| OMB Number | Title |
|---|
| 0938-1476 |
Generic Collections for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398 Part II) |
| 0938-1475 |
The Medicare Advantage and Prescription Drug Programs: Part C and Part D Medicare Prescription Payment Plan Model Documents (CMS-10882) - IRA |
| 0938-1474 |
Rebate Reduction Requests underSections 11101 and 11102 of the Inflation Reduction Act (CMS-10858) - IRA |
| 0938-1473 |
Supplemental to Form CMS-2552-10 Payment Adjustment for Establishing and Maintaining Access to Buffer Stock of Essential Medicines (CMS-10897) |
| 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) |
| 0938-1471 |
ADA Dental Claim Form (CMS-10883) |
| 0938-1470 |
Patient Provider Dispute Resolution Requirements Related to Surprise Billing: Part II (CMS-10853) |
| 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 |
| 0938-1467 |
Medicare Change of Status Notice (MCSN) (CMS-10868) |
| 0938-1466 |
Retrospective Appeal Requests (CMS-10885) |
| 0938-1465 |
Part D Drug Management Program (CMS-10874) |
| 0938-1464 |
Medicare Health Outcomes Survey Field Test (CMS-10861) |
| 0938-1463 |
Supporting Statement for Direct Enrollment Entities (CMS-10877) |
| 0938-1462 |
Reporting Requirements and Corrective Action Plans Under Section 1902(tt) of the Social Security Act (CMS-10875) |
| 0938-1461 |
Non-Standardized Plan Option Limit Exception Justification Form (CMS-10878) |
| 0938-1460 |
Special Requirements for Rural Emergency Hospitals (REHs) (CMS-10863) |
| 0938-1459 |
Generic Clearance for CMS and Medicare Administrative Contractor (MAC)Generic Customer Experience (CMS-10731) |
| 0938-1458 |
Ambulatory Surgical Center (ASC) Covered Procedure List (CPL) Pre-Proposed Rule Recommendation Request (CMS-10809) |
| 0938-1457 |
CMS Health Equity Award – Call for Nominations (CMS-10866) |
| 0938-1456 |
Medicare Plan Performance Warning Information (CMS-10836) |
| 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) |
| 0938-1454 |
Rural Emergency Hospital Quality Reporting (REHQR) (CMS-10870) |
| 0938-1453 |
[Medicaid] Medicaid Managed Care and Supporting Regulations (CMS-10856) |
| 0938-1452 |
Drug Price Negotiation Process under Sections 11001 and 11002 of the Inflation Reduction Act (CMS-10849) - (IRA) |
| 0938-1451 |
Medicare Part D Manufacturer Discount Program Agreement - IRA (CMS-10846) |
| 0938-1450 |
End-stage Renal Disease (ESRD) Quality Incentive Program (QIP): Study of Quality and Patient Experience (CMS-10823) |
| 0938-1449 |
Negotiation Data Elements under Sections 11001 and 11002 of the Inflation Reduction Act (CMS-10847) |
| 0938-1448 |
Payment Adjustment for Low-Volume Hospitals Under the Hospital Inpatient Prospective Payment System (IPPS) (CMS-10857) |
| 0938-1447 |
Medicare Disproportionate Share Hospital (DSH) Payments: Counting Days Associated With Section 1115 Demonstrations in the Medicaid Fraction (CMS-10839) |
| 0938-1446 |
List of Screening Instruments for Housing Stability, Food Security, and Transportation Questions on Health Risk Assessments (CMS-10825) |
| 0938-1445 |
[Medicaid] Medicaid Managed Care and Supporting Regulations (CMS-10855) |
| 0938-1444 |
Annual Notice of Change and Evidence of Coverage for Applicable Integrated Plans in States that Require Integrated Materials (CMS-10824) |
| 0938-1443 |
Small Biotech Exception and Biosimilar Delay Information Collection Request for Initial Price Applicability Year 2027 (CMS-10844) - IRA |
| 0938-1442 |
Medicare Advantage and Prescription Drug Program: Communications and Marketing Provisions (CMS-10837) |
| 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) |
| 0938-1440 |
Medicare Part C and Medicare Part D Enrollment Form Interviews (CMS-10816) |
| 0938-1439 |
Improper Payment Pre-Testing and Assessment (IPPTA) (CMS-10829) |
| 0938-1438 |
Supporting Statement for Agent/Broker Consent Information Collection (CMS-10840) |
| 0938-1437 |
Advancing Interoperability and Improving Prior Authorization Processes (CMS-10843) |
| 0938-1436 |
Customer Satisfaction Survey for Enterprise Portal Services (EPS) Users (CMS-10789) |
| 0938-1435 |
Dispute Resolution for Discarded Drug Refunds (CMS-10835) |
| 0938-1434 |
Patient-Reported Indicator Survey (PaRIS) (CMS-10792) |
| 0938-1433 |
Requirements Related to Surprise Billing; Part II (CMS-10791) |
| 0938-1432 |
Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Field Test (CMS-10793) |
| 0938-1431 |
Medicare Severity Diagnosis Related Groups Reclassification Request (MS-DRGs) (CMS-10775) |
| 0938-1430 |
SUPPORT for Patients and Communities Act Section 1003 Demonstration Evaluation (CMS-10786) |
| 0938-1429 |
Transparency in Coverage |
| 0938-1428 |
Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) (CMS-10798) |
| 0938-1427 |
National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection (CMS-10749) |
| 0938-1426 |
Application For Medicare Part A and Part B Special Enrollment Period (Exceptional Circumstances) (CMS-10797) |
| 0938-1425 |
Supplemental to Form CMS-2552-10, Payment Adjustment for Domestic NIOSH-Approved Surgical N95 Respirators (CMS-10821) |
| 0938-1424 |
Evaluation of the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC) (CMS-10769) |
| 0938-1423 |
Transparency in Pricing Information (CMS-10715) |
| 0938-1422 |
D-SNP Enrollee Advisory Committee (CMS-10799) |
| 0938-1421 |
Medicare Advantage, Section 1876 Cost Plans, and Prescription Drug Program: Notification of Free Interpreter Services (CMS-10802) |
| 0938-1420 |
Pre-Claim Review Demonstration for Inpatient Rehabilitation Facility Services (CMS-10765) |
| 0938-1419 |
FOIA/Privacy Act Requests for Medicare Claims Data via CMS FOIA Public Portal (CMS-10781) |
| 0938-1418 |
The ESRD Network Peer Mentoring Program (CMS-10768) |
| 0938-1417 |
Distribution of GME Residency Positions Under Section 126 of the Consolidated Appropriations Act (CAA), 2021, and Section 4122 of the CAA, 2023 (CMS-10790) |
| 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) |
| 0938-1415 |
Essential Community Provider-Network Adequacy (ECP/NA) Data Collection to Support QHP Certification (CMS-10803) |
| 0938-1414 |
Omnibus COVID-19 Health Care Staff Vaccination (IFC) (CMS-10801) |
| 0938-1413 |
Medicare Beneficiary Experiences with Care Survey (MBECS) System (CMS-10701) |
| 0938-1412 |
Patient Access Through Application Programming Interfaces (API) (CMS-10767) |
| 0938-1411 |
Data Management Plan Self-Attestation Questionnaire (DMPSAQ) (CMS-10733) |
| 0938-1410 |
Dual Eligible Special Needs Plan Contract with the State Medicaid Agency (CMS-10796) |
| 0938-1409 |
The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD–10–PCS) (CMS-10774) |
| 0938-1408 |
Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program – Contracting Forms (CMS-10744) |
| 0938-1407 |
Prescription Drug and Health Care Spending (CMS-10788) |
| 0938-1406 |
Complaints Submission Process under the No Surprises Act (CMS-10779) |
| 0938-1405 |
Prescription Drug and Health Care Spending (CMS-10788) |
| 0938-1404 |
The Home Health Care CAHPS® Survey (HHCAHPS) Mode Experiment (CMS-10784) |
| 0938-1403 |
Agent and Broker Disclosure and Reporting Requirements (CMS-10787) |
| 0938-1402 |
Conditions of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID) (CMS-10777) |
| 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 |
| 0938-1400 |
Evaluation of Risk Adjustment Data Validation (RADV) Appeals and Health Insurance Exchange Outreach Training Sessions (CMS-10764) |
| 0938-1399 |
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections (CMS-10695) |
| 0938-1398 |
Accrediting Organization use of CMS Online Hospice Basic Training (CMS-10778) |
| 0938-1397 |
Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams (CMS-10706) |
| 0938-1396 |
CMS Medicare Part D E-Prescribing Tools in 42 CFR 423.128(d)(1) and 423.160 (CMS-10755) |
| 0938-1395 |
Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols (CMS-10717) |
| 0938-1394 |
Pharmacy Benefit Manager Transparency (CMS-10725) |
| 0938-1393 |
Non-Quantitative Treatment Limitation Analyses and Compliance Under MHPAEA (CMS-10773) |
| 0938-1392 |
Electronic Medical Documentation Interoperability (EMDI) Pre and Post Pilot Measures Survey (CMS-10714) |
| 0938-1391 |
CLIA Collection of Information Requirements Related to SARS-CoV-2 Test Results Reporting (CMS-10757) |
| 0938-1390 |
Administrative Simplification HIPAA Compliance Review (CMS-10662) |
| 0938-1389 |
Review and Approval Process for Waivers for State Innovation (CMS-10383) |
| 0938-1388 |
Value in Opioid Use Disorder Treatment Demonstration (CMS-10728) |
| 0938-1387 |
Medicare Coverage of Items and Services for Coverage with Evidence Development (CMS-10697) |
| 0938-1386 |
Applicable Integrated Plan Coverage Decision Letter (CMS-10716) |
| 0938-1385 |
[Medicaid] Annual State Report on Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements (CMS-10722) |
| 0938-1384 |
Submissions of 1135 Waiver Request Automated Process (CMS-10752) |
| 0938-1383 |
Program Integrity Portal FWA Reporting Module - Part C Plans (CMS-10724) |
| 0938-1382 |
Generic Clearance for Improving Customer Experience: OMB Circular A–11, Section 280 Implementation) (CMS-10710) |
| 0938-1381 |
Collection of Premium Credit Adjustment Data Related to COVID-19 Emergency (CMS-10751) |
| 0938-1380 |
Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization Model Process and Requirements (CMS-10708) |
| 0938-1379 |
Medicare Current Beneficiary Survey (MCBS) COVID-19 Rapid Response Supplement (CMS-P-0015A) |
| 0938-1378 |
Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form (CMS-10718) |
| 0938-1377 |
Medicare Enrollment Application for Clinics/Group Practices and Other Suppliers (CMS-855B) |
| 0938-1376 |
Temporary Extraordinary Circumstances Exception for Excepted Provider-Based Departments (CMS-10730) |
| 0938-1375 |
Excepted Benefit Health Reimbursement Arrangements |
| 0938-1374 |
Hospital Survey for Specified Covered Outpatient Drugs (SCODs) (CMS-10709) |
| 0938-1373 |
Accrediting Organization Change of Ownership Requirements (CMS-10705) |
| 0938-1372 |
Transparency in Pricing Information (CMS-10715) |
| 0938-1371 |
Data Request and Attestation for PDP Sponsors (CMS-10691) |
| 0938-1370 |
Testing of Web Survey Design and Administration for CMS Experience of Care Surveys (CMS-10694) |
| 0938-1369 |
CY 2020 Proposed Requirements for Hospitals to Make Public a List of Their Standard Charges (CMS-10707) |
| 0938-1368 |
Proposed Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711) |
| 0938-1367 |
Religious Nonmedical Health Care Institutions (RNHCIs) Conditions of Participation and Supporting Regulations (CMS-10712) |
| 0938-1366 |
Information Collection Requirements Contained in the State Flexibility to Stabilize the Market Grant Program (CMS-10657) |
| 0938-1365 |
Information Collection Requirement for Mid-Year Formulary Change Reporting and Notice Requirement (CMS-10696) |
| 0938-1364 |
Home Health (HH) National Provider Survey (CMS-10688) |
| 0938-1363 |
Reform of Requirements for Long-Term Care Facilities (CMS-10573) |
| 0938-1362 |
Home and Community Based Services (HCBS) Incident Management Survey (CMS-10692) |
| 0938-1361 |
Health Reimbursement Arrangements and Other Account-Based Group Health Plans (CMS-10704) |
| 0938-1360 |
Electronic Visit Verification (EVV) Compliance Survey (CMS-10680) |
| 0938-1359 |
21st Century Cures Act Section 12002 IMD Study (CMS-10684) |
| 0938-1358 |
Supporting Statement for Billing and Collection of the Separate Payment for Certain Abortion Services (CMS-10681) |
| 0938-1357 |
CLIA Proficiency Testing (PT) (CMS-10690) |
| 0938-1356 |
Evaluation of the CMS Quality Improvement Organizations: Medication Safety and Adverse Drug Event Prevention (CMS-10675) |
| 0938-1355 |
Medicare Enrollment Application for Physician and Non-Physician Practitioners (CMS-855I) |
| 0938-1354 |
Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration (CMS-10673) |
| 0938-1353 |
Marketplace Operations (CMS-10637) |
| 0938-1352 |
Quality Measures and Administrative Procedures for the Hospital-Acquired Condition Reduction Program (CMS-10668) |
| 0938-1351 |
Limited Wraparound Coverage Reporting (CMS-10571) |
| 0938-1350 |
CMS Tribal Long Term Services and Supports (LTSS) Program Survey |
| 0938-1349 |
State Permissions for Enrollment in Qualified Health Plans in the Federally Facilitated Exchange & Non-Exchange Entities (CMS-10650) |
| 0938-1348 |
QIC Demonstration Evaluation Contractor (QDEC): Analyze Medicare Appeals to Conduct Formal Discussions and Reopenings with DME Suppliers and Part A Providers (CMS-10633) |
| 0938-1347 |
Add-On Payments for New Medical Services and Technologies Paid Under the Inpatient Prospective Payment System (IPPS) (CMS-10638) |
| 0938-1346 |
Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans (CMS-10636) |
| 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) |
| 0938-1344 |
Coverage of Certain Preventive Services Under the Affordable Care Act (CMS-10653) |
| 0938-1343 |
Virtual Groups for Merit-Based Incentive Payment System (MIPS) (CMS-10652) |
| 0938-1342 |
Evaluating Coverage to Care in Communities (CMS-10632) |
| 0938-1341 |
Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (CMS-10592) |
| 0938-1340 |
National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) (CMS-10639) |
| 0938-1339 |
Evaluating a Pilot Mobile Health Program (CMS-10634) |
| 0938-1338 |
De Minimis for LIS Individuals and Uniform Exceptions and Appeals Process for Prescription Drug Plans and MA-PD Plans |
| 0938-1337 |
Changes to Close the Part D Coverage Gap, Improvements to MTM Programs, Independence of LTC Consultant Pharmacists |
| 0938-1336 |
Agent Broker Training Requirements |
| 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 |
| 0938-1334 |
Credentialing and Privileging Process for Physicians and Practitioners Providing Telemedicine Services |
| 0938-1333 |
The Medicare Advantage and Prescription Drug Program: Customized Enrollee Data |
| 0938-1332 |
Montana Health and Economic Livelihood Partnership (HELP) Federal Evaluation (CMS-10635) |
| 0938-1331 |
Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs (CMS-10598) |
| 0938-1330 |
(CMS-10622) Evaluation of the CMS Quality Improvement Organizations: Reducing Healthcare-Acquired Conditions in Nursing Homes |
| 0938-1329 |
Information Collection Requirements for Non-Exchange Entities (CMS-10666) |
| 0938-1328 |
Initial Request for State Implemented Moratorium Form (CMS-10628) |
| 0938-1327 |
The PACE Organization (PO) Monitoring and Audit Process in Part 460 of 42 CFR (CMS-10630) |
| 0938-1326 |
The PACE Organization Application Process in 42 CFR Part 460 (CMS-10631) |
| 0938-1325 |
(CMS-10578) Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers |
| 0938-1324 |
Testing Experience and Functional Tools Demonstration: Personal Health Record (PHR) User Survey (CMS-10623) |
| 0938-1323 |
Medicare Program; Reporting and Returning of Overpayments (CMS-10405) |
| 0938-1322 |
CMS Healthcare.gov Site Wide Online Survey |
| 0938-1321 |
Information Collection Requirements for Non-Exchange Entities (CMS-10633) |
| 0938-1320 |
The Health Insurance Enforcement and Consumer Protections Grant Program (CMS-10605) |
| 0938-1319 |
Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations under 42 CFR 440.70(f) and (g) (CMS-10609) |
| 0938-1318 |
Home Health Face-to-Face Encounter Clinical Templates (CMS-10564) |
| 0938-1317 |
Reapplication Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10596) |
| 0938-1316 |
(CMS-10600) Evaluation of the Medicare Patient Intravenous Immunoglobulin Demonstration |
| 0938-1315 |
Appropriate Use Criteria (AUC) for Diagnostic Imaging Services: Clinical Decision Support Mechanism (CDSM) Application Process (CMS-10624) |
| 0938-1314 |
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621) |
| 0938-1313 |
Waiver Application for Providers and Suppliers Subject to an Enrollment Moratorium (CMS-10629) |
| 0938-1312 |
Establishment of an Exchange by a State and Qualified Health Plans (CMS-10593) |
| 0938-1311 |
Pre-Claim Review Demonstration For Home Health Services (CMS-10599) |
| 0938-1310 |
Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers (CMS-10572) |
| 0938-1309 |
QECP Annual Report Workbook Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10589) |
| 0938-1308 |
Medicare Outpatient Observation Notice (MOON) (CMS-10611) |
| 0938-1307 |
(CMS-10587) Medicare and Medicaid Programs: Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies |
| 0938-1306 |
Temporary Reclassification for Grandfathered LTCH HwHs for Qualification for Temporary Exception from the Site Neutral Payment Rate for Certain Discharges |
| 0938-1305 |
(CMS-10583) Medicare beneficiaries receiving beta amyloid positron emission tomography (PET) for dementia and neurodegenerative disease |
| 0938-1304 |
Medicare and Medicaid Program; Program Integrity Enhancements to the Provider Enrollment Process (CMS-10576) |
| 0938-1303 |
Small Business Health Options Program (SHOP) Effective Date and Termination Notice Requirements (CMS-10555) |
| 0938-1302 |
Provider Network Coverage Data Collection (CMS-10594) |
| 0938-1301 |
QHP Issuers Data Collection for Notices for Plan or Display Errors Special Enrollment Periods (CMS-10595) |
| 0938-1300 |
Healthy Indiana Program (HIP) 2.0 Beneficiary Focus Groups and Informational Interviews (CMS-10615) |
| 0938-1299 |
(CMS-10539) Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA) |
| 0938-1298 |
Federally Qualified Health Center Cost Report Form (CMS-224-14) |
| 0938-1297 |
Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575) |
| 0938-1296 |
Initial and Renewal Model of Care Submissions, and Off-cycle Submission of Summaries of Model of Care Changes (CMS-10565) |
| 0938-1295 |
Essential Community Provider Data Collection to Support QHP Certification (CMS-10561) |
| 0938-1293 |
Medicare Program: Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) (CMS-10524) |
| 0938-1292 |
Coverage of Certain Preventive Services Under the Affordable Care Act (CMS-10459) |
| 0938-1291 |
(CMS–10551) Nursing Home NationalProvider Survey |
| 0938-1290 |
(CMS-10550) Hospital National Provider Survey |
| 0938-1289 |
Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb) (CMS-10569) |
| 0938-1288 |
Appropriate Use Criteria for Advanced Diagnostic Imaging Services (CMS-10570) |
| 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) |
| 0938-1286 |
Quality Improvement Strategy Implementation Plan and Progress Report (CMS-10540) |
| 0938-1285 |
Data Submission Requirements to Receive the Federally-facilitated Exchange User Fee Adjustment (CMS-10492) |
| 0938-1284 |
Information Collection for Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs (CMS-10558) |
| 0938-1283 |
Risk Corridors Data Validation for the 2014 Benefit Year (CMS-10582) |
| 0938-1282 |
[Medicaid] Children's Health Insurance Program Managed Care and Supporting Regulations (CMS-10554) |
| 0938-1281 |
Medicaid Managed Care Quality including Supporting Regulations in §§438.310, 438.330, 438.332, 438.334, and 438.340 (CMS-10553) |
| 0938-1280 |
Medical Necessity and Contract Amendments Under Mental Health Parity (CMS-10556) |
| 0938-1279 |
Outcome and Assessment Information Set (OASIS-E1) (CMS-10545) |
| 0938-1278 |
Implementation of Medicare Programs; - Medicare Promoting Interoperability Program (CMS-10552) |
| 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) |
| 0938-1276 |
Executive Summary Form for Research Identifiable Data (CMS-10522) |
| 0938-1275 |
Generic Clearance for Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS) (CMS-10549) |
| 0938-1274 |
(CMS–10531) Transcatheter Mitral Valve Repair (TMVR) National Coverage Decision (NCD) (CMS-10531) |
| 0938-1273 |
Emergency Department Patient Experience of Care (EDPEC) Survey Mode Experiments (CMS-10543) |
| 0938-1272 |
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Mode Experiment (CMS-10542) |
| 0938-1271 |
Good Cause Processes (CMS-10544) |
| 0938-1270 |
Ambulatory Surgical Center Quality Reporting Program (CMS-10530) |
| 0938-1269 |
Hospice Information for Medicare Part D Plans (CMS-10538) |
| 0938-1268 |
[Medicaid] Medicaid Eligibility and Enrollment (EE) Implementation Advanced Planning Document (IAPD) Template (CMS-10536) |
| 0938-1267 |
Risk Corridors Transitional Policy (CMS-10532) |
| 0938-1266 |
Cost-Sharing Reduction Reconciliation (CMS-10526) |
| 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) |
| 0938-1264 |
Programs of All-Inclusive Care for the Elderly (PACE) PACE Quality Data Monitoring and Reporting (10525) |
| 0938-1263 |
Medicare Health Care Quality (MHCQ) Demonstration Evaluation: Focus Group and Interview Protocols (CMS-10497) |
| 0938-1262 |
Program Integrity Portal FWA Reporting Module - Part D Plans (CMS-10517) |
| 0938-1261 |
Medicare and Medicaid Programs: Conditions of Participation for Community Mental Health Centers and Supporting Regulations in 42 CFR 485 |
| 0938-1260 |
Improving Quality of Care in Medicaid and CHIP through Increased Access to Preventive Services, State Survey (CMS-10521) |
| 0938-1259 |
Health Care Sharing Ministries Information Collection |
| 0938-1258 |
Disclosure of State Rating Requirements Notice (CMS-10454) |
| 0938-1257 |
CAHPS Hospice Survey CMS-10537) |
| 0938-1256 |
Evaluation of the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration: Provider Survey |
| 0938-1255 |
(CMS-10519) Physician Quality Reporting System and the Electronic Prescribing Incentive Program Data Assessment, Accuracy and Improper Payments Identification Support |
| 0938-1254 |
Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices (CMS-10527) |
| 0938-1253 |
Evaluation of the Rural Community Hospital Demonstration |
| 0938-1252 |
Prospective Evaluation of Evidence-Based Community Wellness and Prevention Programs (CMS-10509) |
| 0938-1251 |
Healthcare Fraud Prevention Partnership (HFPP): Data Sharing and Information Exchange (CMS-10501) |
| 0938-1250 |
Medicare Coverage of Items and Services in FDA Investigational Device Exemption Clinical Studies--Revision of Medicare Coverage (CMS-10511) |
| 0938-1249 |
Marketplace Quality Standards (CMS-10520) |
| 0938-1248 |
Employer Notification Request to HHS of its Objection to Providing Contraceptive Services (CMS-10535) |
| 0938-1247 |
Generic Social Marketing & Consumer Testing Research (CMS-10437) |
| 0938-1246 |
Application for Participation in the Intravenous Immune Globulin (IVIG) Demonstration (CMS-10518) |
| 0938-1245 |
Conditions of Participation for Community Mental Health Centers and Supporting Regulations (CMS-10506) |
| 0938-1244 |
State-based Marketplace Annual Reporting Tool (SMART) (CMS-10507) |
| 0938-1243 |
Hospice Quality Reporting Program: Program Evaluation |
| 0938-1242 |
Long Term Care Hospitals Quality Reporting Program: Program Evaluation |
| 0938-1241 |
Inpatient Rehabilitation Facilities Quality Reporting Program: Program Evaluation |
| 0938-1240 |
National Implementation of the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey (CMS-10500) |
| 0938-1239 |
Nationwide Consumer Assessment of Healthcare Providers and Systems (DCAHPS) Survey for Adults in Medicaid (CMS-10493) |
| 0938-1238 |
Community First Choice Option Evaluation |
| 0938-1237 |
Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495) |
| 0938-1236 |
CMS Identity Management System (CMS-10452) |
| 0938-1235 |
Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration (CMS-10471) |
| 0938-1234 |
End Stage Renal Disease (ESRD) System Access Request Form |
| 0938-1233 |
Medicare Enrollment Application for Registration of Eligible Entities That Provide Health Insurance Coverage Complementary to Medicare Part B and Supporting Regulations |
| 0938-1232 |
Medical Loss Ratio (MLR) Data Form for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10476) |
| 0938-1231 |
Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest |
| 0938-1230 |
Application for Enrollment in Medicare - The Medical Insurance Program (CMS-40B) |
| 0938-1229 |
Survey on Core Competencies for the Direct Service Workforce (CMS-10512) |
| 0938-1228 |
The Medicare Advantage and Prescription Drug Program: Part C Explanation of Benefits and Supporting Regulations (CMS-10453) - IRA |
| 0938-1227 |
Requirements for the Medicare Incentive Reward Program and Provider Enrollment |
| 0938-1226 |
Physician Quality Reporting System and the Electronic Prescribing Incentive Program |
| 0938-1225 |
Medicaid Emergency Psychiatric Services Demonstration Evaluation |
| 0938-1224 |
Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration: Focus Group Protocols |
| 0938-1223 |
Evaluation of the Multi-Payer Advance Primary Care Practice (MAPCP) Demonstration: Conduct Beneficiary Experience with Care Surveys |
| 0938-1222 |
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment System (MIPS) (CMS-10450) |
| 0938-1221 |
Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488) |
| 0938-1220 |
Patient Protection and Affordable Care Act; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors; Exchange and Insurance Market Standards for 2015 |
| 0938-1219 |
Medicaid Incentives for Prevention of Chronic Diseases Evaluation (CMS-10477) |
| 0938-1218 |
[Medicaid] Basic Health Program Report for Health Insurance Exchange Premium (CMS-10510) |
| 0938-1217 |
Payment Collections Operations Contingency Plan (CMS-10515) |
| 0938-1216 |
State Health Insurance Exchange Security Incident Report |
| 0938-1215 |
Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges (CMS-10463) |
| 0938-1214 |
Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology (CMS-10469) |
| 0938-1213 |
Program Integrity and Additional State Information Collections |
| 0938-1212 |
Evaluation of the Graduate Nurse Education Demonstration Program (CMS-10467) |
| 0938-1211 |
Evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration |
| 0938-1210 |
Report of a Hospital Dealth Associated with Restraint or Seclusion (CMS-10455) |
| 0938-1209 |
Emergency Room Patient Experiences with Care Survey |
| 0938-1208 |
Hospice Experience of Care Survey |
| 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) |
| 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) |
| 0938-1205 |
Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel - CAC (CMS-10494) |
| 0938-1204 |
Agent/Broker Data Collection in Federally-facilitated Health Insurance Exchanges (CMS-10464) |
| 0938-1203 |
Consumer Research Supporting Outreach for Health Insurance Marketplace |
| 0938-1202 |
(CMS-10443) Transcatheter Valve Therapy Registry and KCCQ-10 |
| 0938-1201 |
Medicare Plan Finder Experiment |
| 0938-1200 |
Evaluation and Development of Outcome Measures for Quality Assessment in Medicare Advantage and Special Needs Plans |
| 0938-1199 |
MAC Satisfaction Indicator (MSI) Participant Registry |
| 0938-1198 |
Medicare Enrollment Application for Clinics/ Group Practice and Certain Other Suppliers |
| 0938-1197 |
Health Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424, Subpart C (CMS-1500 and CMS-1490S) |
| 0938-1196 |
Home Health Change of Care Notice (HHCCN) (CMS-10280) |
| 0938-1195 |
Medicare Advantage Quality Bonus Payment Demonstration |
| 0938-1194 |
Data Collection to Support Eligibility Determinations and Enrollment for Employees in the Small Business Health Options Program (CMS-10438) |
| 0938-1193 |
Data Collection to Support Eligibility Determinations and Enrollment for Small Businesses in the Small Business Health Options Program (CMS-10439) |
| 0938-1192 |
Probable Fraud Measurement Pilot (CMS-10406) |
| 0938-1191 |
Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Health Benefits Exchanges, Medicaid and CHIP Agencies (CMS-10440) |
| 0938-1190 |
Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions (CMS-10466) |
| 0938-1189 |
Minimum Essential Coverage (CMS-10465) |
| 0938-1188 |
Medicaid and CHIP Program (MACPro) (CMS-10434) |
| 0938-1187 |
Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations (CMS-10433) |
| 0938-1186 |
Home and Community-Based Services (HCBS) Experience Survey |
| 0938-1185 |
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (CMS-10415) |
| 0938-1184 |
Minimum Data Set for Medicaid Incentives for Prevention of Chronic Diseases Program Grantees |
| 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 |
| 0938-1182 |
Analysis of Transportation Barriers to Utilization of Medicare Services by American Indian and Alaska Native Medicare Beneficiaries |
| 0938-1181 |
Durable Medical Equipment Face-to-Face Requirements |
| 0938-1180 |
For-Profit PACE Study |
| 0938-1179 |
Medicare Enrollment Application- Reassignment of Medicare Benefits (CMS-855R) |
| 0938-1178 |
Medicare Enrollment Application for Physician and Non-Physician Practitioners |
| 0938-1177 |
Beneficiary and Family Centered Data Collection (CMS-10393) |
| 0938-1176 |
Recognized Accrediting Entities Data Collection (45 CFR part 156.275) |
| 0938-1175 |
PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431) |
| 0938-1174 |
Essential Health Benefits Benchmark Plans (CMS-10448) |
| 0938-1173 |
Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS-10419) |
| 0938-1172 |
Blueprint for Approval of Affordable State-based and State Partnership Insurance Exchanges (CMS-10416) |
| 0938-1171 |
Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432) |
| 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) |
| 0938-1169 |
Fee-for-Service Recovery Audit Prepayment Review Demonstration and Prior Authorization Demonstration (CMS-10421) |
| 0938-1168 |
Cooperative Agreement to Support Establishment of the Affordable Care Act's Health Insurance Exchanges |
| 0938-1167 |
Community Based Care Transitions Program (CCTP) Implementation and Monitoring |
| 0938-1166 |
Health Plan Identifier, Other Entity Identifier, and Change to National Provider Identifier Requirements |
| 0938-1165 |
Nursing Home Quality Improvement Questionnaire |
| 0938-1164 |
Medical Loss Ratio Annual Reports, MLR Notices, and Recordkeeping Requirements (CMS-10418) |
| 0938-1163 |
Long Term Care Hospital (LTCH) Quality Reporting Program (CMS-10409) |
| 0938-1162 |
Section 1115 Demonstration Projects Regulations at 42 CFR 431.408, 431.412, 431.420, 431.424, and 431.428 (CMS-10341) |
| 0938-1161 |
Pre-Existing Condition Insurance Plan (PCIP) HIPAA Authorization Form |
| 0938-1160 |
CMS National Balancing Indicators Project (NBIP) Direct Service Workforce (DSW) Data Collection Effort |
| 0938-1159 |
Section 1115 Demonstration: Long Term Services and Supports and Other Service Models for Individuals with Disabilities and Chronic Conditions |
| 0938-1158 |
(CMS-10336) Medicare and Medicaid Programs; Promoting Interoperability Program |
| 0938-1157 |
Student Health Insurance Coverage (CMS-10377) |
| 0938-1156 |
Establishment of Qualified Health Plans and American Health Benefit Exchanges (CMS-10400) |
| 0938-1155 |
Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment (CMS-10401) |
| 0938-1154 |
Medication Therapy Management Program - Standardized Format (CMS-10396) |
| 0938-1153 |
Hospice Quality Reporting Program (CMS-10390) |
| 0938-1152 |
Collection of Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs, MMPs, and PACE Organizations (CMS-10340) |
| 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 |
| 0938-1150 |
Early Retiree Reinsurance Program: Survey of Plan Sponsors |
| 0938-1149 |
Version 5010/ICD-10 Industry Readiness Assessment |
| 0938-1148 |
[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398) |
| 0938-1147 |
Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010 (CMS-10410) |
| 0938-1146 |
Summary of Benefits and Coverage and Uniform Glossary (CMS-10407) |
| 0938-1145 |
State Balancing Incentive Payments Program (BIPP) |
| 0938-1144 |
Application To Be a Qualified Entity to Receive Medicare Data for Performance Measurement / Reapplication / Annual Report Worksheet (CMS-10394) |
| 0938-1143 |
Consumer Research on Public Reporting of Hospital Quality Measures (CMS-10360) |
| 0938-1142 |
Autism Spectrum Disorders (ASD): State of the States in Services and Supports for People with ASD |
| 0938-1141 |
Rate Increase Disclosure and Review Reporting Requirements (CMS-10379) |
| 0938-1140 |
Minimum Data Set 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) for the Collection of Data Related to the Patient Driven Payment Model and the Skilled Nursing Facility QRP (CMS-10387) |
| 0938-1139 |
Consumer Operated and Oriented Plan [CO-OP] Program (CMS-10392) |
| 0938-1138 |
eRx Incentive Program Submission of Significant Hardship Exemption to Avoid the eRx Payment Adjustment |
| 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) |
| 0938-1136 |
Provider-Preventable Conditions under 42 CFR 438.6 and 447.26 and Title 2702 Non-Payment Preprint (Attachment 4.19) |
| 0938-1135 |
Medicare Registration Application (CMS-855O) |
| 0938-1134 |
Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204 (CMS-10391) |
| 0938-1133 |
Disclosure Requirement for the In-Office Ancillary Services Exception (CMS-10332) |
| 0938-1132 |
Medical Loss Ratio - Quarterly Reporting for Mini-med Plans and Expatriate Plans |
| 0938-1131 |
Medicaid Emergency Psychiatric Demonstration |
| 0938-1129 |
Quality Bonus Payment Appeals (CMS-10346) |
| 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 |
| 0938-1127 |
Elimination of Cost-Sharing for full benefit dual-eligible Individuals Receiving Home and Community-Based Services (CMS-10344) |
| 0938-1126 |
State Plan Preprint for Medicaid Recovery Audit Contractor (RAC) Program (CMS-10343) |
| 0938-1125 |
Expedited Checklist: Medicaid Eligibility & Enrollment Systems - Advance Planning Document (E&E-APD ) (CMS-10385) |
| 0938-1124 |
Medicare Community-based Care Transitions Program |
| 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) |
| 0938-1122 |
Current State Practices Related to Payments to Providers for Health Care-Acquired Conditions |
| 0938-1121 |
Reporting Requirements for Grants to States for Rate Review Cycle IV and Effective Rate Review Program (CMS-10380) |
| 0938-1120 |
Evaluation of Practice Models for Dual Eligibles and Medicare Beneficiaries with Serious Chronic Conditions |
| 0938-1119 |
Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges (CMS-10371) |
| 0938-1118 |
Preliminary Establishment for Territories Cooperative Agreements for the Affordable Care Act Exchanges |
| 0938-1117 |
The Medicare Acute Care Episode Demonstration |
| 0938-1116 |
Patient Safety Survey Under the 9th SOW: Nursing Home In Need (NHIN) |
| 0938-1115 |
Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)) (CMS-10305) |
| 0938-1114 |
Medical Loss Ratio (IFR) Information Collection Requirements and Supporting Regulations (CMS-10361) |
| 0938-1113 |
Implementation of the Medicare Prescription Drug Plan (PDP) and Medicare Advantage (MA) Plan Disenrollment Reasons Survey (CMS-10316) |
| 0938-1112 |
Survey to Inform the Children's Health Insurance Program (CHIP) National Outreach & Education Campaign |
| 0938-1111 |
Electronic Submission of Medicare Graduate Medical Education (GME) Affiliation Agreements (CMS-10326) |
| 0938-1110 |
Cooperative Agreements to Support Innovative Exchange Information Technology Systems |
| 0938-1109 |
Hospital Outpatient Quality Reporting (OQR) Program (CMS-10250) |
| 0938-1108 |
Medicaid Savings Program Protection from Medicaid Estate Recovery -- State Plan Preprint Under Title 19 (CMS-10314) |
| 0938-1107 |
Parts C and D Complaints Resolution Performance Measures |
| 0938-1106 |
Medicare Self-Referral Disclosure Protocol (CMS-10328) |
| 0938-1105 |
Process for Obtaining Waivers of the Annual Limits Requirements of PHS Act Section 2711 |
| 0938-1104 |
Program Evaluation of the Ninth Scope of Work Quality Improvement Organization Program (CMS-10294) |
| 0938-1103 |
Medicare Gainsharing Demonstration Evaluation: Physician Focus Groups |
| 0938-1102 |
Medicare Quality of Care Complaint Form (CMS-10287) |
| 0938-1101 |
Limited Competition for State Planning and Establishment Grants for the Affordable Care Act's Exchanges |
| 0938-1100 |
Pre-Existing Condition Insurance Plan and Supporting Regulations |
| 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) |
| 0938-1098 |
Tribal Consultation State Plan Amendment Template (CMS-10293) |
| 0938-1097 |
Consumer Assistance Program Grants (CMS-10333) |
| 0938-1096 |
Data Collection for Developing Outpatient Therapy Payment Alternatives (DOTPA) |
| 0938-1095 |
Application for Coverage in the Pre-Existing Condition Insurance Plan |
| 0938-1094 |
Notice of Rescission of Coverage and Disclosure Requirements for Patient Protection under the Affordable Care Act (CMS-10330) |
| 0938-1093 |
Disclosure and Recordkeeping Requirements for Grandfathered Health Plans under the Affordable Care Act (CMS-10325) |
| 0938-1092 |
Grants to States for Health Insurance Premium Review |
| 0938-1091 |
(CMS-10282) Comprehensive Outpatient Rehabilitation Facilites (CORFs) Conditions of Participation (CoP) and Supporting Regulations |
| 0938-1090 |
Electronic Health Records (EHR) Testing |
| 0938-1089 |
Affordable Care Act Enrollment Opportunity Notice Relating to Extension of Dependent Coverage |
| 0938-1088 |
Medicaid Promoting Interoperability Program Document Templates (CMS-10292) |
| 0938-1087 |
Early Retiree Reinsurance Program |
| 0938-1086 |
Health Care Reform Insurance Web Portal Requirements 45 CFR part 159 (CMS-10320) |
| 0938-1085 |
Temporary High Risk Pool Program (CMS-10319) |
| 0938-1084 |
Additional State Plan Option for Providing Premium Assistance State Plan Templates under Title XIX and XXI (CMS-10300) |
| 0938-1083 |
Medicare Program/Home Health Prospective Payment System Rate Update for CY2010: Physician Narrative Requirement, CY2011 Final Physician Face-to-Face Encounter |
| 0938-1082 |
Option to Cover Certain Children and Pregnant Women Lawfully Residing in the U.S. State Plan Amendment Template (CMS-10299) |
| 0938-1081 |
Consumer Research on Public Reporting of Hospital Outpatient Measures (CMS-10310) |
| 0938-1080 |
Medical Necessity Disclosure Under MHPAEA and Claims Denial Disclosure Under MHPAEA (CMS-10307) |
| 0938-1079 |
Grandfathering Provisions of the Medicare DMEPOS Competitive Bidding Program |
| 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) |
| 0938-1077 |
Notice of Research Exception under the Genetic Information Nondiscrimination Act (CMS-10286) |
| 0938-1076 |
State Plan Pre-print to Implement Required Dental Benefits Pursuant of CHIPRA 2009 (CMS-10288) |
| 0938-1075 |
Optional Dental-only Supplemental Coverage SPA Template (CMS-10289) |
| 0938-1074 |
Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007 (CMS-10265) |
| 0938-1073 |
Recovery Act - Reporting Requirements for States Under FMAP Increase and TMA Provisions (CMS-10295) |
| 0938-1072 |
Evaluation of the Medicare Care Management Performance Demonstration and the Electronic Health Records Demonstration |
| 0938-1071 |
Ambulatory Surgical Centers Conditions of Coverage (CMS-10279) |
| 0938-1070 |
State Plan Amendment Template for Transitional Medical Assistance for Low-Income Families (CMS-10283) |
| 0938-1069 |
(CMS-10266) Conditions of Participation: Requirements for Approval and Reapproval of Transplant Centers to Perform Organ Transplants and Supporting Regulations |
| 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) |
| 0938-1067 |
Hospice Conditions of Participation (CMS-10277) |
| 0938-1066 |
CAHPS Home Health Care Survey (CMS-10275) |
| 0938-1065 |
[Medicaid] State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Website and Hotline (CMS-10291) |
| 0938-1064 |
Evaluation of the Home Health Pay for Performance Demonstration: Survey instrument |
| 0938-1063 |
National Medicare Training Program Needs Assessment Survey |
| 0938-1062 |
Recovery Act of 2009 - Request for Review If You Have Been Denied Premium Assistance |
| 0938-1061 |
Supplemental Appropriations Act of 1008 Mandated Report to Congress (CMS-10281) |
| 0938-1060 |
Hospital Leadership Quality Assessment Tool (HLQAT) |
| 0938-1059 |
Physician Quality Reporting System (PQRS) (CMS-10276) |
| 0938-1058 |
Medicare Registration Summary and Medication History Personal Health Record Evaluation |
| 0938-1057 |
Evaluation of the Medicare Care Management Performance Demonstration |
| 0938-1056 |
Medicare Enrollment Application: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers (Form 855S) |
| 0938-1055 |
HIFA Evaluation Enrollee Survey (CMS-10262) |
| 0938-1054 |
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261) |
| 0938-1053 |
[Medicaid] Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249) |
| 0938-1052 |
(CMS-10268) Consolidated Renal Operations in a Web Enabled Network (CROWNWeb) Third-party Submission Authorization Form |
| 0938-1051 |
Medicare Advantage and Prescription Drug Program: Final Marketing Provisions CFR 422.111(a)(3) and 423.128(a)(3) (CMS-10260) |
| 0938-1050 |
QualityNet Identity Management System (QIMS) Account Form |
| 0938-1049 |
Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b) (CMS-10242) |
| 0938-1048 |
Evaluation of Care and Disease Management Under Medicare Advantage |
| 0938-1047 |
State Plan Pre-print for Integrated Medicare and Medicaid Programs (CMS-10251) |
| 0938-1046 |
Certificate of Data Destruction for Data Acquired from the Centers for Medicare and Medicaid Services |
| 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 |
| 0938-1044 |
Submission of Information for the Hospital Outpatient Quality Data Program |
| 0938-1043 |
Conditions of Participation for Critical Access Hospitals and Supporting Regulations (CMS-10239) |
| 0938-1042 |
HCPCS Modification to Code Set Form (CMS-10224) |
| 0938-1041 |
Survey of Retail Prices (CMS-10241) |
| 0938-1040 |
Testing of Revised OASIS Instrument for Home Health Quality Measures & Data Analysis |
| 0938-1039 |
Data Collection for the Nursing Home Value-Based Purchasing (NHVBP) Demonstration |
| 0938-1038 |
Cost and Resource Utilization (CRU) Data Collection for the Medicare Post Acute Care Payment Reform Demonstration |
| 0938-1037 |
Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool (CMS-10243) |
| 0938-1036 |
Survey of Contract Labor in Selected Health Industries |
| 0938-1035 |
Provider Enrollment Chain and Ownership System (PECOS) Web Security Consent Form (CMS-10220) |
| 0938-1034 |
Disclosures Required Regarding Physician Ownership and On-site Availability of an MD/DO (CMS-10225) |
| 0938-1033 |
Medicaid State Program Integrity (SPIA) CMS-10244 |
| 0938-1032 |
Regional PPO Risk-Sharing Reconciliation Cost Report |
| 0938-1031 |
Physician Survey for the 2006 Medicare Oncology Demonstration Program |
| 0938-1030 |
Medicare Competitive Acquisition Program (CAP) for Part B Drugs Evaluation: CAP Physician Survey |
| 0938-1029 |
Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs) (CMS-10221) |
| 0938-1028 |
HEDIS Data Collection for Medicare Advantage (CMS-10219) |
| 0938-1027 |
PACE State Plan Amendment Pre-print (CMS-10227) |
| 0938-1026 |
[Medicaid] Identifying Medicaid Payment for Physician Administered Drugs (CMS-10215) |
| 0938-1025 |
Evaluation of the Medical Adult Day-Care Services Demonstration - Phase I |
| 0938-1024 |
State Plan Pre-print implementing Section 6087 of the DRA: Optional Self Direction PAS Program (Cash and Counseling) CMS-10234 |
| 0938-1023 |
Medicare Advantage Chronic Care Improvement Program (CCIP) Attestations (CMS-10209) |
| 0938-1022 |
Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210) |
| 0938-1021 |
Assessing Degrees of Health Care Involvement Survey |
| 0938-1020 |
Requests by Hospitals for an Alternative Cost-to-Charge Ratio (CMS-10179) |
| 0938-1019 |
Hospital Notices: IM / DND (CMS-10065/10066) |
| 0938-1018 |
Evaluation of the Medical Adult Day-Care Services Demonstration - Phase I |
| 0938-1017 |
Evaluation of the Medical Adult Day Care Services Demonstration |
| 0938-1016 |
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program |
| 0938-1015 |
Evaluation of Medicare National Competitive Bidding Program for DME |
| 0938-1014 |
Data Collection for Administering the Medicare Health Improvement Survey |
| 0938-1013 |
Creditable Coverage Disclosure to CMS OnLine Form and Instructions (CMS-10198) |
| 0938-1012 |
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility (CMS-10184) |
| 0938-1011 |
(CMS-10199) Data Collection for Medicare Beneficiaries Receiving Carotid Artery Stenting with Embolic Protection |
| 0938-1010 |
Mail Survey of Medicare Advantage Special Needs Plans / Focus Groups with Enrollees of Medicare Advantage SNPs |
| 0938-1009 |
Physician Self-Referral Exceptions for Electronic Prescribing and Electronic Health Records (CMS-1303-F) |
| 0938-1008 |
Medicare Clinical Laboratory Services Competitive Bidding Demonstration Project : Bidding Form |
| 0938-1007 |
Alternative Benefits State Plan Amendment Health Opportunity Accounts Demonstration Program (CMS-10216) |
| 0938-1006 |
Evaluation of Home Health Independence Demonstration: Home Health Agency Survey |
| 0938-1005 |
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Accreditation Proposals from Independent Accrediting Bodies |
| 0938-1004 |
Medicare Part C Audit Guide, Version 4 contained in 42 CFR 423.502 |
| 0938-1003 |
National Evaluation of the Demonstration to Improve the Direct Service Community Workforce |
| 0938-1002 |
Evaluation of the Medicare Audit Recovery Audit Contractor Demonistration and RAC Provider Satisfaction Survey |
| 0938-1001 |
Voluntary Sample AMP Collection |
| 0938-1000 |
Medicare Parts C and D Program Audit Protocols and Data Requests (CMS-10191) |
| 0938-0999 |
Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424 Subpart C |
| 0938-0998 |
Evaluation of the Demonstration of Coverage of Chiropractic Services Under Medicare |
| 0938-0997 |
Health Insurance Claims Form, UB-04 CMS 1450 |
| 0938-0996 |
Enrolling Low-Income Beneficiaries into the Medicare Prescription Drug Program Survey of State Agency Experiences |
| 0938-0995 |
Disclosure of Financial Relationships Report ("DFRR") - Section 5006 of the DRA |
| 0938-0994 |
Payment Error Rate Measurement in Medicaid & Children's Health Insurance Program (CHIP) (CMS-10178) |
| 0938-0993 |
State Plan preprints to implement Sections of the Deficit Reduction Act of 2006 (CMS-10190) |
| 0938-0992 |
Medicare Part D Reporting Requirements and Supporting Regulations in MMA Title I, Part 423, §423.514(a) (CMS-10185) - IRA |
| 0938-0990 |
Model Creditable Coverage Disclosure Notices |
| 0938-0989 |
Individuals Authorized Access to the CMS Computer Services |
| 0938-0988 |
State Children's Health Insurance Program (SCHIP) Report on Payables and Receivables (CMS-10180) |
| 0938-0987 |
Competitive Acquisition Program (CAP) for Medicare Part B Drugs: CAP Physician Election Agreement |
| 0938-0986 |
(CMS-437A and 437B) Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations |
| 0938-0985 |
Medicare Health Support Program Medical Records Abstraction |
| 0938-0984 |
Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System (CMS-10175) |
| 0938-0983 |
Medicare EDI Enrollment Form and EDI Registration (CMS-10164 A/B) |
| 0938-0982 |
Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174) - IRA |
| 0938-0981 |
National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102) |
| 0938-0980 |
Medicare Care Improvement Survey |
| 0938-0979 |
New Freedom Initiative - Web-based Reporting System for Grantees (CMS-10161) |
| 0938-0978 |
Part D Coordination of Benefits Data (CMS-10171) |
| 0938-0977 |
Retiree Drug Subsidy Payment Request Instructions (CMS-10170) |
| 0938-0976 |
Notice of Denial of Medicare Prescription Drug Coverage (CMS-10146) |
| 0938-0975 |
Medicare Drug Coverage and Your Rights (CMS-10147) |
| 0938-0974 |
Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program (CMS-10166) |
| 0938-0973 |
Physician Assessment of Hospital Quality Reports |
| 0938-0972 |
Consumer Assessment of Health Behaviors Survey |
| 0938-0971 |
(CMS-10116) Medicare Program: Conditions of Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles |
| 0938-0969 |
Medicare Fee-for-Service Early Review of Medical Records (CMS-10417) |
| 0938-0968 |
(CMS-10152) Data collection for Medicare Beneficiaries Receiving FDG Positron Emission Tomography (PET) for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and All Other Cancers |
| 0938-0967 |
(CMS-10151) Data Collection for Medicare Beneficiaries Receiving Implantable Cardioverter-defibrillators for Primary Prevention of Sudden Cardiac Death |
| 0938-0965 |
Electronic Health Records (EHR) Demonstration System (EHRDS) - practice application and profile update system |
| 0938-0964 |
Medicare Prescription Drug Benefit Program - IRASA (CMS-10141) |
| 0938-0963 |
1-800-MEDICARE Customer Experience Questionnaire |
| 0938-0960 |
The HIPAA Eligibility Transaction System (HETS) (CMS-10157) |
| 0938-0959 |
HCAHPS Cost Information |
| 0938-0958 |
State Data for the Medicare Modernization Act (MMA) (CMS-10143) |
| 0938-0957 |
Retiree Drug Subsidy (RDS) Application and Instructions (CMS-10156) |
| 0938-0956 |
Beneficiary Survey on the Medicare Home Health Independence Demonstration |
| 0938-0955 |
Medicare Part B Drug and Biological Competitive Acquisition Program Applications |
| 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 |
| 0938-0953 |
Fast Appeals Notices: NOMNC/DENC (CMS-10123/10124) |
| 0938-0952 |
Federal Funding of Emergency Health Services (Section 1011); Provider Payment Determination and On-Call Cost Forms |
| 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 |
| 0938-0950 |
Appointment of Representative and Supporting Regulations in 42 CFR 405.910 (CMS-1696) |
| 0938-0949 |
Health Insurance Reform Security Standards - Final Rule |
| 0938-0948 |
HIPAA Administrative Simplification (Non-Privacy/Security) Complaint Form (CMS-10148) |
| 0938-0944 |
Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10142) |
| 0938-0943 |
Evaluation of Medicare Disease Management Demonstrations |
| 0938-0942 |
Physician Group Practice (PGP) Standardized Ambulatory Care Quality Measure Collection Initiative |
| 0938-0941 |
Medicare Demonstration Ambulatory Care Quality Measure Performance Assessment Tool ("PAT") |
| 0938-0940 |
OASIS Study: OASIS Cost and Benefit Survey of Home Health Agencies and Supporting Regulations 42 CFR Parts 484 and 488 |
| 0938-0939 |
Phone Surveys of Product/Service for Medicare Payment Validation and Supporting Regulations in 42 CFR, 405.502 |
| 0938-0938 |
Public Reporting on Quality Outcomes National Survey of Hospital Executives ("PRO QUO") |
| 0938-0937 |
Beneficiary Survey on the Medicare Drug Replacement Demonstration |
| 0938-0936 |
Solicitation for Applications for Medicare Prescription Drug Plan 2026 Contracts (CMS-10137) |
| 0938-0935 |
Applications for Part C Medicare Advantage, 1876 Cost Plans, and Employer Group Waiver Plans to Provide Part C Benefits (CMS-10237) |
| 0938-0934 |
Religious Nonmedical Health Care Institutions (RNHCI) and Supporting Regulations in 42 CFR Section 403.766 |
| 0938-0933 |
1932 State Plan Amendment Template (CMS-10120) |
| 0938-0932 |
Evaluation of PACE as a Permanent Program and a For Profit Demonstration |
| 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) |
| 0938-0930 |
Medicare Authorization to Disclose Personal Health Information (CMS-10106) |
| 0938-0929 |
FEDERAL REIMBURSEMENT OF EMERGENCY HEALTH SERVICES FURNISHED TO UNDOCUMENTED ALIENS (SECTION 1011) PROVIDER ENROLLMENT APPLICATION |
| 0938-0926 |
National Implementation of In-Center Hemodialysis CAHPS Survey (CMS-10105) |
| 0938-0925 |
Grants to State Phamaccurical Assistance Program (SPAP) |
| 0938-0924 |
Application for Participation in Medicare Replacement Drug Demonstration |
| 0938-0922 |
Instrument/tool for refinement of a prospective payment system for patients in inpatient psychiatric hospitals, and units: a pilot test |
| 0938-0921 |
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110) - IRA |
| 0938-0920 |
Medicaid Managed Care and Supporting Regulations (CMS-10108) |
| 0938-0919 |
1-800-MEDICARE Beneficiary Satisfaction Survey (CMS-100098) |
| 0938-0918 |
National Voluntary Hospital Reporting Initiative--Hospital Quality Measures |
| 0938-0917 |
Survey of Medicare Preferred Provider Organization Demonstration |
| 0938-0916 |
(CMS-10053) Paid Feeding Assistants in Long Term Care Facilities and Supporting Regulations |
| 0938-0915 |
Medicare Contractor Provider Satisfaction Survey (MCPSS) and Supporting Regulations in 42 CFR 421.120, 421.122 and 421.201 |
| 0938-0913 |
Medicare Drug Payment Exceptions Process |
| 0938-0912 |
Medicare Health Survey (MHS) |
| 0938-0911 |
Review of National Coverage Determinations and Local Coverage Determinations and Supporting Regulations in 42 CFR, Sections 426.400 and 426.500 |
| 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)) |
| 0938-0909 |
Medicare Endorsed Prescription Drug Discount Card and Transitional Low-Income Assistance Program Response Form |
| 0938-0907 |
Hospital Wage Index Occupational Mix Survey (CMS-10079) |
| 0938-0906 |
Evaluation of the Medicaid Health Reform Demonstrations |
| 0938-0905 |
Accepting New Patients Indicator UPIN (Unique Physician Identification Number) Participating Physicians Directory |
| 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... |
| 0938-0902 |
Evaluation of the Illinois and Wisconsin State Pharmacy Assistance Waivers |
| 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...... |
| 0938-0900 |
MSInteractive Survey Tool for cms.hhs.gov website |
| 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.. |
| 0938-0898 |
CMSO Survey of States: Performance Measurement Reporting Capability |
| 0938-0897 |
Notification of MACs and CMS of Co-Located Medicare Providers |
| 0938-0896 |
Demonstration to Improve the Direct Service Workforce |
| 0938-0895 |
Medicare Part A Provider and Durable Medical Equipment Supplier Satisfaction Study |
| 0938-0894 |
Medicare Ombudsman Customer Service Feedback Survey (CMS-10068) |
| 0938-0893 |
Data Collection for Administering the Survey for the Evaluation of the Demonstration to Maintain Independence and Employment (DMIE) |
| 0938-0892 |
Publication Usage Survey |
| 0938-0891 |
Pilot Test of Hospital CAHPS Survey |
| 0938-0890 |
Design and Implementation of a Targeted Beneficiary Survey on Access to Physician Services Among Medicare Beneficiaries |
| 0938-0889 |
Pharmacy Plus Template Application |
| 0938-0888 |
Survey of Rural Medicare Provider Education Needs |
| 0938-0887 |
Matching Gants to States for the Operation of High Risk Pools and Supporting Regulations at 42 CFR 148.316, 148.318, and 148.320 *CMS-10078) |
| 0938-0885 |
Medicare-Endorsed Prescription Drug Card Assistance Initiative |
| 0938-0883 |
Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164 |
| 0938-0882 |
Medicare Endorsed Prescription Drug Card Assistance Initiative |
| 0938-0880 |
(CMS-10069) Medicare/Medicaid Demonstration/Model Application |
| 0938-0879 |
Making Good Choices Survey |
| 0938-0878 |
Collection of Diagnostic Data in the Abbreviated RAPS Format from Medicare Advantage Organizations for Risk Adjusted Payments (CMS-10062) |
| 0938-0877 |
Evaluation of Programs of Coordinated Care and Disease Management |
| 0938-0876 |
Evaluation of the MassHealth Insurance Partnership |
| 0938-0875 |
Durable Medical Equipment Regional Carrier, Certificate of Medical Necessity and Supporting Documentation Requirements |
| 0938-0874 |
HIPAA Standard Unique Employer Identifier and Supporting Regulations in 45 CFR Part 160 and 162 |
| 0938-0873 |
Quality Assessment and Performance Improvement (QAPI) Project Completion Report 42 CFR 422.152 |
| 0938-0872 |
Minimum Data Set (MDS) For Swing Bed Hospitals and Supporting Regulations in 42 CFR 483.20 and 413.337 |
| 0938-0871 |
Medicare Lifestyle Modification Program Demonstration |
| 0938-0869 |
Survey of Newly Eligible Medicare Beneficiaries |
| 0938-0868 |
Administration Demonstration Initiatives Proposal Solicitation Package |
| 0938-0867 |
Survey of Medicare Private Fee-for-service (PFFS) Enrollees and Nonenrollees |
| 0938-0866 |
ICRs Contained in 45 CFR Part 162; HIPAA Standards for Electronic Transactions |
| 0938-0864 |
Medicare Current Beneficiary Survey -- Supplement on Patient Activation |
| 0938-0863 |
Evaluation of the BadgerCare Medicaid Demonstration |
| 0938-0862 |
Medicare Lifestyle Modification Program Demonstration |
| 0938-0860 |
New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System (CMS-10054) |
| 0938-0859 |
NMEP Regional Survey of Medicare Beneficiaries |
| 0938-0857 |
Recognition of Pass-Through Payment for Additional (New) Categories of Devices Under the Outpatient Prospective Payment System and Supporting Regulations (CMS-10052) |
| 0938-0855 |
Upper Payment Limits Reporting Requirements and Supporting Regulations Contained in 42 CFR 447.272 and 447.321 |
| 0938-0852 |
Durable Medicare Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey: Texas |
| 0938-0851 |
Assessing the CMS Fall Campaigns |
| 0938-0850 |
State Health Insurance Assistance Program (SHIP) Client Contact Form, Pubic and Media Activity Form, and Resource Report Form |
| 0938-0848 |
Health Insurance Flexibility and Accountability Section 1115 Model Waiver |
| 0938-0847 |
Long-Term Care Awareness Campaign Demonstration Project |
| 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 |
| 0938-0845 |
"Medicare Endorsed Rx Discount Card Initiative |
| 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 |
| 0938-0843 |
Healthy Aging Smoking Cessation Demonstration |
| 0938-0842 |
IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program (CMS-10036) |
| 0938-0841 |
[Medicaid] State Children's Health Insurance Program and Supporting Regulations (CMS-R-308) |
| 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... |
| 0938-0839 |
National Medicare Practitioner and Provider Survey |
| 0938-0838 |
Collection of Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted Payments |
| 0938-0837 |
Medicare Program Integrity Customer Satisfaction Project |
| 0938-0836 |
Real Choice Systems Change Grants; Nursing Facility Transition/ Access Housing Grants; Community Personal Assistance Service and Supports Grants, National Technical Assistance and Learning..... |
| 0938-0834 |
Durable Medical Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey |
| 0938-0833 |
Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities (CMS-R-306) |
| 0938-0832 |
Health Insurance Benefit Agreement and Supporting Regulations (CMS-1561/1561A) |
| 0938-0829 |
Notice of Denial of Medical Coverage (or Payment) (NDMCP) (CMS-10003) |
| 0938-0828 |
Medicare Beneficiary Customer Service Survey |
| 0938-0827 |
HIPAA Nondiscrimination Provisions |
| 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 |
| 0938-0825 |
Stages of Change Survey for Informed Choice in the Medicare Population |
| 0938-0824 |
Restraints/Seclusion Death Reporting for Hospitals and Supporting Regulations at 42 CFR 482.13 |
| 0938-0823 |
Suggestion Program on Methods to Improve Medicare Efficiency and Supporting Regulations in 42 CFR 420.410 |
| 0938-0820 |
Follow-Up of Medicare+Choice Disenrollees Receiving Fee-for-Service Inpatient Hospital Care |
| 0938-0819 |
HIPAA Nondiscrimination Provisions (Regulation HCFA-2078-F) |
| 0938-0818 |
(CMS-R-247) Expanded Coverage for Diabetes Outpatient Self-Management Training Services and Supporting Regulations |
| 0938-0817 |
Survey of Medicare Beneficiaries Who Involuntarily Disenroll From Their Health Plan |
| 0938-0813 |
Evaluation of the OMB and SLMB Programs -- Beneficiary Survey |
| 0938-0812 |
Employee Building Pass Application and File |
| 0938-0811 |
Ticket to Work and Work Incentives: Medicaid Infrastructure Grants |
| 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 |
| 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 |
| 0938-0807 |
Oxygen Consumer Survey: Medical Equipment and Supplies |
| 0938-0806 |
Informatics, Telemedicine, and Education Demonstration Project |
| 0938-0805 |
Collection of Data on Physician Encounters from Medicare + Choice Organizations |
| 0938-0804 |
Medicare DMEPOS Competitive Bidding Demonstration: Follow-up to Original Survey |
| 0938-0802 |
Transitional Pass through payments related to Drugs, Biologicals, and Radiopharmaceuticals to determine eligibility under the Outpatient Prospective Payment System (CMS-10008) |
| 0938-0801 |
Evaluation of QMB and SLMB Outreach Activities |
| 0938-0800 |
Application Requirements: Solicitation for Proposals for the Medicare Coordinated Care Demonstration |
| 0938-0799 |
TWWIA Demonstration to Maintain Independence and Employment |
| 0938-0798 |
Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 413.65 (CMS-R-240) |
| 0938-0797 |
Individual Market-Guarantee Issue Election Packet, Supporting Regulations 45 CFR 148, and forms/instruction |
| 0938-0796 |
Medicare Consumer Assessment of Health Plan Survey-Fee For Service (CAHPS-FFS) |
| 0938-0795 |
Conflict of Interest and Ownership and Control Informaiton |
| 0938-0794 |
Health Care Services for Deaf and Hard of Hearing Adults - Case Story Forms |
| 0938-0792 |
Refinement of RHC Certification and QAPI and Supporting Regulations in 42 CFR 491.8 and 491.11 |
| 0938-0791 |
A Project to Develop an Outcome-ased Continuous Quality Improvement System and Core Outcome and Comprehensive Assessment Data Set for PACE |
| 0938-0790 |
Medicare and Medicaid; Programs For All-Inclusive Care For The Elderly (PACE) Contained in 42 CFR Part 460 (CMS-R-244) |
| 0938-0789 |
Survey and Evaluation of New Members of Medicare+Choice Plans |
| 0938-0787 |
Request for Employment Information (CMS-R-297/CMS-L564) |
| 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) |
| 0938-0785 |
HCFA Day One Information Collection |
| 0938-0784 |
Flexibility in Payment Methods for Hospitals, Nursing Facilities, Supporting Regualtions in 42 CFR 447.254 |
| 0938-0783 |
Market Survey of Fraud, Waste, and Abuse Detection Software |
| 0938-0782 |
Multi-State Evaluation of Dual Eligibles Demonstrations: Wisconsin Partnership Program |
| 0938-0781 |
Home Health Advance Beneficiary Notices and Supporting Regulations in 42 CFR, Section 411.404 and 484.10(a) and (e) |
| 0938-0780 |
Medicare Telephone Customer Satisfaction Survey |
| 0938-0779 |
Medicare CAHPS Disenrollment Surveys and Supporting Regs. in 42 CFR 417.126, 417.470, 422.64, and 422.210 |
| 0938-0778 |
Medicare Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111 (CMS-R-282) |
| 0938-0777 |
Medicare Lifestyle Modification Program Demonstration and Addendum |
| 0938-0776 |
(CMS-R-290) Medicare Program: Process for Making National Coverage Determinations |
| 0938-0775 |
National Hospital Malpractice Insurance Survey (NHMIS) |
| 0938-0774 |
Medicare Competitive Pricing Demonstration Bid Solicitation Package for Kansas City |
| 0938-0773 |
Bounceback Forms for www.Medicare.gov/nmep |
| 0938-0772 |
Peer Review Evaluation of Access to and Quality of Home Oxygen Equipment |
| 0938-0771 |
Survey of Medicare Beneficiaries for the National Medicare and You Handbook: 2000 Evaluation |
| 0938-0770 |
Community Mental Health Center Site Visit Assessment Tool and Supporting Regulations in 42 CFR 410.2 |
| 0938-0769 |
Medicare Request for Retirement Benefit Information (CMS-R-285) |
| 0938-0768 |
Medicare Agreement Application, Health Care Prepayment Plan and Supporting Regulations in 42 CFR, Section 417.800-.840 |
| 0938-0767 |
Medigap Compare |
| 0938-0766 |
Feedback Postcard |
| 0938-0765 |
Evaluation of Medicare+Choice Medical Savings Account Demonstration; Insurer Survey Component |
| 0938-0764 |
Publication Information Sheet Reorder Form Feedback Questionnaire |
| 0938-0763 |
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262) - IRA |
| 0938-0761 |
Medicare and Medicaid Programs: Use and Reporting of OASIS Data as Part of the CoPs for HHAs and Supporting Regulations in 42 CFR 484.11 and 484.20 |
| 0938-0760 |
OASIS Collection Requirements as Part of the CoPs for HHAs and Supporting Regulations |
| 0938-0759 |
Medicare Beneficiary Information Needs: Supplement to the Medicare Current Beneficiary Survey (MCBS) |
| 0938-0758 |
Hospice Facility Cost Report (CMS-1984-14) |
| 0938-0757 |
Managed Care Organization Year 2000 Continuity and Contingency Planning |
| 0938-0756 |
MSInteractive Survey Tool for www.medicare.gov |
| 0938-0755 |
Oxygen Consumer Survey: Medical Equipment and Supplies Consumer Survey |
| 0938-0754 |
Inpatient Psychiatric Services for Individuals Under Age 21 and Supporting Regs. |
| 0938-0753 |
Medicare Advantage Program and Supporting Regulations (CMS-R-267) |
| 0938-0752 |
Evaluation of the EverCare Demonstration Program |
| 0938-0751 |
Medicare Current Beneficiary Survey: National Baseline Medicare Beneficiary Knowledge Supplement |
| 0938-0750 |
Best Practices in Coordinated Care |
| 0938-0749 |
On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57 (CMS-R-263) |
| 0938-0748 |
Medicare DMEPOS Competitive Bidding Demonstration |
| 0938-0746 |
Medicaid Disproportionate Share Hospital Annual Reporting (CMS-R-266) |
| 0938-0745 |
Quality Improvement System for Managed Care (QISMC) Standards and Guidelines |
| 0938-0742 |
Adjusted Community Rate (ACR) Proposal Medicare+Choice 42 CFR 422.300-422.312 |
| 0938-0741 |
Medicare Advantage & Part D Disenrollment Requests Through 1-800-MEDICARE |
| 0938-0740 |
Bounceback Form for Medicare and You on WWW.Medicare.Gov |
| 0938-0739 |
MPAF Data and Supporting Regulations in 42 CFR Sections 413.337, 413.343, 424.32 and 483.20 |
| 0938-0738 |
National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries |
| 0938-0737 |
Call-Back Survey of Callers to the Medicare+Choice Toll-Free Hotline |
| 0938-0736 |
Multi-State Evaluation of the Dual Eligible Demonstration |
| 0938-0734 |
Data Use Agreement (DUA) Form, Research Identifiable Files Request Packet Packet, and Data Management Plan (CMS-R-235) |
| 0938-0733 |
Waiver Requirements and Solvency Standards for Provider-Sponsored Organizations -- 42 CFR 422.350-.390 |
| 0938-0732 |
Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246) |
| 0938-0731 |
Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI (CMS-21 and 21B) |
| 0938-0730 |
Subpart D-Private Contracts and Supporting Regulations (CMS-R-234) |
| 0938-0727 |
Evaluation of the Oregon Medicaid Reform Demonstration: Phase II Adult Interview, Phase II Child Interview, Survey of Agency Providers |
| 0938-0726 |
Evaluation of the Medicare Choices Demonstrations |
| 0938-0725 |
Medicare Physician Communication Survey |
| 0938-0723 |
Medicare Integrity Program Organizational Conflict of Interest Disclosure Certificate and Supporting Regs at 42 CFR 421.300- 421.316 |
| 0938-0722 |
Medicare+Choice Provider Sponsored Organization Waiver Request Form and Supporting Regulations at 42 CFR 422.370 through 422.378 |
| 0938-0721 |
Independent Diagnostic Testing Facility and Supporting Regulations Contained in 42 CFR 410.33 |
| 0938-0720 |
Development of an Assessment System for Post Acute Care |
| 0938-0719 |
Mental Health Parity Act of 1996: Information Collection Requirements Contained in HCFA-2891-IFC -- 45 CFR 146.136 |
| 0938-0718 |
Research and Analytic Support for Implementing Performance Measurement in Medicare Fee for Service |
| 0938-0717 |
Information Collection Requirements Referenced in 42 CFR Sec. 424.57; Additional DMEPOS Supplier Standards |
| 0938-0715 |
End-Stage Renal Disease Managed Care Demonstration Evaluation |
| 0938-0714 |
Issuance of Advisory Opinions Concerning Physicians' Referrals (CMS-R-216) |
| 0938-0713 |
Surety Bond Requirements for Home Health Agencies (HHA) -- 42 CFR Section 441.16, 489.66, and 489.67 |
| 0938-0712 |
Survey of Primary Caregivers for the District of Columbia's Managed Care Demonstration for Disabled and Special Needs Children |
| 0938-0711 |
Managed Care Data Using the Uniform Institutional Providers Form |
| 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.... |
| 0938-0709 |
Data Collection for the Second Generation Social Health Maintenance Organization Demonstration |
| 0938-0708 |
Evaluation of the State Medicaid Reform Demonstrations and Evaluation of the Medicaid Health Reform Demonstrations |
| 0938-0707 |
Model Application Template for State Child Health Plan Under Title XXI of the Social Security Act, State Children's Health Insurance Program, & Model Application Template & Instructions (CMS-R-211) |
| 0938-0705 |
Maximizing the Effective Use of Telemedicine: A Study of the Effects, Cost Effectiveness and Utilization Patterns of Consultations via Telemedicine |
| 0938-0704 |
Data Collection Forms for a Project to Develop a Case-Mix Adjustment System for a National Home Health Prospective Payment Program |
| 0938-0703 |
Information Collection Requirements Referenced in HIPAA for the Individual Market, Supporting Regulations 45 CFR 148, and Forms/Instructions |
| 0938-0702 |
Compliance with Individual and Group Market Reforms under Title XXVII of the Public Health Service Act (CMS-10430) |
| 0938-0701 |
Medicare Health Outcomes Survey (HOS) (CMS-10203) |
| 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 |
| 0938-0699 |
Notification Procedures for States Implementing Alternative Mechanisms in the Individual Health Insurance Market and Supporting Notice -- BPD-882-N |
| 0938-0698 |
Hospital Standards for Potentially HIV Infectious Blood and Blood Products -- 42 CFR 482.27 |
| 0938-0697 |
Medicaid Report on Payables and Receivables (R-199) |
| 0938-0694 |
Evaluation of the Per-Episode Home Health Prospective Payment Demonstration |
| 0938-0693 |
Federally Qualified Health Center (FQHC) Survey |
| 0938-0692 |
Medicare and Medicare Advantage Programs; Notification Procedures for Hospital Discharges: Important Message From Medicare (CMS-R-193) |
| 0938-0691 |
Medicare Disproportionate Share Adjustment Procedures (CMS-R-194) |
| 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 |
| 0938-0688 |
(CMS-R-13) Conditions of Coverage for Organ Procurement Organizations (OPOs) and Supporting Regulations |
| 0938-0687 |
Maximizing the Effectiveness of Home Health Care: The Influence of Service Volume and Integration with Other Care Settings on Patient Outcomes |
| 0938-0686 |
Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and of State Exemption Under State Laboratory Programs and Supporting Regs (CMS-R-185) |
| 0938-0685 |
Medicare Enrollment Application for Institutional Providers (CMS-855A) |
| 0938-0684 |
National Provider System |
| 0938-0683 |
Evaluation of the Medicare Cataract Surgery Alternate Payment Demonstration |
| 0938-0682 |
Data Collection and Analysis for Generating Procedure-Specific Cost Estimates |
| 0938-0681 |
Evaluation of the Oregon Medicaid Reform Demonstration, Baseline Survey |
| 0938-0680 |
Field Testing of the Uniform Needs Assessment Instrument (UNAI): Small-Scale Trial Phase 2 |
| 0938-0679 |
Durable Medical Equipment Medicare Administrative Contractors (MAC) Regional Carrier, Certificate of Medical Necessity and Supporting Documentation |
| 0938-0678 |
Evaluation of Intermediate Care Facilities for Persons with Mental Retardation |
| 0938-0677 |
Study of the Cost of Administering Childhood Immunizations -- HCFA-17-C-90379/3-1 |
| 0938-0676 |
Reconciliation of State Invoice (ROSI) (CMS-304) and Prior Quarter Adjustment Statement (PQRS) (CMS-304a) |
| 0938-0675 |
Quality Assurance for Phase II of the Home Health Agency Prospective Payment Demonstration |
| 0938-0674 |
Targetted Race and Ethnicity Survey |
| 0938-0673 |
Medicaid Post-Eligibility Preprint--And Supporting Regulations at 42 CFR 430.10 |
| 0938-0671 |
EVALUATION OF THE DRUG USE REVIEW DEMONSTRATIONS PROJECTS |
| 0938-0670 |
Criteria for Medicare Coverage of Lung Transplants |
| 0938-0669 |
DIALYSIS UNIT HEALTH CARE QUALITY IMPROVEMENT PROGRAM SURVEY |
| 0938-0667 |
Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24 (R-142) |
| 0938-0665 |
MEDICARE TECHNICAL ADVISORY GROUP (M-TAG) BENEFICIARY SURVEY |
| 0938-0664 |
EVALUATION OF PATIENT AND PHYSICIAN SATISFACTION WITH THE MEDICARE PARTICIPATING HEART BYPASS CENTER DEMONSTRATION |
| 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.... |
| 0938-0662 |
Evaluation of the Program of All-Inclusive Care for the Elderly (PACE) Demonstration |
| 0938-0660 |
VOLUNTARY "PARTNER/REGULATED ENTITY" CUSTOMER SURVEYS TO IMPLEMENT EXECUTIVE ORDER 12862 WITHIN HCFA |
| 0938-0659 |
Medicaid Drug Utilization Review (DUR) Program (CMS-R-153) |
| 0938-0658 |
End-Stage Renal Disease (ESRD) Network Business Proposal Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR 405.2112 |
| 0938-0657 |
End-Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations (CMS-685) |
| 0938-0656 |
EVALUATION OF MEDICARE SELECT AMENDMENTS |
| 0938-0655 |
Clinical Laboratory Improvement Amendments (CLIA) Adverse Action Extract and Supporting Regulations at 42 CFr 493.1840 |
| 0938-0654 |
Post Laboratory Survey Questionnaire, Surveyor |
| 0938-0653 |
Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777 (CMS-668B) |
| 0938-0652 |
VOLUNTARY CUSTOMER SURVEYS TO IMPLEMENT E.O. 12862 WITHIN THE HEALTH CARE FINANCE ADMINISTRATION (HCFA) |
| 0938-0651 |
MEDICARE AND MEDICAID COVERAGE DATA BANK REPORTS |
| 0938-0650 |
Alternate Quality Assessment Survey |
| 0938-0649 |
BENEFICIARY SURVEY FORM |
| 0938-0648 |
EVALUATION OF THE MEDICAID UNINSURED DEMONSTRATIONS |
| 0938-0647 |
EVALUATION OF THE MEDICARE CASE MANAGEMENT DEMONSTRATION |
| 0938-0646 |
OSCAR USERS QUESTIONNAIRE |
| 0938-0644 |
Intake and Assessment Survey Package for the Community Nursing Organization Demonstration |
| 0938-0642 |
STATE SURVEY AGENCY BUDGET/EXPENDITURE REPORT, STATE AGENCY CERTIFICATION WORKLOAD REPORT |
| 0938-0641 |
GRANTEE DATA COLLECTION INSTRUMENT, ICA -- SECTION 4360 |
| 0938-0640 |
Medigap Complaint Data Base -- 42 CFR Section 403 |
| 0938-0637 |
PRENATAL SERVICES AND ASSISTANCE SCREENING QUESTIONNAIRE |
| 0938-0636 |
SURVEYOR SURVEY FOR THE HOME HEALTH AGENCY ASSESSMENT EVALUATION PROJECT |
| 0938-0635 |
CONTRACTOR FINANCIAL REPORTS -- HCFA-750B |
| 0938-0634 |
CONTRACTOR FINANCIAL REPORTS -- HCFA-750A |
| 0938-0632 |
STATUS OF ACCOUNTS RECEIVABLE -- HCFA-751B |
| 0938-0630 |
STATUS OF ACOUNTS RECEIVABLE |
| 0938-0629 |
MONITORING AND EVALUATION OF THE MEDICARE CATARACT SURGERY ALTERNATE PAYMENT DEMONSTRATION |
| 0938-0628 |
STUDY OF MEDICAID UTILIZATION MANAGEMENT INITIATIVES |
| 0938-0627 |
Video Display Terminal (VDT) Operators' Eye Care Program |
| 0938-0626 |
Electronic Funds Transfer Authorization Agreement (CMS-588) |
| 0938-0625 |
EVALUATION OF MARYLAND ACCESS TO CARE PROGRAM |
| 0938-0624 |
Hospital Provider of Extended Care Services (Swing-Beds) in the Medicare and Medicaid Programs, 42 CFR 447.280 and 482.66 |
| 0938-0623 |
LONG TERM CARE PROGRAM AND MARKET CHARACTERISTICS STUDY |
| 0938-0622 |
EVALUATION OF MEDICAID EXTENSION DEMONSTRATION |
| 0938-0621 |
MEDICAID CAPITATED MANAGED CARE PROGRAM FOR SSI DISABLED |
| 0938-0620 |
A STUDY OF MEDICARE PATIENTS WITH VERY LONG HOME HEALTH EPISODES -- TASK 3.1, HOME CARE QUALITY STUDIES -- HCFA CONTRACT NO. 500-89-0056 |
| 0938-0619 |
MEDICARE CURRENT BENEFICIARY SURVEY, ROUND 5 OMB SUPPLEMENT |
| 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) |
| 0938-0617 |
OUTPATIENT RESOURCE COSTING STUDY (18-C-901-23/3-01), DATA COLLECTION OF PROVIDERS OF OUTPATIENT SERVICES |
| 0938-0616 |
CERTIFICATION RECOMMENDATION, CLIA LABORATORY |
| 0938-0615 |
MEDICARE PHYSICIAN SURVEY FORM |
| 0938-0613 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN THE REGULATION FOR HOME AND COMMUNITY-BASED SERVICES WAIVER FOR INDIVIDUALS AGE 65 OR OLDER |
| 0938-0612 |
Clinical Laboratory Improvement Amendments (CLIA) and Supporting Regulations (CMS-R-26) |
| 0938-0611 |
SCREENING MAMMOGRAPHY SERVICES DATA REPORT |
| 0938-0610 |
(CMS-R-10) Advanced Directives (Medicare and Medicard) |
| 0938-0609 |
MEDICARE INTERMEDIARY PART A AND PART B APPEALS REPORT |
| 0938-0608 |
MEDICARE COVERAGE OF SCREENING MAMMOGRAPHY |
| 0938-0607 |
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS OF 1988, FEE COLLECTION -- 42 CFR SECTIONS 493.614, 493.633, AND 493.634 |
| 0938-0606 |
INTAKE AND FOLLOW-UP SURVEY OF MEDICARE BENEFICIARIES IN STAFF-ASSISTED HOME DIALYSIS DEMONSTRATION |
| 0938-0605 |
PHYSICIAN PAYMENT DIFFERENTIALS IN GROUP PRACTICES SURVEY |
| 0938-0604 |
State Survey Agency List of Positions and Schedule of Equipment Purchases |
| 0938-0603 |
ATTENDING PHYSISIANS PARENTERAL/ENTERAL NUTRITION CERTIFICATION OF MEDICAL NECESSITY |
| 0938-0602 |
EVALUATION OF THE OBRA 1967 MEDICARE PAYMENT FOR THERAPEUTIC SHOES BENEFICIARY SURVEY |
| 0938-0601 |
PRECLEARANCE: INFORMATION COLLECTION FOR COMMUNITY NURSING ORGANIZATION DEMONSTRATION |
| 0938-0600 |
Medicare Credit Balance Reporting Requirements and Supporting Regulations in 42 CFR 405.371, 405.378, and 413.20 |
| 0938-0599 |
CLIA Budget Workload Reports and Supporting Regulations (CMS-102, CMS-105) |
| 0938-0597 |
TASK 4: HOME CARE WORKER SUPPLY AND HOME CARE QUALITY STUDIES |
| 0938-0595 |
MEDICAID PROVIDERS TAXES AND DONATIONS PROGRAMS APPLICATION |
| 0938-0594 |
MEDICARE SUPPLIER NUMBER APPLICATION |
| 0938-0593 |
DISCHARGE AND FOLLOW-UP PATIENT INTERVIEWS (EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION) |
| 0938-0592 |
TASK 3.2 ACCESS TO AND ADEQUACY OF PARAPROFESSIONAL HOME CARE - HOME CARE QUALITY STUDIES |
| 0938-0591 |
COST REPORT FORMAT FOR PEER REVIEW ORGANIZATIONS |
| 0938-0590 |
HOME CARE AGENCY SCREENING INSTRUMENT AND FOLLOW-UP TELEPHONE INTERVIEW |
| 0938-0588 |
A POLICY STUDY OF THE COST-EFFECTIVENESS OF INSTITUTIONAL SUBACUTE CARE ALTERNATIVES AND SERVICES |
| 0938-0587 |
EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION |
| 0938-0586 |
PHYSICIAN FINANCIAL INTEREST IN CLINICAL LABORATORIES SURVEY FORM |
| 0938-0585 |
APPLICATION TO PROVIDE COMMUNITY SUPPORTED LIVING ARRANGEMENTS (CSLA) SERVICES |
| 0938-0583 |
Survey Team Composition and Workload Report |
| 0938-0582 |
Medicaid Drug Rebate Program (MDRP): Quarterly State Invoice (CMS-R-144) and State Agency Contact Form (CMS-368) |
| 0938-0581 |
Clinical Laboratory Improvement Amendments Application Form 42 CFR 493.1-.2001 (CMS-116) |
| 0938-0580 |
Criteria for Medicare Coverage of Liver Transplants |
| 0938-0579 |
Business Proposal Forms For Quality Improvement Organizations (QIOs) (CMS-718-721) |
| 0938-0578 |
Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367) |
| 0938-0576 |
PRECLEARANCE - PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) EVALUATION |
| 0938-0575 |
Medicare Physician Fee Schedule Geographic Practice Expense Index (GPCI) |
| 0938-0574 |
END STAGE RENAL DISEASE (ESRD) MEDICAL CASE REVIEW |
| 0938-0573 |
Medicare Geographic Classification Review Board Procedures and Criteria and Supporting Regulations in 42 CFR, Section 412.256 |
| 0938-0572 |
TERMINATION OF ENROLLMENT REGULATION -- BPD-306 |
| 0938-0571 |
ESTABLISHING PROCEDURES FOR TRANSMITTING INFORMATION BETWEEN MEDICARE CARRIERS AND MEDICARE SUPPLEMENTAL INSURERS |
| 0938-0570 |
PATIENT INTAKE DATA FORM FOR THE NATIONAL HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION |
| 0938-0569 |
AGENCY CHARACTERISTICS FORM FOR THE NATIONAL HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION |
| 0938-0568 |
Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A) |
| 0938-0567 |
Request for Hearing for Part B Medicare by an Administrative Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E |
| 0938-0566 |
Advance Beneficiary Notice of Noncoverage (ABN) and Supporting Regulations in 42 CFR 411.404 and 411.408 (CMS-R-131) |
| 0938-0565 |
IRS/SSA/CMS Data Match and Supporting Regulations in 42 CFR Sections 411.20-411.206 |
| 0938-0564 |
Proper Claim Not Filed and Supporting Regulation Contained in 42 CFR 411.32(c) |
| 0938-0563 |
STATE SURVEY AGENCY BUDGET REQUEST - LONG-TERM CARE FACILITY WORKLOAD |
| 0938-0562 |
STATE SURVEY AGENCY QUARTERLY EXPENDITURE REPORT - LONG-TERM FACILITY WORKLOAD |
| 0938-0561 |
PRECLEARANCE: IMPLEMENTATION AND EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION |
| 0938-0560 |
UNIFORM COST REPORT DEMONSTRATION--VALIDATION QUESTIONNAIRE |
| 0938-0559 |
HOSPITAL AND HOSPITAL HEALTH CARE COMPLEX COST REPORT, FORM HCFA-2552-DEMO |
| 0938-0558 |
INFORMATION COLLECTION REQUIREMENTS AT 42 CFR 411.54(C)(1) ITEMIZED STATEMENT OF HOSPITAL CHARGES |
| 0938-0557 |
TAX EQUITY AND FISCAL RESPONSIBILITY ACT (TEFRA) HMO AND CMP PROGRAM EVALUATION BENEFICIARY SURVEY |
| 0938-0556 |
INFORMATION COLLECTION REQUIREMENTS IN BPD-311-F, REVALUATION OF ASSETS |
| 0938-0555 |
INFORMATION COLLECTION REQUIREMENTS IN BQC-64-F, STATE PLAN REQUIREMENTS AND OTHER PROVISIONS RELATING TO THIRD-PARTY LIABILITY (TPL) PROGRAMS |
| 0938-0554 |
INFORMATION COLLECTION REQUIREMENTS FOR REQUESTING COST AVOIDANCE WAIVERS AS PROVIDED FOR IN BQC-64 |
| 0938-0553 |
INFORMATION COLLECTION REQUIREMENTS FOR THE THIRD-PARTY LIABILITY (TPL) ACTION PLAN AS PROVIDED FOR IN BQC-64 |
| 0938-0552 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-483, SECTION 403.408 DEMONSTRATION COST REPORT |
| 0938-0550 |
PRECLEARANCE: HOME CARE QUALITY STUDIES |
| 0938-0549 |
MEDICARE: SUPPORTING STATEMENT FOR REQUEST FOR MEDICAL REVIEW INFORMATION FOR PART B OUTPATIENT BILLS |
| 0938-0548 |
MEDICARE - HMO REPORTING FORMS |
| 0938-0547 |
MEDICARE - PILOT STUDY - OUTCOMES MANAGEMENT - HMOS |
| 0938-0546 |
MEDICARE INFLUENZA VACCINE DEMONSTRATION |
| 0938-0544 |
Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and supporting regulations (CMS-1557) |
| 0938-0543 |
PILOT TEST OF A HOME HEALTH AGENCY FUNCTIONAL ASSESSMENT INSTRUMENT |
| 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. |
| 0938-0538 |
COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY INFORMATION COLLECTION REQUIREMENTS -- 42 CFR 485.56, 485.58, 485.60, 485.64, 485.66, AND 405.262 |
| 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 |
| 0938-0535 |
REFUNDING OF FEDERAL SHARE OF OVERPAYMENTS MADE TO MEDICAID PROVIDERS |
| 0938-0534 |
Attending Physician's Certification of Medical Necessity for Home Oxygen Therapy and Supporting Regulations 42 CFR 410.38 and 42 CFR 424.5 |
| 0938-0533 |
MEDICARE THERAPEUTIC SHOE DEMONSTRATION PROGRAM CERTIFICATION AND PRESCRIPTION FORM |
| 0938-0532 |
MEDICARE ALZHEIMER'S DISEASE DEMONSTRATION |
| 0938-0531 |
PRO Reporting Forms |
| 0938-0528 |
SECTION 4005(D) OBRA: EXPANSION OF SWING BED PROGRAM |
| 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) |
| 0938-0526 |
Quality Improvement (formerly Peer Review) Organization Contracts: Solicitation of Statement of Interest from In-State Organizations, General Notice and Supporting... |
| 0938-0525 |
SUPPLEMENTAL SURVEY MECHANISM |
| 0938-0524 |
HMO/CMP DISENROLLMENT SURVEY FORM |
| 0938-0523 |
Information Collection Requirements Contained in 42 CFR 447.253 |
| 0938-0522 |
SEC. 1867 OF THE SOCIAL SECURITY ACT: EXAMINATION & TREATMT. FOR EMERGENCY MEDICAL CONDITIONS & WOMEN IN ACTIVE LABOR & 42 CFR 489.24 ESSENTIALS OF PROVIDER AGREEMENTS, ETC. |
| 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) |
| 0938-0520 |
MEDICARE - HMO REPORTING FORMS |
| 0938-0519 |
Medicare Home Health Quality Assurance Demonstration -- 42 CFR 484 |
| 0938-0518 |
BENEFICIARY INCENTIVES TO PARTICIPATE IN ALTERNATIVE HEALTH PLANS |
| 0938-0517 |
DATA COLLECTION TO ESTABLISH A FEE SCHEDULE FOR THE SERVICES OF CRNAS |
| 0938-0516 |
PRE CLEARANCE FOR: A988 PHYSICIANS PRACTICE COSTS AND INCOMES SURVEY |
| 0938-0515 |
MEDICARE - EVALUATION OF OPA MARKETING EDUCATIONAL PROMOTION SURVEY QUESTIONNAIRE |
| 0938-0514 |
PILOT TEST - HOME HEALTH AGENCY SURVEY FORMS |
| 0938-0513 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-356-F "LIMITS ON PAYMENTS FOR DRUGS" |
| 0938-0512 |
Organ Procurement Organization's Health Insurance Benefits Agreement and Supporting Regulations 42 CFR 486.301-486.348 (CMS-576 and CMS-576A) |
| 0938-0511 |
Skilled Nursing Facility Prospective Payment System Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 |
| 0938-0510 |
MEDICARE - INFORMATION COLLECTION REQUIREMENTS IN SOM SECTION 2280 AND ROM - SECTION - 5223 DIALYSIS AT HOME PROGRAM |
| 0938-0509 |
THE HOME AND COMMUNITY-BASED SERVICES WAIVERS MANUAL INSTRUCTIONS |
| 0938-0508 |
APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN MEDICARE, INFORMATION COLLECTION REQUIREMENTS -- 42 CFR 498 |
| 0938-0507 |
Medicare Managed Care Disenrollment Form |
| 0938-0506 |
Ambulatory Surgical Centers Conditions for Coverage and Supporting Regulations -- 42 CFR 416.43 and 416.47 |
| 0938-0505 |
MISCELLANEOUS CONFORMING AMENDMENTS |
| 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) |
| 0938-0503 |
PRECLEARANCE FOR: EVALUATION OF TEFRA HMO AND CMP PROGRAM (PRECLEARANCE NO. 008) |
| 0938-0502 |
Medicaid - Determining Third Party Liability (TPL) State Plan Preprint and Supporting Regulation in 42 CFR 433.138 (CMS-R-107) |
| 0938-0501 |
Medicare Qualification Statement for Federal Employees and Supporting Regulations in 42 CFR 406.15 |
| 0938-0500 |
EVALUATION OF THE MEDICARE COMPETITION DEMONSTRATIONS |
| 0938-0499 |
RECORDKEEPING REQUIREMENTS CONTAINED IN PROVIDER REIMBURSEMENT MANUAL -- SECTIONS 2198 AND 2746 |
| 0938-0497 |
"MEDICAID" INFORMATION COLLECTION REQUIREMENTS IN BPO-47-FN, MMIS REQUIREMENTS FOR PHYSICIAN AND SUPPLIER SERVICES |
| 0938-0496 |
"MEDICARE" NEW YORK BILLING FORM |
| 0938-0492 |
MEDICARE ESRD OUTCOME SURVEY REPORT FORM |
| 0938-0491 |
MEDICARE - PRO REPORTING FORMS |
| 0938-0490 |
Criteria for Medicare Coverage of Heart Transplants |
| 0938-0489 |
Information Collection Requirements for Sole Community Home Health Agencies -- 42 CFR 424.22 |
| 0938-0488 |
MEDICAID - INFORMATION COLLECTION REQUIREMENTS IN ALTERNATIVE SANCTIONS FOR LONG TERM CARE FACILITIES, 42 CFR 442.118(B) |
| 0938-0487 |
Systems Performance Review (SPR) |
| 0938-0486 |
Regulations for Hearing for Part A Medicare by an Administrative Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E |
| 0938-0485 |
MEDICARE/MEDICAID HOSPITAL SWING-BED SURVEY REPORT FORM |
| 0938-0484 |
Emergency and Foreign Hospital Services Beneficiary Statement in Canadian/Mexican Travel Claims and Supporting Regulations in 42 CFR, Section 424.123 |
| 0938-0483 |
INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED PROTOTYPE SURVEY REPORT FORM |
| 0938-0482 |
MEDICARE - ELECTION TO RECALCULATE MEDICARE REIMBURSEMENT BASED ON 42 CFR 405.457 |
| 0938-0481 |
Sterilization Regulations and Consent Form |
| 0938-0479 |
TITLE XIX SUPERIOR UTILIZATION REVIEW (UR) SYSTEM WAIVER REQUEST INFORMATION COLLECTION REQUIREMENT-SECTIONS 9320-9330 OF STATE MEDICAID MANUAL |
| 0938-0478 |
THE LONG TERM CARE REQUEST FOR CERTIFICATION |
| 0938-0477 |
Payment Adjustment for Sole Community Hospitals and Supporting Regs. in 42 CFR 412.92 |
| 0938-0476 |
HOSPICE CORE SERVICE: NURSING (HOSPICE MANUAL) |
| 0938-0475 |
Hospice Core Service: Nursing Information Collection |
| 0938-0473 |
INFORMATION COLLECTION REQUIREMENTS IN BERC-240-F, RECOGNITION OF STATE REIMBURSEMENT CONTROL SYSTEM |
| 0938-0472 |
Requirement to Disclose HMO Financial Information to Members and Supporting Regulations in 42 CFR 417.124 |
| 0938-0471 |
42 CFR PART 110 - (NPRM) HEALTH MAINTENANCE ORGANIZATIONS |
| 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. |
| 0938-0469 |
Fiscal Soundness Reporting Requirements (FSRR) (CMS-906) |
| 0938-0467 |
Income and Eligibility Verification System Reporting and Supporting Regs. (CMS-R-74) |
| 0938-0465 |
Limitation on Liability and Information Collection Requirements Referenced in 42 CFR 411.404, 411.406, and 411.408 |
| 0938-0464 |
MEDICAID PROGRAM CHARACTERISTICS QUESTIONNAIRE |
| 0938-0463 |
Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 (CMS-2540-24) |
| 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 |
| 0938-0460 |
INFORMATION COLLECTION REQUIREMENT IN HCFA PUBLICATION 14-3 SECTION 2120.1-2125 AND SECTION 4115 OF THE CARRIERS MANUAL |
| 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 |
| 0938-0458 |
UNIFORM HOSPITAL BILL (HCFA-1450) AND RELATED ELECTRONIC MEDIA CLAIM FORMAT - MEDICAID SYSTEM REQUIREMENTS |
| 0938-0457 |
INDIRECT COST OF MEDICAL EDUCATION - PROVIDER REIMBURSEMENT MANUAL |
| 0938-0456 |
Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105 (CMS-R-64) |
| 0938-0454 |
Physician Certifications/Recertification's in Skilled Nursing Facilities Manual Instruction (CMS-R-5) |
| 0938-0452 |
MEDICARE, CARRIER APPEAL REPORT |
| 0938-0451 |
JCAH HOSPICE MAIL SURVEY QUESTIONNAIRE |
| 0938-0450 |
EVALUATION OF SOCIAL/HEALTH MAINTENANCE ORGANIZATION (S/HMO) DEMONSTRATION |
| 0938-0449 |
[Medicaid] Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003) |
| 0938-0448 |
End Stage Renal Disease Death Notification (CMS-2746) |
| 0938-0447 |
End Stage Renal Disease Medical Information System ESRD Facility Survey and Supporting Regulations in 42 CFR 405.2133 (CMS-2744) |
| 0938-0446 |
RECIPIENT, USE AND EXPENDITURES FOR MEDICAID ENROLLEES COVERED UNDER SECTION 1619(A) AND (B) OF THE SOCIAL SECURITY ACT |
| 0938-0445 |
(CMS-R-71) Quality Improvement Organization (QIO) Assumption of Responsibilities and Supporting Regulations |
| 0938-0444 |
(CMS-R-65) Final Peer Review Organizations Sanction and Supporting Regulations |
| 0938-0443 |
(CMS-R-72) Information Collection Requirements in 42 CFR Sections 478.18, 478.34, 478.36, and 478.42 QIO Reconsiderations and Appeals |
| 0938-0442 |
MEDICAID - MMIS: CONDITION OF APPROVAL AND REAPPROVAL AND PROCEDURES FOR REDUCTION OF FFP, 42 CFR 433.112, 433.116, AND 433.117 |
| 0938-0441 |
PROVIDER OVERPAYMENT REPORT |
| 0938-0440 |
PRO SEMIANNUAL RESOURCES ALLOCATION REPORT |
| 0938-0439 |
Medicare Physician/Supplier Overpayments |
| 0938-0438 |
INFORMATION COLLECTION REQUIREMENTS CONCERNING CLAIMS PROCESSING ASSESSMENT SYSTEM (CPAS) -- HCFA-R-91, 331, 505, AND HCFA-R-83 |
| 0938-0437 |
COURT ORDERED REGULATIONS REGARDING PROSPECTIVE PAYMENT AMOUNTS AND ADMINISTRATIVE REVIEW |
| 0938-0436 |
Pacemaker Related Data |
| 0938-0434 |
AMBULATORY SURGICAL CENTER PAYMENT RATE SURVEY |
| 0938-0433 |
INTERMEDIARY'S REQUEST TO HOSPITALS FOR MEDICAL INFORMATION ON OUTPATIENT CLAIMS |
| 0938-0432 |
NATURE, PROCESS, AND MODES OF HOSPICE CARE DELIVERY HOSPICE SURVEY PROFILE AND HOSPICE ASSESSMENT AND SURVEY |
| 0938-0431 |
INFORMATION COLLECTION REQUIREMENTS IN BOC-18-F, CLAIMS PROCESSING ASSESSMENT SYSTEM (CPAS) |
| 0938-0430 |
EVALUATION OF THE MEDICAID COMPETITION (CAPITATION) DEMONSTRATIONS |
| 0938-0429 |
Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53 |
| 0938-0428 |
STATE MEDICAID MANUAL, PART 3, ON ASSIGNMENT OF RIGHTS |
| 0938-0427 |
PRECLEARANCE FOR: COMPETITIVE BIDDING FOR DURABLE MEDICAL EQUIPMENT DEMONSTRATION (NO. 003) |
| 0938-0426 |
(CMS-R-70) HSQ-110 Acquisition, Protection, and Disclosure of Quality Improvement Organization (QIO) Information and Supporting Regulations |
| 0938-0425 |
PRECLEARANCE FOR: PROSPECTIVE PAYMENT AND ANALYTICAL SUPPORT STUDIES |
| 0938-0423 |
PRECLEARANCE: EVALUATION OF THE CLINICAL LABORATORY SERVICES DEMONSTRATION |
| 0938-0422 |
COVERAGE OF OXYGEN FOR USE IN A PATIENT'S HOME - BERC-024 FNC AND MANUAL INSTRUCTIONS, "MEDICARE" |
| 0938-0421 |
PRECLEARANCE: DESIGN AND EVALUATION OF THE HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION |
| 0938-0419 |
ADMISSION AND QUALITY OBJECTIVE PROGRESS REPORTS |
| 0938-0418 |
MEDICARE - QUARTERLY ACUTE CARE GENERAL HOSPITAL REPORT SUMMARY AND THE QUARTERLY SPECIALTY HOSPITAL REVIEW REPORTING SUMMARY |
| 0938-0414 |
MEDICAID STATE AGENCY THIRD PARTY LIABILITY INVENTORY FORM |
| 0938-0413 |
REPORT OF PRO REVIEW ACTIVITY |
| 0938-0408 |
Methodology for Estimating Waiver Costs of HCFA Demonstration Projects |
| 0938-0407 |
ELECTRONIC MEDIA CLAIM (EMC)/HARD COPY (HC) STUDY |
| 0938-0406 |
INFORMATION COLLECTION REQUIREMENTS IN BERC-247-F, PAYMENTS TO HEALTH MAINTENANCE ORGANIZATIONS AND COMPETITIVE MEDICAL PLANS, R-29 |
| 0938-0405 |
RECONSIDERATION DETERMINATION AND SANCTION REPORT |
| 0938-0404 |
SKILLED NURSING FACILITY SURVEY FORM |
| 0938-0402 |
STATEMENT OF CUMULATIVE EXPENDITURES FOR DEMONSTRATION PROJECTS |
| 0938-0400 |
MEDICARE/MEDICAID -- SKILLED NURSING FACILITIES AND NURSING FACILITIES SURVEY REPORT FORM AND WORKSHEETS |
| 0938-0399 |
MEDICARE PROGRAM CARRIER PERFORMANCE REPORT |
| 0938-0397 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 42 CFR, SECTIONS 447.413 AND 447.415 (BPO-07-F) |
| 0938-0396 |
PRECLEARANCE: NONCERTIFIED HOSPICE COST ANALYSIS |
| 0938-0395 |
HEALTH FACILITY LICENSURE AND CERTIFICATION DIRECTORS SURVEY QUESTIONNAIRE |
| 0938-0394 |
DIALYSIS PATIENT QUESTIONNAIRE |
| 0938-0393 |
HOME HEALTH AGENCY COST REPORT, SUPPLEMENT K |
| 0938-0392 |
HOSPICE COST REPORT AND DATA FORM |
| 0938-0391 |
Statement of Deficiencies and Plan of Correction (CMS-2567) |
| 0938-0390 |
Post-Certification Revisit Report |
| 0938-0389 |
SURVEY OF SELF INSURED PLANS |
| 0938-0387 |
SCHEDULE OF NET HOURS AVAILABLE |
| 0938-0386 |
(CMS-R-52) End State Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations |
| 0938-0385 |
PRECLEARANCE: EVALUATION OF SOCIAL/HEALTH MAINTENANCE ORGANIZATION (S/HMO) DEMONSTRATION |
| 0938-0384 |
"MEDICARE" QUARTERLY PERIODIC INTERIM PAYMENT REPORT |
| 0938-0383 |
Medicare: Information on Provider Refunds and Supporting Regulations in 42 CFR 489.40-41 |
| 0938-0382 |
Medicare/Medicaid Hospital Surveyor's Worksheet and Supporting Regulations at 42.C.F.R. 488.26 and 442.30 |
| 0938-0381 |
REPAYMENT REQUEST DOCUMENTS - HOSPITAL, SNF, HHA |
| 0938-0380 |
Hospital Request for Certification in the Medicare/Medicaid Program |
| 0938-0379 |
Hospice Survey and Deficiencies Report Form (CMS-643) |
| 0938-0378 |
(CMS-724) MEDICARE/MEDICAID PSYCHIATRIC HOSPITAL SURVEY DATA AND SUPPORTING REGULATIONS |
| 0938-0377 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-297-FC & RELATED INSTRUCTIONS IMPLEMENTING THE U.S. DISTRICT COURT'S DECISION IN LYNCH V. RANK |
| 0938-0376 |
MEDICARE HISTOCOMPATIBILITY TESTING LABORATORIES SURVEY REPORT FORM |
| 0938-0373 |
Medicare Participating Physician or Supplier Agreement (CMS-460) |
| 0938-0372 |
ESRD Beneficiary Selection and Supporting Regulations Contained in 42 CFR 414.330 |
| 0938-0371 |
INTERMEDIARY BENEFIT PAYMENT REPORT |
| 0938-0370 |
CONDITIONS OF PARTICIPATION FOR LONG-TERM CARE FACILITIES "MEDICAID" AND "MEDICARE" |
| 0938-0368 |
INFORMATION COLLECTION REQUIREMENTS IN 42 CFR PART 405.1315, 1316, AND 1317 CONDITIONS OF PARTICIPATION FOR LABORATORIES |
| 0938-0366 |
ITERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED, CONDITIONS OF PARTICIPATION, ICF/MR |
| 0938-0365 |
(CMS-R-39) Home Health Medicare Conditions of Participation (CoP) and Supporting Regulations |
| 0938-0364 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 405.1121, 405.1123, 405.1124, 405.1125, 405.1126, 405.1127, 405.1128, 405.1136 & 405.1137-CONDIT. OF PARTIC. SKILLED NURSING FCLS. |
| 0938-0361 |
CONTRACTOR DRAWS ON LETTER OF CREDIT AND MONTHLY CONTRACTOR FINANCIAL REPORT |
| 0938-0360 |
(CMS-3427) End Stage Renal Disease Application and Survey and Certification Report Form and Supporting Regulations |
| 0938-0359 |
Medical Records Review Under PPS and Supporting Regulations at 42 CFR 412.40-412.52 |
| 0938-0358 |
(CMS-437) Psychiatric Unit Criteria Work Sheet and Supporting Regulations |
| 0938-0357 |
Home Health Services Under Hospital Insurance, Manual Instructions and Supporting Regulations in 42 CFR 409.40 - 50, 410.36, 410.170, 411.4-.15, 421.100, 424.22, 484.18 and 489.21 |
| 0938-0356 |
HCFA FORMS AND MANUAL ORDER |
| 0938-0355 |
Home Health Agency Survey and Deficiencies Report and Supporting Regulations (CMS-1572) |
| 0938-0354 |
Annual Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Participation Report (CMS-416) |
| 0938-0351 |
INFORMATION COLLECTED FROM FISCAL INTERMEDIARIES AND CARRIERS - FINANCIAL COLLECTIONS CATEGORY |
| 0938-0350 |
MEDICARE CONTRACTOR ADMINISTRATIVE BUDGET AND COST REPORTING SYSTEM FORMS |
| 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 |
| 0938-0347 |
HOSPITAL WAGE INDEX SURVEY |
| 0938-0346 |
MEDICARE/MEDICAID HEALTH CARE FACILITY SURVEY AND CERTIFICATION FORMS |
| 0938-0345 |
[Medicaid] Transformed - Medicaid Statistical Information System (T-MSIS) (CMS-R-284) |
| 0938-0344 |
MEDICAID ELIGIBILITY QUALITY CONTROL - INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 431.804(D)(3) AND (4) |
| 0938-0342 |
1984 LONG-TERM CARE SURVEY |
| 0938-0341 |
REPORT OF MEDICAL REVIEW ACTIVITY |
| 0938-0340 |
MEDICAID QUALITY CONTROL (MQC) DISPOSITION LIST |
| 0938-0339 |
42 CFR 433.113, FFP FOR OPERATION OF MECHANIZED CLAIMS PROCESSING AND INFORMATION RETRIEVAL SYSTEMS |
| 0938-0338 |
Medicare and Medicaid Programs: Conditions of Participation for Portable X-ray Suppliers (CMS-R-43) |
| 0938-0337 |
INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 405.460 EXCEPTIONS TO COST LIMITS |
| 0938-0336 |
Conditions of Participation for Rehabilitation Agencies and Conditions for Coverage for Physical Therapists in Independent Practice |
| 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) |
| 0938-0328 |
Hospital Conditions of Participation (COP) and Supporting Regulations (CMS-R-48) |
| 0938-0326 |
INFORMATION COLLECTION REQUIREMENTS IN 42 CFR PART 434, SUBPARTS A THRU E, MEDICAID CONTRACTS WITH HEALTH MAINTENANCE ORGANIZATIONS (HMOS) & PREPAID HEALTH PLANS |
| 0938-0325 |
STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS AND SERVICES |
| 0938-0313 |
(CMS-417) Hospice Request for Certification and Supporting Regulations |
| 0938-0312 |
RECALCULATION OF CASE-MIX INDEX BASED ON TOTAL MEDICARE DISCHARGES |
| 0938-0310 |
MEDICAID ELIGIBILITY QUALITY CONTROL(MEQC) STATISTICAL TABLES |
| 0938-0309 |
INFORMATION COLLECTION REQUIREMENTS IN REGULATIONS SECTION 405.476(B) SOLE COMMUNITY HOSPITAL EXCEPTION (PROSPECTIVE PAYMENT, BERC-263) |
| 0938-0308 |
INFORMATION COLLECTION REQUIREMENTS IN PROSPECTIVE PAYMENT REGULATIONS (B&CR-263) SECTIONS 405.476(B), 405-476(D), 405.1042(C), 405.1627, & 405.1629 |
| 0938-0306 |
INFORMATION COLLECTION REQUIREMENTS IN REG. SEC. 405.1627 & 405.1629, PHYSICIAN CERTIFICATION & RECERTIFICATION (PROSPECTIVE PAYMENT REG, BERC-263) |
| 0938-0305 |
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN REGULATION SECTION 405.1042(C), HOSPITAL UTILIZATION REVIEW PLAN (PROSPECTIVE PAYMENT, BERC-263) |
| 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) |
| 0938-0302 |
Information Collection Requirements in the Hospice Care Regulation, 42CFR 418.22, 418.24, 418.28, 418.56, 418.58, 418.70, 418.83, 418.96, and 418.100 |
| 0938-0301 |
Medicare Provider Cost Report Reimbursement Questionnaire and Supporting Regulations in 42 CFR 413.20, 413.24, and 415.60 (CMS-339) |
| 0938-0300 |
Quality Control of Negative Case Actions (NCA) |
| 0938-0298 |
PROFESSIONAL STANDARDS REVIEW ORGANIZATION ROUTINE FEDERAL REPORTING REQUIREMENTS |
| 0938-0296 |
Medicare ESRD Exceptions |
| 0938-0295 |
FREEDOM OF CHOICE: WAIVERS OF AND EXCEPTIONS TO STATE PLAN REQUIREMENTS, 42 CFR 431.54(F)(3) AND 431.55(B)(2) |
| 0938-0294 |
PRECLEARANCE: EVALUATION OF THE MEDICAID COMPETITION DEMONSTRATION |
| 0938-0291 |
EARLY PERIODIC SCREENING DIAGNOSTIC AND TREATMENT (EPSDT) REPORT |
| 0938-0290 |
MODIFICATION TO NATIONAL (RURAL) SWING-BED EVALUATION |
| 0938-0289 |
MEDICARE EVALUATION OF THE MEDICARE COMPETITION SURVEY QUESTIONNAIRE |
| 0938-0288 |
TRANSMITTAL OF SUPPLEMENTARY INFORMATION FOR DETERMINATION OF THE TARGET AMOUNT UNDER THE MEDICARE PROSPECTIVE PAYMENT SYSTEM |
| 0938-0287 |
Withholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31 (CMS-R-21) |
| 0938-0286 |
EVALUATION OF MEDICARE AND MEDICAID ALCOHOLISM SERVICES DEMONSTRATION |
| 0938-0285 |
PAYMENT FOR PHYSICIANS' SERVICES FURNISHED IN HOSPITALS, SNFS, AND CORFS |
| 0938-0284 |
1988 PHYSICIANS' PRACTICE COST AND INCOME SURVEY |
| 0938-0282 |
Quarterly Showing Validation Survey |
| 0938-0281 |
EVALUATION OF ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM |
| 0938-0279 |
Medicare Uniform Institutional Provider Bill |
| 0938-0278 |
MEDICARE HHA PROSPECTIVE PAYMENT DEMONSTRATION |
| 0938-0275 |
PSRO ROUTINE FEDERAL REPORTING REQUIREMENTS, HCFA 111, 121-B 135, 153, SF 269 |
| 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) |
| 0938-0272 |
[Medicaid] Annual Report on §1915(c) Home and Community-Based Services Waivers (CMS-372(S)) |
| 0938-0271 |
STATEMENT OF REIMBURSABLE COST - ALCOHOLISM DEMONSTRATION |
| 0938-0270 |
The Financial Statement of Debtor and Supporting Regulations in 42 CFR, Section 405.376 (CMS-379 ) |
| 0938-0269 |
Request for Accelerated Payments Supporting Regs in 42 CFR, section 412.116(f), 412.632(e), 413.64(g), 413.350(d) & 484.245 |
| 0938-0268 |
ANNUAL REPORT ON WAIVERS FOR HOME AND COMMUNITY BASED SERVICES |
| 0938-0267 |
(CMS-359/360) Comprehensive Outpatient Rehabilitation Facility (CORF) Certification and Survey Forms |
| 0938-0266 |
Ambulatory Surgical Center (ASC) Health Insurance Benefits Agreement Form, Request for Certification, Survey Report (CMS-377; CMS-370) |
| 0938-0264 |
MEDICARE SUPPLEMENTAL POLICIES |
| 0938-0263 |
MEDICARE EXCLUSION OF SERVICES REIMBURSABLE UNDER AUTOMOTIBLE, NO-FAULT OR LIABILITY INSURANCE |
| 0938-0262 |
REPORT ON PROVIDER PARTICIPATION IN THE MEDICAID PROGRAM |
| 0938-0259 |
BILLING FORM FOR THE ALCOHOLISM SERVICES COVERAGE DEMONSTRATION |
| 0938-0258 |
Physical Therapist in Independent Practice Request for Certification in the Medicare Program |
| 0938-0257 |
SURVEY OF RECENT OPTOMETRY GRADUATES TO DETERMINE PRACTICE PATTERNS |
| 0938-0256 |
EVALUATION STUDY OF THE HMO CAPITATION DEMDEMONSTRATION |
| 0938-0255 |
EVALUATION OF MUNICIPAL HEALTH SERVICES PROGRAM |
| 0938-0254 |
PRECLEARANCE OF PROPOSED CONTRACT TO PROVIDE DIRECT REIMBURSEMENT OF CLINICAL SOCIAL WORKERS |
| 0938-0253 |
MEDICARE - HOSPITAL PROVIDERS OF LONG-TERM CARE (SWING-BED PROVISION) |
| 0938-0252 |
MEDICARE COMPETITION DEMONSTRATION PRECLEARANCE |
| 0938-0251 |
Application for Enrollment in Medicare Part A, Internet Claim (iClaim) Application Screen, Modernized Claims System and Consolidated Claim (CMS-18F5) |
| 0938-0249 |
SURVEY OF PRIVATE HEALTH INSURANCE |
| 0938-0247 |
Medicaid Management Information System (MMIS) |
| 0938-0246 |
Certification of Medicaid Eligibilty Quality Control (MEQC) Payment Error Rates and Supporting Regulations at 42 CFR.431.800 through 431.865 |
| 0938-0245 |
Request for Enrollment in Supplementary Medical Insurance (SMI) and Supporting Regulations in 42 CFR 407.10, 407.11 and 408.40(a)(2) (CMS-4040) |
| 0938-0244 |
MEDIGAP INDUSTRY SURVEY |
| 0938-0243 |
CONTRACTORS' INFORMATION COLLECTION-POST PROCESSING OF CLAIMS DATA |
| 0938-0242 |
Fire Safety Survey Report Forms (CMS-2786) |
| 0938-0241 |
LONG TERM CARE DEMONSTRATION PROJECT OF NORTH SAN DIEGO COUNTY |
| 0938-0240 |
UNIFORM BILLING FORM FOR THE STATE OF NEW YORK, FR. UBF-1, "MEDICARE" |
| 0938-0239 |
DELIVERY OF MEDICAL & SOCIAL SERVICES TO THE HOMEBOUND ELDERLY, NEW YORK CITY -- BILLING FORMS |
| 0938-0238 |
CONTRACTORS INFORMATION COLLECTION - ORGAN PROCUREMENT AGENCY AND HISTOCOMPATIBILITY LABORATORY FORMS |
| 0938-0236 |
Independent Renal Dialysis Facility Cost Report (CMS-265-11) |
| 0938-0235 |
FREESTANDING FEDERALLY-FUNDED HEALTH CENTER COST REPORT |
| 0938-0234 |
MEDICARE - CLAIMS DEVELOPMENT DATA PROVIDED BY CHIROPRACTORS |
| 0938-0233 |
CONTRACTORS INFORMATION COLLECTIONS--CLAIMS DEVELOPMENT PHYSICIANS AND OTHER HEALTH CARE PROVIDERS |
| 0938-0232 |
CONTRACTORS' INFORMATION COLLECTIONS - CARRIERS' EXTERNAL AUDIT OF SERVICES PROVIDED TO BENEFICIARIES |
| 0938-0231 |
CONTRACTORS' INFORMATION COLLECTION-- "STATE MEDICAID AGENCY VERIFICATION OF SERVICES RECEIVED" |
| 0938-0230 |
END STAGE RENAL DISEASE BILLING SUPPLEMENT FORM |
| 0938-0229 |
CONTRACTORS INFORMATION COLLECTIONS - SOLE COMMUNITY PROVIDER EXEMPTION REQUESTS |
| 0938-0228 |
CONTRACTORS INFORMATION COLLECTIONS - INTERMEDIARIES COLLECTION OF DATA ON OWNERS COMPENSATION |
| 0938-0227 |
REQUEST FOR MEDICAL REVIEW OF PART B INTERMEDIARY OUTPATIENT THERAPY CLAIMS |
| 0938-0226 |
CONTRACTORS INFORMATION COLLECTIONS - "CLAIMS DEVELOPMENT HOME HEALTH AGENCIES" |
| 0938-0225 |
CONTRACTORS' INFORMATION COLLECTION - "MACHINE READABLE CLAIMS" |
| 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 |
| 0938-0223 |
Medicare Intermediary Request to Skilled Nursing Facilities for Medical Information on Claims to be Processed |
| 0938-0222 |
MEDICARE-CLAIMS DEVELOPMENT DATA FROM BENEFICIARIES AND/OR SUPPLIERS & PROVIDERS, INTERMEDIARY MANUAL SECTIONS 3114, 3647, 3763, 3766, CARRIER MANUAL SECTIONS 2105, 2125, ETC. |
| 0938-0220 |
PRECLEARANCE--EVALUATION OF THREE DEMONSTRATIONS IN NURSING HOMES CERTIFICATION SURVEY AND INSPECTIONS OF CARE |
| 0938-0219 |
CONTRACTORS' INFORMATION COLLECTIONS - ADMINISTRATIVE DATA, UNCONNECTED WITH INDIVIDUAL CLAIM |
| 0938-0218 |
CONTRACTORS' INFORMATION COLLECTIONS - RECONSIDERATIONS/ APPEALS |
| 0938-0217 |
CONTRACTORS' INFORMATION COLLECTIONS INTERIM PAYMENT ADJUSTMENT FORMS FOR HHAS |
| 0938-0216 |
CONTRACTOR INFORMATION COLLECTION - PROVIDER PERMANENT REFERENCE FILE |
| 0938-0215 |
CONTRACTORS' INFORMATION COLLECTIONS--PERIODIC AUDIT OF PROVIDER/SUPPLIER CLAIMS DATA |
| 0938-0214 |
Medicare Secondary Payer Informaiton Collection and Supp. Regs. in 42 CFR 489.20, 411.25, 489.2 |
| 0938-0213 |
CONTRACTOR INFORMATION COLLECTION--CONTRACTOR PROGRAM INTEGRITY FORMS TO VERIFY SERVICES |
| 0938-0212 |
CONTRACTORS' INFORMATION COLLECTION--AUDIT PROGRAMS |
| 0938-0211 |
Installment Agreement on Beneficiary Refund of Overpayment, HCFA-Pub. 13-3 and HCFA-Pub. 14-3 |
| 0938-0210 |
FEDERAL RE-REVIEW PROCESS (MEDICAID ELIGIBILITY QUALITY CONTROL) |
| 0938-0209 |
MEDICARE - RURAL HEALTH CLINICS-REQUESTS FOR MEDICAL INFORMATION HCFA-PUB. 13-3 INTERMEDIARY MANUAL SEC. 3640.14 |
| 0938-0208 |
CONTRACTORS INFORMATION ON COLLECTIONS-REGIONAL OFFICE PROGRAM VALIDATION REVIEWS OF PROVIDERS AND MEDICAID AGENCIES |
| 0938-0207 |
CONTRACTORS' INFORMATION COLLECTIONS -- COMPREHENSIVE HEALTH CENTER FORMS |
| 0938-0206 |
REQUEST TO ADJUST CUSTOMARY CHARGE SCREEN |
| 0938-0205 |
QUESTIONNAIRE CONCERNING FORGED CHECK |
| 0938-0204 |
CONTRACTORS INFORMATION COLLECTIONS-HCFA REGIONAL OFFICE PROGRAM INTEGRITY FORMS TO VERIFY SERVICES |
| 0938-0203 |
"MEDICAID ELIGIBILITY QUALITY CONTROL," REGIONAL OFFICE COLLATERAL CONTACTS |
| 0938-0202 |
Home Office Cost Statement (CMS-287-22) |
| 0938-0201 |
CONTRACTORS' INFORMATION COLLECTION -- EXTENDED REPAYMENT SCHEDULE |
| 0938-0200 |
CONTRACTORS' INFORMATION COLLECTION SUPPLEMENTAL DESK REVIEW |
| 0938-0199 |
ANCILLARY SERVICES UTILIZATION STUDY |
| 0938-0198 |
EVALUATION OF NEW YORK'S LONG-TERM HOME HEALTH CARE PROGRAM |
| 0938-0197 |
QUESTIONNAIRE ON MEDICAID STATE AGENCY FRAUD AND ABUSE CONTROL ACTIVITIES |
| 0938-0196 |
MEDICARE MENTAL HEALTH DEMONSTRATION COST & STATISTICAL REPORT |
| 0938-0193 |
Medicaid State Plan Base Plan Pages (CMS-179) |
| 0938-0190 |
TELEPHONE SURVEYS OF MEDICARE PART B PROVIDERS AND BENEFICIARIES (TO EVALUATE PART B FIXED PRICE CONTRACTING) |
| 0938-0189 |
NATIONAL HEART TRANSPLANT STUDY |
| 0938-0188 |
329 REQUIREMENT FOR NARRATIVE NOTATION OF HOME HEALTH VISIT IN MEDICAL RECORDS |
| 0938-0186 |
DIRECT DEALING LETTER NO. 301-BILLING FOR PHYSICAL THERAPY SERVICES |
| 0938-0185 |
MEDICARE URBAN CLINICS DEMONSTRATION PRE-CLEARANCE ORDS 81-4-095 |
| 0938-0184 |
PRECLEARANCE: MEDIGAP HCFA-81-ORDS-32/AMG |
| 0938-0181 |
SURVEY FOR THE NATIONAL HOSPITAL RATE-SETTING STUDY |
| 0938-0180 |
MEDICARE MEDICARE INTERIM PAYMENT UPDATE REPORT |
| 0938-0179 |
CONTRACTOR'S INFORMATION COLLECTION - PROVIDER BASED PHYSICIAN FORMS |
| 0938-0178 |
CONTRACTORS INFORMATION COLLECTIONS - ADMISSIONS |
| 0938-0177 |
HOSPICE STATEMENTS OF REIMBURSEMENTS |
| 0938-0174 |
STUDY OF UNENTITLED ESRD POPULATION |
| 0938-0173 |
MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) DISPOSITION LIST |
| 0938-0170 |
Blood Bank Inspection Checklist and Report and Supporting Regulations in 42 CFR 493.1269-493-1285 |
| 0938-0169 |
QUESTIONNAIRE ON REGULATORY REFORM |
| 0938-0167 |
TRIAGE--COORDINATED CARE OF THE ELDERLY (BILLING FORMS) |
| 0938-0165 |
Prepaid Health Plan Cost Report (CMS-276) |
| 0938-0164 |
GPPP- SPECIAL ADMINISTRATIVE COST REPORT, QUARTERLY INVOICE & FINAL SPECIAL ADMINISTRATIVE COSTS |
| 0938-0163 |
MEDICARE REIMBRUSEMENT SETTLEMENT DATA FOR HOME HEALTH AGENCIES |
| 0938-0162 |
EVALUATION OF REIMBURSING FOR HOME DIALYSIS SERVICES |
| 0938-0161 |
HEALTH PREPAYMENT DATA CARD CODING SHEET |
| 0938-0160 |
LETTER TO COLLCT DATA ON STATE REGULATION OF MEDIGAP INSURANCE POLICIES |
| 0938-0159 |
MEDICARE REIMBURSEMENT SETTLEMENT DATA FOR HOSPITALS AND SKILLED NURSING FACILITIES |
| 0938-0157 |
NATIONAL ASSESSMENT OF MEDICARE DIAGNOSTIC AND SURGICAL DATA QUALITY |
| 0938-0156 |
PILOT TEST OF REVISED MEDICAID AND INTEGRATED QUALITY CONTROL FORMS |
| 0938-0155 |
Municipal Health Services Cost Report Form and Supporting Regulations 42 CFR 405.2470 |
| 0938-0153 |
PIP QUARTERLY REPORT FOR HOME HEALTH AGENCIES |
| 0938-0152 |
NATIONAL SECOND SURGICAL OPINION PROGRAM - REACTION TO TELEVISION'S "20/20", UNNECESSARY SURGERY PROGRAM |
| 0938-0151 |
Laboratory Personnel Report (CLIA) and Supporting Regulations (CMS-209) |
| 0938-0150 |
BILLING FORMS FORM MEDICARE/MEDICAID HOSPICE DEMONSTRATION |
| 0938-0149 |
EVALUATION OF THE SSOP MEDICARE DEMONSTRATIONS IN DETROIT AND NEW YORK AND THE MEDICAID PROGRAM IN MASSACHUSETTS |
| 0938-0147 |
State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations |
| 0938-0146 |
State Medicaid Eligibility Quality Control Sampling Plan (CMS-317) |
| 0938-0145 |
REQUEST FOR MEDICARE PAYMENT BY MMHD FACILITY |
| 0938-0144 |
Corrective Action Plan, Medicaid Eligibility Quality Control -- 42 CFR 431.800-820 |
| 0938-0143 |
FORM HCFA-231, "COMPENSATION SURVEY OF KEY ADMINISTRATIVE EMPLOYEES" |
| 0938-0142 |
MEDICARE REIMBURSEMENT SETTLEMENT DATA FOR OUTPATIENT PHYSICAL THERAPY PROVIDERS |
| 0938-0140 |
UNIFORM BILLING FORM |
| 0938-0139 |
APPLICATION FOR FEDERAL ASSISTANCE FOR ESRD NETWORK COORDINATING COUNCIL |
| 0938-0136 |
EVALUATION OF THE OKLAHOMA UTILIZATION REVIEW SYSTEM |
| 0938-0134 |
SURVEY OF MEDICAID REIMBURSEMENT POLICIES |
| 0938-0131 |
EVALUATION OF SECOND SURGICAL OPINION PROGRAMS FOR ELECTIVE SURGERY |
| 0938-0119 |
PRESURGICAL SCREENING PROGRAM COST BENEFIT ANALYSIS QUESTIONNAIRE |
| 0938-0117 |
UNIFORM BILL QUESTIONNAIRE |
| 0938-0114 |
ESRDD DEMONSTRATION PROJECT COST REPORT |
| 0938-0111 |
AMBULATORY HEALTH CARE CENTER STANDARDS FOR BUREAU OF COMMUNITY HEALTH SERVICES CENTERS |
| 0938-0108 |
MEDICAID QUALITY CONTROL THIRD PARTY RESOURCE WORKSHEET (HCFA 301C) - (ADDENDUM) THIRD PARTY LIABILITY REVIEW WORKSHEET (HCFA-301D) |
| 0938-0107 |
Independent Rural Health Clinic Cost Report (CMS-222-17) |
| 0938-0106 |
HOME DIALYSIS TARGET RATE REIMBURSEMENT AGREEMENT AND INSTRUCTIONS |
| 0938-0105 |
TUBERCULOSIS HOSPITAL REPORT FORM |
| 0938-0104 |
PSYCHIATRIC HOSPITAL SURVEY REPORT FORM |
| 0938-0103 |
PAPERWORK BURDEN ASSOCIATED WITH THE HOSPITAL SURVEY AND REQUEST TO ESTABLISH ELIGIBILITY |
| 0938-0102 |
Organ Procurement Organization/Histocompatibility Laboratory Cost Report (CMS-216-94) |
| 0938-0101 |
Medicaid Program Budget Report and Supporting Regs. (CMS-37) |
| 0938-0100 |
MEDICARE/MEDICAID SKILLED NURSING FACILITY SURVEY REPORT |
| 0938-0099 |
PENALTY REQUIREMENTS APPLICABLE TO THE EPSDT PROGRAM |
| 0938-0097 |
CHILD HEALTH STATUS REPORT |
| 0938-0094 |
Medicaid-Integrated Quality Control Review Manual Instructions and Supporting Regulations -- 42 CFR 431.800, .865 |
| 0938-0092 |
DEMONSTRATION PROJECT FOR CALCULATING ADJUSTED AVERAGE PER CAPITA COSTS |
| 0938-0091 |
Requests for Medicare Payment by Municipal Health Services Program (MHSP) Clinics |
| 0938-0089 |
'MEDICARE' REQUEST FOR CLAIM NUMBER VERIFICATION |
| 0938-0088 |
HOSPITAL INTERIM RATE CHANGE REPORT (PIP QUARTERLY REPORT) |
| 0938-0087 |
PSRO GRANT APPLICATION AND INSTRUCTIONS |
| 0938-0086 |
Disclosure of Ownership and Financial Control Interest Statement and Supporting Regulations Contained in 42 CFR 420.200-.206 and 455.100-.106 |
| 0938-0085 |
PAPERWORK BURDEN ASSOCIATED WITH THE END-STAGE RENAL DISEASE FACILITY SURVEY |
| 0938-0084 |
STERILIZATIONS AND HYSTERECTOMIES |
| 0938-0083 |
REQUEST FOR ADDITIONAL MEDICAL INFORMATION |
| 0938-0082 |
MEDICAID QUALITY CONTROL STATISTICAL REPORTS |
| 0938-0081 |
INSTRUCTIONS FOR COMPLETION OF FEDERAL ASSISTANCE REPORTS--MEDICAID FRAUD |
| 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) |
| 0938-0078 |
REQUEST FOR FEDERAL ASSISTANCE |
| 0938-0077 |
PROGRAM INTEGRITY ACTIVITY REPORT (REVISION OF HCFA-52 FORMERLY CALLED OPI POSTPAYMENT REVIEW SUMMARY-MEDICAID) |
| 0938-0076 |
MEDICAID/MEDICARE ABUSE REPORT |
| 0938-0075 |
RURAL HEALTH CLINIC BILLING |
| 0938-0074 |
(CMS-29) Request for Certification as Rural Health Clinic Form and Supporting Regulations |
| 0938-0073 |
RURAL HEALTH CLINIC SURVEY REPORT |
| 0938-0072 |
MEDICARE SECOND SURGICAL OPINION DEMONSTRATION PROJECTS |
| 0938-0071 |
Physical Therapist in Independent Practice Survey Report |
| 0938-0070 |
DELEGATED PROVIDER ADMISSIONS SUMMARY |
| 0938-0069 |
MEDICAID QUALITY CONTROL REVIEW SCHEDULE AND WORKSHEET |
| 0938-0067 |
Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program (CMS-64) |
| 0938-0066 |
PHYSICIAN EXTENDERS REIMBURSEMENT STUDY |
| 0938-0065 |
(CMS-1856) Outpatient Physical Therapy Speech Pathology Survey Report and Supporting Regulations |
| 0938-0064 |
ESRD TRANSPLANT INFORMATION |
| 0938-0063 |
PROFESSIONAL STANDARDS REVIEW ORGANIZATION ROUTINE FEDERAL REPORTING REQUIREMENTS |
| 0938-0062 |
ICF/IID Survey Report Form (CMS-3070G-I) and Supporting Regulations |
| 0938-0061 |
Quarterly Showing |
| 0938-0060 |
MONTHLY STATISTICAL REPORT ON MEDICAL CARE |
| 0938-0059 |
STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS, SERVICES |
| 0938-0057 |
INDIVIDUALIZED SERVICE PLAN (SHORT FORM, EXTENDED FORM 1 AND 2) |
| 0938-0056 |
HOSPITAL, HOSPITAL-SKILLED NURSING FACILITY COMPLEX, COST REPORT |
| 0938-0055 |
MEDICARE REQUEST FOR APPROVAL AS A SUPPLIER OF ESRD SERVICES IN THE MEDICARE PROGRAM |
| 0938-0054 |
HOSPITAL INSTITUTIONAL PLANNING QUESTIONNAIRE |
| 0938-0053 |
SUMMARY OF DEFICIENCIES NOT CORRECTED |
| 0938-0050 |
Hospitals and Health Care Complex Cost Report (CMS-2552-10) |
| 0938-0049 |
LABORATORY PERSONNEL QUALIFICATION APPRAISAL |
| 0938-0048 |
End Stage Renal Disease Death Notification |
| 0938-0046 |
End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration (CMS-2728) |
| 0938-0045 |
Request for Reconsideration of Part A Medicare Claim and Supporting Regulations in 42 CFR, 405.711 |
| 0938-0044 |
CONTRACTORS INFORMATION COLLECTIONS - STATE SURVEY AGENCY CORRECTION OF DEFICIENCY FORMS |
| 0938-0043 |
STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION AND CONTINUATION SHEET |
| 0938-0042 |
Request for Medicare Payment -- Ambulance and Supporting Regulations in 42 CFR Sections 410.1, 410.40, 424.124, 424.601, 414.605, 414.610, 414.615, 414.620, 414.625, and 424.32 |
| 0938-0041 |
Third Party Premium Billing Request and Supporting Regulations in 42 CFR 408.6 and 408.202 |
| 0938-0039 |
PROVIDER CHAIN OPERATOR DATA |
| 0938-0038 |
COST REPORT FORMS FOR GROUP PRACTICE PREPAYMENT PLANS WHICH DEAL DIRECTLY WITH HCFA |
| 0938-0037 |
Community Mental Health Center (CMHC) Cost Report (CMS-2088-17) |
| 0938-0036 |
REFERRAL AND TREATMENT PLAN |
| 0938-0035 |
Social Security Office (SSO) Report of State Buy-in Problems (CMS-1957) |
| 0938-0034 |
Request for Hearing for Part B Medicare Claim and Supporting Regulations in 42 CFR, 405.821 |
| 0938-0033 |
Request for Review of Part B Medicare Claim and Supporting Regulations in 42 CFR Sec. 405.807 |
| 0938-0032 |
MEDICARE/CLIA - DEPARTMENTAL CLINICAL LAB SURVEY REPORT FORM |
| 0938-0031 |
DETERMINING LEVEL OF CARE REQUIRED BY PATIENT IN SKILLED NURSING FACILITY |
| 0938-0027 |
(CMS-1880) Request for Certification as Supplier of Portable X-Ray and Portable X-Ray Survey Report Form |
| 0938-0025 |
Request for Termination of Premium Part A, Part B, or Part B Immunosuppressive Drug Coverage (CMS-1763) |
| 0938-0023 |
Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR Section 424.103 (CMS-1771) |
| 0938-0022 |
Home Health Agency Cost Report and Supporting Regulations (CMS-1728-20) |
| 0938-0021 |
PREPAYMENT PLAN FOR GROUP MEDICAL PRACTICES DEALING THROUGH A CARRIER |
| 0938-0020 |
REQUEST FOR INFORMATION - MEDICARE PAYMENTS FOR SERVICES TO A PATIENT NOW DECEASED |
| 0938-0016 |
PROVIDER BILLING FOR PATIENT SERVICES BY PHYSICIANS |
| 0938-0015 |
INPATIENT ADMISSION AND BILLING-CHRISTIAN SCIENCE SANATORIUM |
| 0938-0013 |
PROVIDER BILLING FOR MEDICAL AND OTHER HEALTH SERVICES |
| 0938-0012 |
HOME HEALTH AGENCY, AND COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, BILLING |
| 0938-0011 |
HOME HEALTH AGENCY REQUEST FOR CERTIFICATION PAPERWORK BURDEN ASSOCIATED WITH HOME HEALTH |
| 0938-0010 |
INPATIENT HOSPITAL AND SKILLED NURSING FACILITY ADMISSION AND BILLING |
| 0938-0008 |
Health Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424, Subpart C |
| 0938-0001 |
NATIONWIDE SURVEY OF INDEPENDENT PREPAID AND SELF-INSURED HEALTH PLANS |