
| 0938-0244 |
MEDIGAP STUDY |
1982-10-19 |
| 0938-0243 |
CONTRACTORS' INFORMATION COLLECTION-POST PROCESSING OF CLAIMS DATA |
1983-10-31 |
| 0938-0242 |
MEDICARE/MEDICAID FIRE SAFETY SURVEY REPORT |
2009-04-02 |
| 0938-0241 |
LONG-TERM CARE PROJECT OF NORTH SAN DIEGO COUNTY BILLING FORM |
1983-01-17 |
| 0938-0240 |
UNIFORM BILLING FORM FOR THE STATE OF NEW YORK, FR. UBF-1, "MEDICARE" |
1981-12-04 |
| 0938-0239 |
DELIVERY OF MEDICAL & SOCIAL SERVICES TO THE HOMEBOUND ELDERLY, NEW YORK CITY -- BILLING FORMS |
1981-12-04 |
| 0938-0238 |
CONTRACTORS INFORMATION COLLECTION - ORGAN PROCUREMENT AGENCY AND HISTOCOMPATIBILITY LABORATORY FORMS |
1981-12-01 |
| 0938-0236 |
Renal Dialysis Facility Cost Report |
2022-05-05 |
| 0938-0235 |
FREESTANDING FEDERALLY-FUNDED HEALTH CENTER COST REPORT |
1988-11-10 |
| 0938-0234 |
MEDICARE - CLAIMS DEVELOPMENT DATA PROVIDED BY CHIROPRACTORS |
1987-03-02 |
| 0938-0233 |
CONTRACTORS INFORMATION COLLECTIONS--CLAIMS DEVELOPMENT PHYSICIANS AND OTHER HEALTH CARE PROVIDERS |
1985-06-24 |
| 0938-0232 |
CONTRACTORS' INFORMATION COLLECTIONS - CARRIERS' EXTERNAL AUDIT OF SERVICES PROVIDED TO BENEFICIARIES |
1981-12-04 |
| 0938-0231 |
CONTRACTORS' INFORMATION COLLECTION-- "STATE MEDICAID AGENCY VERIFICATION OF SERVICES RECEIVED" |
1981-12-04 |
| 0938-0230 |
END STAGE RENAL DISEASE BILLING SUPPLEMENT FORM |
1985-02-14 |
| 0938-0229 |
CONTRACTORS INFORMATION COLLECTIONS - SOLE COMMUNITY PROVIDER EXEMPTION REQUESTS |
1981-12-04 |
| 0938-0228 |
CONTRACTORS INFORMATION COLLECTIONS - INTERMEDIARIES COLLECTION OF DATA ON OWNERS COMPENSATION |
1981-12-04 |
| 0938-0227 |
REQUEST FOR MEDICAL REVIEW OF PART B INTERMEDIARY OUTPATIENT THERAPY CLAIMS |
1994-11-09 |
| 0938-0226 |
CONTRACTORS INFORMATION COLLECTIONS - "CLAIMS DEVELOPMENT HOME HEALTH AGENCIES" |
1983-10-31 |
| 0938-0225 |
CONTRACTORS' INFORMATION COLLECTION - "MACHINE READABLE CLAIMS" |
1985-01-24 |
| 0938-0224 |
Medicare: Intermediary Request to Hospitals for Medical Information on Inpatient Claims for Statutorily Excluded Services -- SSA 1862; 42 CFR 411.15; 60 FR 181 |
1996-11-07 |
| 0938-0223 |
Medicare Intermediary Request to Skilled Nursing Facilities for Medical Information on Claims to be Processed |
1995-04-24 |
| 0938-0222 |
MEDICARE-CLAIMS DEVELOPMT. DATA FROM BENEFIC. &/OR SUPPLIERS & PROVIDER, INTERMED. MAN. SEC. 3114,3647,3763,3766, CARRIER MAN. SEC. 2105,2125,3060,3300,3301, 10,000 & 12,000 |
1989-04-06 |
| 0938-0220 |
PRECLEARANCE--EVALUATION OF THREE DEMONSTRATIONS IN NURSING HOMES CERTIFICATION SURVEY AND INSPECTIONS OF CARE |
1981-11-20 |
| 0938-0219 |
CONTRACTORS' INFORMATION COLLECTIONS - ADMINISTRATIVE DATA, UNCONNECTED WITH INDIVIDUAL CLAIM |
1985-01-24 |
| 0938-0218 |
CONTRACTORS' INFORMATION COLLECTIONS - RECONSIDERATIONS/ APPEALS |
1984-06-26 |
| 0938-0217 |
CONTRACTORS' INFORMATION COLLECTIONS INTERIM PAYMENT ADJUSTMENT FORMS FOR HHAS |
1985-01-24 |
| 0938-0216 |
CONTRACTOR INFORMATION COLLECTION - PROVIDER PERMANENT REFERENCE FILE |
1981-11-19 |
| 0938-0215 |
CONTRACTORS' INFORMATION COLLECTIONS--PERIODIC AUDIT OF PROVIDER/SUPPLIER CLAIMS DATA |
1981-11-19 |
| 0938-0214 |
QUESTIONS ON OTHER INSURANCE AVAILABLE TO MEDICARE BENEFICIARIES, MEDICARE SECONDARY PAYER |
2013-10-25 |
| 0938-0213 |
CONTRACTOR INFORMATION COLLECTION--CONTRACTOR PROGRAM INTEGRITY FORMS TO VERIFY SERVICES |
1983-10-31 |
| 0938-0212 |
CONTRACTORS' INFORMATION COLLECTION--AUDIT PROGRAMS |
1984-06-26 |
| 0938-0211 |
INSTALLMENT AGREEMENT ON BENEFICIARY REFUND OF OVERPAYMENT, HCFA-PUB.13-3, SECTION 3711.9, & HCFA-PUB.14.3, SECTION 7120.0, HCFA-R-9005 |
1995-07-13 |
| 0938-0210 |
REGIONAL OFFICE MEDICAID QUALITY CONTROL FEDERAL REREVIEW PROCESS |
1992-06-09 |
| 0938-0209 |
MEDICARE - RURAL HEALTH CLINICS-REQUESTS FOR MEDICAL INFORMATION HCFA-PUB. 13-3 INTERMEDIARY MANUAL SEC. 3640.14 |
1990-05-04 |
| 0938-0208 |
CONTRACTORS INFORMATION ON COLLECTIONS-REGIONAL OFFICE PROGRAM VALIDATION REVIEWS OF PROVIDERS AND MEDICAID AGENCIES |
1982-09-20 |
| 0938-0207 |
CONTRACTORS' INFORMATION COLLECTIONS -- COMPREHENSIVE HEALTH CENTER FORMS |
1981-11-19 |
| 0938-0206 |
REQUEST TO ADJUST CUSTOMARY CHARGE SCREEN |
1985-04-10 |
| 0938-0205 |
QUESTIONNAIRE CONCERNING FORGED CHECK |
1987-04-14 |
| 0938-0204 |
CONTRACTORS INFORMATION COLLECTIONS-HCFA REGIONAL OFFICE PROGRAM INTEGRITY FORMS TO VERIFY SERVICES |
1982-08-27 |
| 0938-0203 |
CONTRACTORS' INFORMATION COLLECTIONS - COLLATERAL CONTACTS |
1992-03-23 |
| 0938-0202 |
Home Office Cost Statement and Supporting Statement in Regulation in 42 CFR 413.17 and 413.20 |
2024-08-29 |
| 0938-0201 |
CONTRACTORS' INFORMATION COLLECTIONS -- EXTENDED REPAYMENT SCHEDULE |
1984-06-02 |
| 0938-0200 |
CONTRACTORS' INFORMATION COLLECTION SUPPLEMENTAL DESK REVIEW |
1981-11-19 |
| 0938-0199 |
ANCILLARY SERVICES UTILIZATION STUDY |
1981-11-02 |
| 0938-0198 |
EVALUATION OF NEW YORK'S LONG-TERM HOME HEALTH CARE PROGRAM |
1981-10-27 |
| 0938-0197 |
QUESTIONNAIRE ON MEDICAID STATE AGENCY FRAUD AND ABUSE CONTROL ACTIVITIES |
1981-10-27 |
| 0938-0196 |
MEDICARE MENTAL HEALTH DEMONSTRATION COST & STATISTICAL REPORT |
1981-10-13 |
| 0938-0193 |
Transmittal and Notice of Approval of State Plan Material and Supporting Regulations in 42 CFR 430.10-430.20 and 440.167 (CMS-179) |
2024-09-16 |
| 0938-0190 |
TELEPHONE SURVEYS OF MEDICARE PART B PROVIDERS AND BENEFICIARIES (TO EVALUATE PART B FIXED PRICE CONTRACTS) |
1982-11-12 |
| 0938-0189 |
NATIONAL HEART TRANSPLANT STUDY |
1983-03-25 |
| 0938-0188 |
329 REQUIREMENT FOR NARRATIVE NOTATION OF HOME HEALTH VISIT IN MEDICAL RECORDS |
1983-10-19 |
| 0938-0186 |
DIRECT DEALING LETTER NO. 301-BILLING FOR PHYSICAL THERAPY SERVICES |
1983-09-20 |
| 0938-0185 |
MEDICARE URBAN CLINICS DEMONSTRATION PRE-CLEARANCE ORDS 81-4-095 |
1981-08-26 |
| 0938-0184 |
PRECLEARANCE: MEDIGAP HCFA-81-ORDS-32/AMG |
1981-08-26 |
| 0938-0181 |
SURVEY FOR THE NATIONAL HOSPITAL RATE-SETTING STUDY |
1981-08-26 |
| 0938-0180 |
MEDICARE MEDICARE INTERIM PAYMENT UPDATE REPORT |
1985-12-30 |
| 0938-0179 |
PROVIDER-BASED PHYSICIAN QUESTIONNAIRE FOR DIRECT DEALING PROVIDER |
1981-11-19 |
| 0938-0178 |
DISCHARGE DATA REQUEST |
1983-10-19 |
| 0938-0177 |
HOSPICE STATEMENTS OF REIMBURSEMENTS |
1985-03-04 |
| 0938-0174 |
STUDY OF UNENTITLED ESRD POPULATION |
1981-06-15 |
| 0938-0173 |
MEDICAID QUALITY CONTROL DISPOSITION LIST |
1988-08-12 |
| 0938-0170 |
Blood Bank Inspection Checklist and Report and Supporting Regulations in 42 CFR 493.1269-493.1285 |
2002-08-05 |
| 0938-0169 |
QUESTIONNAIRE ON REGULATORY REFORM |
1981-05-05 |
| 0938-0167 |
TRIAGE--COORDINATED CARE OF THE ELDERLY (BILLING FORMS) |
1981-04-28 |
| 0938-0165 |
Prepaid Health Plan Cost Report (CMS-276) |
2025-07-29 |
| 0938-0164 |
GROUP PRACTICE PREPAYMENT PLANS - SPECIAL ADMINISTRATIVE COST REPORT, QUARTERLY INVOICE OF AND FINAL SPECIAL ADMINISTRATIVE COSTS |
1983-06-28 |
| 0938-0163 |
MEDICARE REIMBRUSEMENT SETTLEMENT DATA FOR HOME HEALTH AGENCIES |
1981-04-08 |
| 0938-0162 |
EVALUATION OF REIMBURSING FOR HOME DIALYSIS SERVICES |
1981-03-23 |
| 0938-0161 |
HEALTH PREPAYMENT DATA CARD CODING SHEET |
1989-04-27 |
| 0938-0160 |
LETTER TO COLLCT DATA ON STATE REGULATION OF MEDIGAP INSURANCE POLICIES |
1981-03-12 |
| 0938-0159 |
MEDICARE REIMBURSEMENT SETTLEMENT DATA FOR HOSPITALS AND SKILLED NURSING FACILITIES |
1984-05-03 |
| 0938-0157 |
NATIONAL ASSESSMENT OF MEDICARE DIAGNOSTIC AND SURGICAL DATA QUALITY |
1981-03-11 |
| 0938-0156 |
PILOT TEST OF REVISED MEDICAID AND INTEGRATED QUALITY CONTROL FORMS |
1981-02-25 |
| 0938-0155 |
Requests for Medicare Payment by Municipal Health Services Program (MHSP) Clinics |
2003-12-12 |
| 0938-0153 |
PIP QUARTERLY REPORT FOR HOME HEALTH AGENCIES |
1983-04-29 |
| 0938-0152 |
NATIONAL SECOND SURGICAL OPINION PROGRAM - REACTION TO TELEVISION'S "20/20", UNNECESSARY SURGERY PROGRAM |
1981-02-11 |
| 0938-0151 |
LICENSURE FORMS FOR THE CLINICAL LABORATORY IMPROVEMENT ACT |
2025-05-14 |
| 0938-0150 |
BILLING FORMS FORM MEDICARE/MEDICAID HOSPICE DEMONSTRATION |
1984-07-18 |
| 0938-0149 |
EVALUATION OF THE SSOP MEDICARE DEMONSTRATIONS IN DETROIT AND NEW YORK AND THE MEDICAID PROGRAM IN MASSACHUSETTS |
1981-02-04 |
| 0938-0147 |
STATE MEDICAID QUALITY CONTROL SAMPLE SELECTION LISTS |
2026-02-09 |
| 0938-0146 |
STATE MQC SAMPLING PLANS |
2020-11-13 |
| 0938-0145 |
REQUEST FOR MEDICARE PAYMENT BY MMHD FACILITY |
1982-03-19 |
| 0938-0144 |
MEDICAID QUALITY CONTROL CORRECTIVE ACTION PLANS |
1998-06-25 |
| 0938-0143 |
FORM HCFA-231, "COMPENSATION SURVEY OF KEY ADMINISTRATIVE EMPLOYEES" |
1982-03-30 |
| 0938-0142 |
MEDICARE REIMBURSEMENT SETTLEMENT DATA FOR OUTPATIENT PHYSICAN THERAPY PROVIDERS |
1984-05-03 |
| 0938-0140 |
UNIFORM BILLING FORM |
1984-04-10 |
| 0938-0139 |
APPLICATION FOR FEDERAL ASSISTANCE FOR ESRD NETWORK COORDINATING COUNCIL |
1980-12-19 |
| 0938-0136 |
EVALUATION OF THE OKLAHOMA UTILIZATION REVIEW SYSTEM |
1980-09-10 |
| 0938-0134 |
SURVEY OF MEDICAID REIMBURSEMENT POLICIES |
1980-01-21 |
| 0938-0131 |
EVALUATION OF SECOND SURGICAL OPINION PROGRAMS FOR ELECTIVE SURGERY |
1981-04-27 |
| 0938-0119 |
PRESURGICAL SCREENING PROGRAM COST BENEFIT ANALYSIS QUESTIONNAIRE |
1978-12-15 |
| 0938-0117 |
UNIFORM BILL QUESTIONNAIRE |
1980-06-02 |
| 0938-0114 |
ESRDD DEMONSTRATION PROJECT COST REPORT |
1984-09-14 |
| 0938-0111 |
AMBULATORY HEALTH CARE CENTER STANDARDS FOR BUREAU OF COMMUNITY HEALTH SERVICES CENTERS |
1976-06-30 |
| 0938-0108 |
THIRD PARTY RESOURCE WORKSHEET MEDICAID |
1983-08-10 |
| 0938-0107 |
Rural Health Clinic Cost Report |
2024-10-17 |
| 0938-0106 |
HOME DIALYSIS TARGET RATE REIMBURSEMENT AGREEMENT AND INSTRUCTIONS |
1982-07-15 |
| 0938-0105 |
TUBERCULOSIS HOSPITAL REPORT FORM |
1982-04-02 |
| 0938-0104 |
PSYCHIATRIC HOSPITAL SURVEY REPORT FORM |
1983-01-17 |
| 0938-0103 |
PAPERWORK BURDEN ASSOCIATED WITH THE HOSPITAL SURVEY AND REQUEST TO ESTABLISH ELIGIBILITY |
1982-12-23 |
| 0938-0102 |
ORGAN PROCUREMENT/HISTOCOMPATIBILITY LABORATORY STATEMENT OF REIMBURSABLE COST |
2024-10-02 |
| 0938-0101 |
STATE AGENCY BUDGET FORECAST AND QUARTERLY GRANT REQUIREMENTS REPORT |
2014-04-15 |
| 0938-0100 |
MEDICARE/MEDICAID SNF SURVEY REPORT FORM |
1982-10-05 |
| 0938-0099 |
PENALTY REQUIREMENTS APPLICABLE TO THE EPSDT PROGRAM |
1981-03-06 |
| 0938-0097 |
CHILD HEALTH STATUS REPORT |
1981-02-27 |
| 0938-0094 |
MEDICAID: INTEGRATED QUALITY CONTROL REVIEW WORKSHEET |
1998-04-10 |
| 0938-0092 |
DEMONSTRATION PROJECT FOR CALCULATING ADJUSTED AVERAGE PER CAPITA COSTS FOR HMO'S |
1983-12-27 |
| 0938-0091 |
SURVEY OF MUNICIPAL HOSPITAL SERVICES |
1995-03-01 |
| 0938-0089 |
REQUEST FOR CLAIM NUMBER VERIFICATION-HCFA-1600 |
1991-05-07 |
| 0938-0088 |
HOSPITAL INTERIM RATE CHANGE REPORT (PIP QUARTERLY REPORT) |
1979-03-19 |
| 0938-0087 |
PSRO GRANT APPLICATION AND INSTRUCTIONS |
1983-10-11 |
| 0938-0086 |
OWNERSHIP AND FINANCIAL INTEREST DISCLOSURE STATEMENT |
2005-10-06 |
| 0938-0085 |
PAPERWORK BURDEN ASSOCIATED WITH THE END-STAGE RENAL DISEASE FACILITY SURVEY |
1983-01-17 |
| 0938-0084 |
STERILIZATIONS AND HYSTERECTOMIES |
1979-12-19 |
| 0938-0083 |
REQUEST FOR ADDITIONAL MEDICAL INFORMATION |
1983-05-18 |
| 0938-0082 |
MEDICAID QUALITY CONTROL STATISTICAL SUMMARY REPORTS |
1981-10-13 |
| 0938-0081 |
INSTRUCTIONS FOR COMPLETION OF FEDERAL ASSISTANCE REPORTS--MEDICAID FRAUD |
1978-09-06 |
| 0938-0080 |
Application for Part A (Hospital Insurance) and Part B (Medical Insurance) for People with End-Stage Renal Disease and Supporting Statute and Regulations in 42 CFR 406.7 and 406.13 (CMS-43) |
2024-07-10 |
| 0938-0078 |
REQUEST FOR FEDERAL ASSISTANCE |
1988-05-18 |
| 0938-0077 |
SUMMARY FRAUD AND ABUSE REPORT FORMS |
1981-11-20 |
| 0938-0076 |
OFFICE OF PROGRAM INTEGRITY ABUSE REPORT (MEDICARE/MEDICAID) |
1983-10-19 |
| 0938-0075 |
RURAL HEALTH CLINIC BILLING |
1978-05-12 |
| 0938-0074 |
REQUEST TO ESTABLISH ELIGIBILITY IN THE MEDICARE/MEDICAID PROGRAM TO PROVIDE RURAL HEALTH CLINIC SERVICES |
2021-06-01 |
| 0938-0073 |
RURAL HEALTH CLINIC SURVEY REPORT |
1982-06-18 |
| 0938-0072 |
MEDICARE SECOND SURGICAL OPINION DEMONSTRATION PROJECTS |
1978-02-21 |
| 0938-0071 |
PHYSICAL THERAPIST IN INDEPENDENT PRACTICE--SURVEY REPORT |
1996-04-26 |
| 0938-0070 |
DELEGATED PROVIDER ADMISSIONS SUMMARY |
1982-03-30 |
| 0938-0069 |
QC MANUAL - QUALITY CONTROL IN MEDICAID |
1979-08-21 |
| 0938-0067 |
STATEMENT OF EXPENDITURES FOR MEDICAL ASSISTANCE PAYMENTS |
2013-05-28 |
| 0938-0066 |
PHYSICIAN EXTENDERS REIMBURSEMENT STUDY |
1982-03-29 |
| 0938-0065 |
REQUEST TO ESTABLISH ELIGIBILITY IN THE MEDICARE AND/OR MEDICAID PROGRAM TO PROVIDE OUTPATIENT PHYSICAL THERAPY AND/OR SPEECH PATHOLOGY SERVICES |
2021-08-13 |
| 0938-0064 |
ESRD TRANSPLANT INFORMATION--END-STAGE RENAL DISEASE MEDICAL INFORMATION SYSTEM |
1991-08-29 |
| 0938-0063 |
PROFESSIONAL STANDARDS REVIEW ORGANIZATION ROUTINE FEDERAL REPORTING REQUIREMENTS |
1982-03-01 |
| 0938-0062 |
MEDICAID: INTERMEDIATE CARE FACILITY FOR THE MENTALLY RETARDED OR PERSONS WITH RELATED CONDITIONS SURVEY REPORT FORM |
2021-11-03 |
| 0938-0061 |
Quarterly Showing |
1996-09-27 |
| 0938-0060 |
MONTHLY STATISTICAL REPORT ON MEDICAL CARE |
1983-11-02 |
| 0938-0059 |
STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS, SERVICES |
1982-11-10 |
| 0938-0057 |
INDIVIDUALIZED SERVICE PLAN (SHORT FORM, EXTENDED FORM 1 AND 2) |
1979-05-18 |
| 0938-0056 |
HOSPITAL, HOSPITAL-SKILLED NURSING FACILITY COMPLEX, COST REPORT |
1980-06-11 |
| 0938-0055 |
REQUEST FOR APPROVAL/ADVANCE APPROVAL AS A SUPPLIER OF ESRD SERVICES IN THE MEDICARE PROGRAM |
1989-09-20 |
| 0938-0054 |
HOSPITAL INSTITUTIONAL PLANNING QUESTIONNAIRE |
1981-06-19 |
| 0938-0053 |
SUMMARY OF DEFICIENCIES NOT CORRECTED |
1981-06-19 |
| 0938-0050 |
PROVIDER COST REPORTING FORMS FOR HOSPITALS AND HOSPITAL-SKILLED NURSING FACILITY COMPLEXES HAVING MORE THAN 99 BEDS |
2025-06-11 |
| 0938-0049 |
LABORATORY PERSONNEL QUALIFICATIONS APPRAISAL FOR DIRECTORS AND SUPERVISORS |
1991-08-21 |
| 0938-0048 |
RENAL DISEASE FACILITY COST AND STATISTICAL QUESTIONNAIRE |
1997-04-30 |
| 0938-0046 |
MEDICARE CHRONIC RENAL DISEASE MEDICAL EVIDENCE REPORT |
2025-05-27 |
| 0938-0045 |
Request for Reconsideration of Part A Medicare Claim and Supporting Regulations in 42 CFR, 405.711 |
2003-10-16 |
| 0938-0044 |
POST-CERTIFICATION REVISIT REPORT AND CONTINUATION SHEET |
1981-12-04 |
| 0938-0043 |
STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION AND CONTINUATION SHEET |
1981-06-19 |
| 0938-0042 |
REQUEST FOR MEDICARE PAYMENT--AMBULANCE |
2004-02-18 |
| 0938-0041 |
Third-Party Premium Billing Request and Supporting Regulations in 42 CFR 408.6 |
2003-10-01 |
| 0938-0039 |
PROVIDER CHAIN OPERATOR DATA |
1981-07-06 |
| 0938-0038 |
GROUP PRATICE-PREPAYMENT PLAN STATEMENT OF REIMBURSEMENT COS T |
1983-05-18 |
| 0938-0037 |
OUTPATIENT REHABILITATION PROVIDER COST REPORT |
2025-01-14 |
| 0938-0036 |
REFERRAL AND TREATMENT PLAN |
1982-11-09 |
| 0938-0035 |
SSO Report of State Buy-in Problems, 42 CFR 407.40 |
2026-05-29 |
| 0938-0034 |
REQUEST FOR HEARING-PART B MEDICARE CLAIM |
2000-08-21 |
| 0938-0033 |
Requesting for Review of Part B Medicare Claim and Supporting Regulation -- 42 CFR 405.807 |
2004-04-19 |
| 0938-0032 |
PAPERWORK ASSOCIATED WITH THE DEPARTMENTAL CLINICAL LABORATORY SURVEY |
1987-06-08 |
| 0938-0031 |
DETERMINING LEVEL OF CARE REQUIRED BY PATIENT IN SKILLED NURSING FACILITY - PART I - REQUEST & PART II - NOTICE |
1983-09-14 |
| 0938-0027 |
The Request for Certification as a Supplier of Portable X-Ray and Portable X-Ray Survey Report form under the Medicare/Medicaid Program - Portable X-Ray Survey Report & Supporting Regulations.. |
2021-08-13 |
| 0938-0025 |
Request for Termination of Premium-Hospital and/or Supplementary Medical Insurance and Supporting Regulations in 42 CFR 406.28 and 407.27 |
2025-08-05 |
| 0938-0023 |
STATEMENT OF SUPPORT OF CLAIM FOR EMERGENCY HOSPITAL SERVICE |
2026-04-22 |
| 0938-0022 |
HOME HEALTH AGENCY STATEMENT OF REIMBURSABLE COST - HOSPITAL BASED HOME HEALTH AGENCY STATEMENT OF REIMBURSABLE COST |
2023-07-21 |
| 0938-0021 |
PREPAYMENT PLAN FOR GROUP MEDICAL PRACTICES DEALING THROUGH A CARRIER |
1981-01-08 |
| 0938-0020 |
REQUEST FOR INFORMATION - MEDICARE PAYMENTS FOR SERVICES TO A PATIENT NOW DECEASED |
1987-05-08 |
| 0938-0016 |
PROVIDER BILLING FOR PATIENT SERVICES BY PHYSICIANS |
1983-05-18 |
| 0938-0015 |
INPATIENT ADMISSION AND BILLING-CHRISTIAN SCIENCE SANATORIUM |
1985-02-19 |
| 0938-0013 |
PROVIDER BILLING FOR MEDICAL AND OTHER HEALTH SERVICES |
1984-10-31 |
| 0938-0012 |
HOME HEALTH AGENCY, AND COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, BILLING |
1984-09-28 |
| 0938-0011 |
HOME HEALTH AGENCY SURVEY REPORT |
1982-12-23 |
| 0938-0010 |
INPATIENT HOSPITAL AND SKILLED NURSING FACILITY ADMISSION AND BILLING |
1983-09-30 |
| 0938-0008 |
REQUEST FOR PAYMENT |
2006-03-09 |
| 0938-0001 |
NATIONWIDE SURVEY OF INDEPENDENT PREPAID AND SELF-INSURED HEALTH PLANS |
1980-01-03 |