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Centers for Medicare & Medicaid Services

Agency prefix 0938 · CMS · Cabinet Departments · Latest filing 2026-08-04

Agency summary

Agency code: CMS

Government type: Cabinet Departments

Indexed filings: 6267

Latest filing date: 2026-08-04

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Parent family and related agencies

Forms

OMB control numbers for Centers for Medicare & Medicaid Services
OMB Number Title Latest filing
0938-0842 IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program (CMS-10036) 2026-08-04
0938-1148 [Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398) 2026-07-30
0938-1147 [Medicaid] Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010 (CMS-10410) 2026-07-30
0938-1177 Beneficiary and Family Centered Data Collection (CMS-10393) 2026-07-27
0938-0568 Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A) 2026-07-27
0938-1289 Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb) (CMS-10569) 2026-07-23
0938-1340 National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) (CMS-10639) 2026-07-22
0938-0379 Hospice Survey and Deficiencies Report Form (CMS-643) 2026-07-21
0938-1271 Good Cause Processes (CMS-10544) 2026-07-17
0938-1222 Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment System (MIPS) (CMS-10450) 2026-07-17
0938-1144 Application To Be a Qualified Entity to Receive Medicare Data for Performance Measurement / Reapplication / Annual Report Worksheet (CMS-10394) 2026-07-17
0938-1368 Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711) 2026-07-14
0938-1433 Requirements Related to Surprise Billing; Part II (CMS-10791) 2026-07-07
0938-1395 Medicare Part C and Part D Program Audit Protocols (CMS-10717) 2026-07-06
0938-0992 Medicare Part C and D Reporting Requirements (CMS-10185) 2026-07-06
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) 2026-07-02
0938-0612 Clinical Laboratory Improvement Amendments (CLIA) and Supporting Regulations (CMS-R-26) 2026-07-02
0938-0920 Medicaid Managed Care and Supporting Regulations (CMS-10108) 2026-06-30
0938-0578 [Medicaid] Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367) 2026-06-29
0938-0921 [IRA Collection] Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110) 2026-06-25
0938-1384 Submissions of 1135 Waiver Request Automated Process (CMS-10752) 2026-06-22
0938-0338 Medicare and Medicaid Programs: Conditions of Participation for Portable X-ray Suppliers (CMS-R-43) 2026-06-17
0938-1452 Drug Price Negotiation for Initial Price Applicability Year 20XX under Sections 11001 and 11002 of the Inflation Reduction Act (IRA) - (CMS-10849) 2026-06-16
0938-1443 Negotiation Program Drug Selection for Initial Price Applicability Year 20XX under Sections 11001 and 11002 of the Inflation Reduction Act (IRA) - (CMS-10844) 2026-06-16
0938-0345 [Medicaid] Transformed - Medicaid Statistical Information System (T-MSIS) (CMS-R-284) 2026-06-15
0938-0948 HIPAA Administrative Simplification (Non-Privacy/Security) Complaint Form (CMS-10148) 2026-06-11
0938-0454 Physician Certifications/Recertification's in Skilled Nursing Facilities Manual Instruction (CMS-R-5) 2026-06-11
0938-1285 Data Submission for the Federally-facilitated Exchange User Fee Adjustment (CMS-10492) 2026-06-10
0938-1152 Collection of Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs, MMPs, and PACE Organizations (CMS-10340) 2026-06-10
0938-0786 [Medicaid] External Quality Review (EQR) of Medicaid and Children’s Health Insurance Program (CHIP) Managed Care, EQR Protocols, and Supporting Regulations (CMS-R-305) 2026-06-09
0938-1016 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CMS-10169) 2026-06-04
0938-1067 Hospice Conditions of Participation (CMS-10277) 2026-06-01
0938-0035 Social Security Office (SSO) Report of State Buy-in Problems (CMS-1957) 2026-05-29
0938-1171 Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432) 2026-05-28
0938-1352 Quality Measures and Administrative Procedures for the Hospital-Acquired Condition Reduction Program (CMS-10668) 2026-05-27
0938-1278 Implementation of Medicare Programs; - Medicare Promoting Interoperability Program (CMS-10552) 2026-05-27
0938-1022 Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210) 2026-05-27
0938-1232 Medical Loss Ratio (MLR) Data Form for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10476) 2026-05-13
0938-1175 PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431) 2026-05-13
0938-0778 Medicare Advantage Appeals and Grievance Data Form (CMS-R-282) 2026-05-13
0938-1314 Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621) 2026-05-12
0938-1347 Add-On Payments for New Medical Services and Technologies Paid Under the Inpatient Prospective Payment System (IPPS) (CMS-10638) 2026-05-05
0938-1163 Long Term Care Hospital (LTCH) Quality Reporting Program (CMS-10409) 2026-05-05
0938-1244 State-based Marketplace Annual Reporting Tool (SMART) (CMS-10507) 2026-04-30
0938-1091 (CMS-10282) Comprehensive Outpatient Rehabilitation Facilites (CORFs) Conditions of Participation (CoP) and Supporting Regulations 2026-04-27
0938-1042 HCPCS Modification to Code Set Form (CMS-10224) 2026-04-24
0938-1049 Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b) (CMS-10242) 2026-04-22
0938-0023 Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR Section 424.103 (CMS-1771) 2026-04-22
0938-1437 Advancing Interoperability and Improving Prior Authorization Processes (CMS-10843) 2026-04-20
0938-1367 Religious Nonmedical Health Care Institutions (RNHCIs) Conditions of Participation and Supporting Regulations (CMS-10712) 2026-04-17
0938-1069 Conditions of Participation: Requirements for Approval and Reapproval of Transplant Centers to Perform Organ Transplants and Supporting Regulations (CMS-10266) 2026-04-17
0938-1119 Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges (CMS-10371) 2026-04-16
0938-0354 Annual Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Participation Report (CMS-416) 2026-04-16
0938-1407 Prescription Drug Data Collection (RxDC) Reporting Instructions 2026-04-13
0938-0931 National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 (CMS-10114) 2026-04-13
0938-1207 Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment (CMS-10468) 2026-04-10
0938-1328 Initial Request for State Implemented Moratorium Form (CMS-10628) 2026-04-07
0938-1187 Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations (CMS-10433) 2026-04-07
0938-1319 [Medicaid] Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations under 42 CFR 440.70(f) and (g) (CMS-10609) 2026-04-01
0938-0763 CMS Plan Benefit Package (PBP) and Formulary CY 2027 (CMS-R-262) - IRA 2026-03-25
0938-1487 Medicare Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey (CMS-10931) 2026-03-20
0938-1193 Data Collection to Support Eligibility Determinations and Enrollment for Small Businesses in the Small Business Health Options Program (CMS-10439) 2026-03-09
0938-1406 Complaints Submission Process under the No Surprises Act (CMS-10779) 2026-03-04
0938-1415 Essential Community Provider-Network Adequacy (ECP/NA) Data Collection to Support QHP Certification (CMS-10803) 2026-03-03
0938-1355 Medicare Enrollment Application for Physician and Non-Physician Practitioners (CMS-855I) 2026-03-03
0938-1102 Medicare Quality of Care Complaint Form (CMS-10287) 2026-03-02
0938-1438 Supporting Statement for Agent/Broker Consent Information Collection (CMS-10840) 2026-02-27
0938-1371 Data Request and Attestation for PDP Sponsors (CMS-10691) 2026-02-27
0938-0878 Collection of Diagnostic Data in the Abbreviated RAPS Format from Medicare Advantage Organizations for Risk Adjusted Payments (CMS-10062) 2026-02-27
0938-1301 QHP Issuers Data Collection for Notices for Plan or Display Errors Special Enrollment Periods (CMS-10595) 2026-02-19
0938-1295 Essential Community Provider Data Collection to Support QHP Certification (CMS-10561) 2026-02-19
0938-1240 National Implementation of the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey (CMS-10500) 2026-02-19
0938-0983 Medicare EDI Enrollment Form and EDI Registration (CMS-10164 A/B) 2026-02-19
0938-0688 (CMS-R-13) Conditions of Coverage for Organ Procurement Organizations (OPOs) and Supporting Regulations 2026-02-19
0938-1127 Elimination of Cost-Sharing for full benefit dual-eligible Individuals Receiving Home and Community-Based Services (CMS-10344) 2026-02-18
0938-1051 Medicare Advantage and Prescription Drug Program: Final Marketing Provisions CFR 422.111(a)(3) and 423.128(a)(3) (CMS-10260) 2026-02-17
0938-0618 [Medicaid] Limitations on Provider Related Donations and Health Care Related Taxes; Medicaid and Supporting Regulations in 42 CFR 433.68 and 433.74 (CMS-R-148) 2026-02-17
0938-1429 Transparency in Pricing Information (CMS-10715) 2026-02-12
0938-1302 Provider Network Coverage Data Collection (CMS-10594) 2026-02-12
0938-1099 Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers (CMS-10338) 2026-02-12
0938-1013 Creditable Coverage Disclosure to CMS OnLine Form and Instructions (CMS-10198) 2026-02-12
0938-1344 Coverage of Certain Preventive Services Under the Affordable Care Act (CMS-10653) 2026-02-09
0938-1325 (CMS-10578) Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers 2026-02-09
0938-0833 Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities (CMS-R-306) 2026-02-09
0938-0147 State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations 2026-02-09
0938-1329 Information Collection Requirements for Non-Exchange Entities (CMS-10666) 2026-02-06
0938-0944 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10142) 2026-02-04
0938-0328 Hospital Conditions of Participation (COP) and Supporting Regulations (CMS-R-48) 2026-02-02
0938-1134 [Medicaid] Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204 (CMS-10391) 2026-01-29
0938-1445 [Medicaid] Medicaid Managed Care and Supporting Regulations (CMS-10855) 2026-01-21
0938-1454 Rural Emergency Hospital Quality Reporting (REHQR) (CMS-10870) 2026-01-13
0938-1270 Ambulatory Surgical Center Quality Reporting Program (CMS-10530) 2026-01-13
0938-1109 Hospital Outpatient Quality Reporting (OQR) Program (CMS-10250) 2026-01-12
0938-1280 [Medicaid] Medical Necessity and Contract Amendments Under Mental Health Parity (CMS-10556) 2025-12-30
0938-1250 Medicare Coverage of Items and Services in FDA Investigational Device Exemption Clinical Studies--Revision of Medicare Coverage (CMS-10511) 2025-12-30
0938-1455 Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA–PD Plan (CMS-10834) 2025-12-17
0938-1444 Annual Notice of Change and Evidence of Coverage for Applicable Integrated Plans in States that Require Integrated Materials (CMS-10824) 2025-12-16
0938-1378 Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form (CMS-10718) 2025-12-16
0938-1353 Marketplace Operations (CMS-10637) 2025-12-16
0938-1019 Hospital Notices: IM / DND (CMS-10065/10066) 2025-12-16
0938-1041 [Medicaid] Survey of Retail Prices (CMS-10241) 2025-12-11
0938-1279 Outcome and Assessment Information Set (OASIS-E2) (CMS-10545) 2025-12-10
0938-1308 Medicare Outpatient Observation Notice (MOON) (CMS-10611) 2025-12-09
0938-1486 Supplemental to Form CMS-2552-10: Weighted Median Medicare Advantage Organization Payer- Specific Negotiated Charge Data (CMS-10935) 2025-12-08
0938-1464 Medicare Health Outcomes Survey Field Test (CMS-10861) 2025-12-08
0938-1237 Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495) 2025-12-08
0938-1484 Accreditation of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers (CMS-10932) 2025-12-03
0938-1357 CLIA Proficiency Testing (PT) (CMS-10690) 2025-12-02
0938-1066 CAHPS Home Health Care Survey (CMS-10275) 2025-12-02
0938-0936 Solicitation for Applications for Medicare Prescription Drug Plan 2027 Contracts (CMS-10137) 2025-11-28
0938-0926 National Implementation of In-Center Hemodialysis CAHPS Survey (CMS-10105) 2025-11-26
0938-0907 Hospital Wage Index Occupational Mix Survey (CMS-10079) 2025-11-26
0938-0857 Recognition of Pass-Through Payment for Additional (New) Categories of Devices Under the Outpatient Prospective Payment System and Supporting Regulations (CMS-10052) 2025-11-26
0938-0832 Health Insurance Benefit Agreement and Supporting Regulations (CMS-1561/1561A) 2025-11-26
0938-0467 [Medicaid] Income and Eligibility Verification System Reporting and Supporting Regs. (CMS-R-74) 2025-11-26
0938-0443 Information Collection Requirements in 42 CFR Sections 478.18, 478.34, 478.36, and 478.42 QIO Reconsiderations and Appeals (CMS-R-72) 2025-11-26
0938-0426 HSQ-110 Acquisition, Protection, and Disclosure of Quality Improvement Organization (QIO) Information and Supporting Regulations (CMS-R-70) 2025-11-26
0938-1419 FOIA/Privacy Act Requests for Medicare Claims Data via CMS FOIA Public Portal (CMS-10781) 2025-11-25
0938-1369 Requirements for Hospitals to Make Public a List of Their Standard Charges (CMS-10707) 2025-11-25
0938-1204 Agent/Broker Data Collection in Federally-facilitated Health Insurance Exchanges (CMS-10464) 2025-11-25
0938-1485 [IRA Collection] Medicare Prescription Drug Inflation Rebate Program: Sections 11101 and 11102 of the Inflation Reduction Act (IRA) (CMS-10930) 2025-11-21
0938-1056 Medicare Enrollment Application: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers (Form 855S) 2025-11-21
0938-0566 Advance Beneficiary Notice of Non-Coverage (ABN) (CMS-R-131) 2025-11-21
0938-0930 Medicare Authorization to Disclose Personal Health Information (CMS-10106) 2025-11-20
0938-1106 Medicare Self-Referral Disclosure Protocol (CMS-10328) 2025-11-04
0938-1189 Minimum Essential Coverage (CMS-10465) 2025-11-03
0938-1086 Health Care Reform Insurance Web Portal Requirements 45 CFR part 159 (CMS-10320) 2025-11-03
0938-1310 Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers (CMS-10572) 2025-10-01
0938-1217 Payment Collections Operations Contingency Plan (CMS-10515) 2025-10-01
0938-1451 Medicare Part D Manufacturer Discount Program Agreement - IRA (CMS-10846) 2025-09-30
0938-1360 Electronic Visit Verification (EVV) Compliance Survey (CMS-10680) 2025-09-30
0938-1245 Conditions of Participation for Community Mental Health Centers and Supporting Regulations (CMS-10506) 2025-09-30
0938-1427 National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection (CMS-10749) 2025-09-25
0938-1135 Medicare Registration Application (CMS-855O) 2025-09-25
0938-1299 Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA) (CMS-10539) 2025-09-24
0938-1311 Pre-Claim Review Demonstration For Home Health Services (CMS-10599) 2025-09-22
0938-1054 Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261) 2025-09-19
0938-0581 Clinical Laboratory Improvement Amendments Application Form 42 CFR 493.1-.2001 (CMS-116) 2025-09-12
0938-1115 Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)) (CMS-10305) 2025-09-09
0938-1431 Medicare Severity Diagnosis Related Groups Reclassification Request (MS-DRGs) (CMS-10775) 2025-09-04
0938-1251 Healthcare Fraud Prevention Partnership (HFPP): Data Sharing and Information Exchange (CMS-10501) 2025-09-04
0938-0969 Medicare Fee-for-Service Early Review of Medical Records (CMS-10417) 2025-09-04
0938-1293 Medicare Program: Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) (CMS-10524) 2025-09-03
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) 2025-09-03
0938-0313 Hospice Request for Certification and Supporting Regulations (CMS-417) 2025-09-03
0938-1465 Part D Drug Management Program (CMS-10874) 2025-09-02
0938-1172 Blueprint for Approval of Affordable State-based and State Partnership Insurance Exchanges (CMS-10416) 2025-08-29
0938-1396 Medicare Part D Electronic Prescribing Tools (42 CFR 423.128(d)(4)-(5) and 423.160(b)(1)) (CMS-10755) 2025-08-14
0938-1249 Marketplace Quality Standards (CMS-10520) 2025-08-13
0938-0702 Compliance with Individual and Group Market Reforms under Title XXVII of the Public Health Service Act (CMS-10430) 2025-08-11
0938-1331 Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs (CMS-10598) 2025-08-06
0938-0950 Appointment of Representative and Supporting Regulations in 42 CFR 405.910 (CMS-1696) 2025-08-05
0938-0025 Request for Termination of Medicare Premium Part A, Part B, or Part B Immunosuppressive Drug Coverage (Part B-ID) and Request to Cancel Medicare Part B (Medical Insurance) (CMS-1763) 2025-08-05
0938-0573 Medicare Geographic Classification Review Board Procedures and Criteria and Supporting Regulations in 42 CFR, Section 412.256 (CMS-R-138) 2025-08-01
0938-1420 Pre-Claim Review Demonstration for Inpatient Rehabilitation Facility Services (CMS-10765) 2025-07-31
0938-1475 Part C and Part D Medicare Prescription Payment Plan Model Documents (CMS-10882) - IRA 2025-07-29
0938-0165 Prepaid Health Plan Cost Report (CMS-276) 2025-07-29
0938-1386 Applicable Integrated Plan Coverage Decision Letter (CMS-10716) 2025-07-28
0938-1327 The PACE Organization (PO) Monitoring and Audit Process in Part 460 of 42 CFR (CMS-10630) 2025-07-16
0938-1157 Student Health Insurance Coverage (CMS-10377) 2025-07-15
0938-1093 Disclosure and Recordkeeping Requirements for Grandfathered Health Plans under the Affordable Care Act (CMS-10325) 2025-07-15
0938-1077 Notice of Research Exception under the Genetic Information Nondiscrimination Act (CMS-10286) 2025-07-15
0938-0373 Medicare Participating Physician or Supplier Agreement (CMS-460) 2025-07-11
0938-1191 Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Health Benefits Exchanges, Medicaid and CHIP Agencies (CMS-10440) 2025-07-09
0938-1377 Medicare Enrollment Application for Clinics/Group Practices and Other Suppliers (CMS-855B) 2025-07-03
0938-1472 Quality Measures and Administrative Procedures for the Skilled Nursing Facility Value-Based Purchasing Program and Quality Reporting Program for the FY 2025 SNF PPS Proposed Rule (CMS-10895) 2025-07-01
0938-1254 Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices (CMS-10527) 2025-07-01
0938-1296 Medicare Advantage Model of Care Submission Requirements (CMS-10565) 2025-06-30
0938-0984 Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System (CMS-10175) 2025-06-27
0938-1094 Notice of Rescission of Coverage and Disclosure Requirements for Patient Protection under the Affordable Care Act (CMS-10330) 2025-06-25
0938-1402 Conditions of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID) (CMS-10777) 2025-06-24
0938-0251 Application for Enrollment in Medicare Part A, Internet Claim (iClaim) Application Screen, Modernized Claims System and Consolidated Claim (CMS-18F5) 2025-06-23
0938-1428 Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) (CMS-10798) 2025-06-18
0938-1390 Administrative Simplification HIPAA Compliance Review (CMS-10662) 2025-06-18
0938-1422 D-SNP Enrollee Advisory Committee (CMS-10799) 2025-06-17
0938-0734 Use Agreement (DUA) Limited Data Set (LDS) Forms Research Identifiable Files (FIF) Forms (CMS-R-235) 2025-06-17
0938-0732 Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246) 2025-06-17
0938-0447 End Stage Renal Disease Medical Information System ESRD Facility Survey and Supporting Regulations in 42 CFR 405.2133 (CMS-2744) 2025-06-17
0938-0050 Hospitals and Health Care Complex Cost Report (CMS-2552-10) 2025-06-11
0938-1401 Requirements Related to Surprise Billing: Qualifying Payment Amount, Notice and Consent, Disclosure on Patient Protections Against Balance Billing, and State Law Opt-in (CMS-10780) 2025-06-09
0938-0267 Comprehensive Outpatient Rehabilitation Facility (CORF) Certification and Survey Forms (CMS-359/360) 2025-06-04
0938-0880 Medicare/Medicaid Demonstration/Model Application (CMS-10069) 2025-06-02
0938-0046 End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration (CMS-2728) 2025-05-27
0938-0469 Fiscal Soundness Reporting Requirements (FSRR) (CMS-906) 2025-05-21
0938-0386 End State Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations (CMS-R-52) 2025-05-15
0938-0448 End Stage Renal Disease Death Notification (CMS-2746) 2025-05-14
0938-0151 Laboratory Personnel Report (CLIA) and Supporting Regulations (CMS-209) 2025-05-14
0938-1269 Hospice Information for Medicare Part D Plans (CMS-10538) 2025-05-13
0938-0978 Part D Coordination of Benefits Data (CMS-10171) 2025-05-13
0938-1257 CAHPS Hospice Survey CMS-10537) 2025-04-24
0938-1162 [Medicaid] Section 1115 Demonstration Projects Regulations at 42 CFR 431.408, 431.412, 431.420, 431.424, and 431.428 (CMS-10341) 2025-04-11
0938-1146 Summary of Benefits and Coverage and Uniform Glossary (CMS-10407) 2025-04-10
0938-1441 Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program (CMS-10831) 2025-04-07
0938-1426 Application For Medicare Part A and Part B Special Enrollment Period (Exceptional Circumstances) (CMS-10797) 2025-03-28
0938-1410 Dual Eligible Special Needs Plan Contract with the State Medicaid Agency (CMS-10796) 2025-03-28
0938-1230 Application for Enrollment in Medicare Part B (Medical Insurance) (CMS-40B) 2025-03-28
0938-0245 Request for Enrollment in Supplementary Medical Insurance (SMI) (CMS-4040) 2025-03-28
0938-1446 List of Screening Instruments for Housing Stability, Food Security, and Transportation Questions on Health Risk Assessments (HRAs) and Requirements for Integrated HRAs (CMS-10825) 2025-01-27
0938-1155 Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment (CMS-10401) 2025-01-15
0938-1154 Medication Therapy Management Program - Standardized Format (CMS-10396) 2025-01-15
0938-0659 [Medicaid] Medicaid Drug Utilization Review (DUR) Program (CMS-R-153) 2025-01-15
0938-0445 Quality Improvement Organization (QIO) Assumption of Responsibilities and Supporting Regulations (CMS-R-71) 2025-01-15
0938-1298 Federally Qualified Health Center Cost Report Form (CMS-224-14) 2025-01-14
0938-0701 Medicare Health Outcomes Survey (HOS) (CMS-10203) 2025-01-14
0938-0037 Community Mental Health Center (CMHC) Cost Report (CMS-2088-17) 2025-01-14
0938-0444 Final Peer Review Organizations Sanction and Supporting Regulations (CMS-R-65) 2024-12-23
0938-1346 Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans (CMS-10636) 2024-12-18
0938-0787 Request for Employment Information (CMS-R-297/CMS-L564) 2024-12-10
0938-1412 Patient Access Through Application Programming Interfaces (API) (CMS-10767) 2024-12-06
0938-0964 Medicare Prescription Drug Benefit Program - IRASA (CMS-10141) 2024-12-04
0938-0776 Medicare Program: Process for Making National Coverage Determinations (CMS-R-290) 2024-12-02
0938-1439 Improper Payment Pre-Testing and Assessment (IPPTA) (CMS-10829) 2024-11-22
0938-0935 Applications for Part C Medicare Advantage, 1876 Cost Plans, and Employer Group Waiver Plans to Provide Part C Benefits (CMS-10237) 2024-11-19
0938-0841 [Medicaid] State Children's Health Insurance Program and Supporting Regulations (CMS-R-308) 2024-11-15
0938-1326 The PACE Organization Application Process in 42 CFR Part 460 (CMS-10631) 2024-11-12
0938-0975 Medicare Drug Coverage and Your Rights (CMS-10147) 2024-11-05
0938-0270 The Financial Statement of Debtor and Supporting Regulations in 42 CFR, Section 405.376 (CMS-379 ) 2024-11-05
0938-1467 Medicare Change of Status Notice (MCSN) (CMS-10868) 2024-10-18
0938-1466 Retrospective Appeal Requests (CMS-10885) 2024-10-18
0938-0107 Independent Rural Health Clinic Cost Report (CMS-222-17) 2024-10-17
0938-1043 Conditions of Participation for Critical Access Hospitals and Supporting Regulations (CMS-10239) 2024-10-16
0938-0730 Subpart D-Private Contracts and Supporting Regulations (CMS-R-234) 2024-10-10
0938-0971 (CMS-10116) Medicare Program: Conditions of Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles 2024-10-09
0938-0334 Medicare and Medicaid Programs: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR Part 491 (CMS-R-38) 2024-10-07
0938-1111 Electronic Submission of Medicare Graduate Medical Education (GME) Affiliation Agreements (CMS-10326) 2024-10-02
0938-0960 The HIPAA Eligibility Transaction System (HETS) (CMS-10157) 2024-10-02
0938-0758 Hospice Facility Cost Report (CMS-1984-14) 2024-10-02
0938-0102 Organ Procurement Organization/Histocompatibility Laboratory Cost Report (CMS-216-94) 2024-10-02
0938-1393 Non-Quantitative Treatment Limitation Analyses and Compliance Under MHPAEA (CMS-10773) 2024-09-26
0938-1277 Program Integrity:Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014; Final Rule II (CMS-10516) 2024-09-26
0938-0977 Retiree Drug Subsidy Payment Request Instructions (CMS-10170) 2024-09-23
0938-0957 Retiree Drug Subsidy (RDS) Application and Instructions (CMS-10156) 2024-09-23
0938-0272 [Medicaid] Annual Report on §1915(c) Home and Community-Based Services Waivers (CMS-372(S)) 2024-09-20
0938-0976 Notice of Denial of Medicare Prescription Drug Coverage (CMS-10146) 2024-09-19
0938-0829 Notice of Denial of Medical Coverage (or Payment) (NDMCP) (CMS-10003) 2024-09-19
0938-0749 On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57 (CMS-R-263) 2024-09-16
0938-0193 Medicaid State Plan Base Plan Pages (CMS-179) 2024-09-16
0938-1196 Home Health Change of Care Notice (HHCCN) (CMS-10280) 2024-09-06
0938-0798 Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 413.65 (CMS-R-240) 2024-09-06
0938-1153 Hospice Quality Reporting Program (CMS-10390) 2024-09-05
0938-1268 [Medicaid] Medicaid Eligibility and Enrollment (EE) Implementation Advanced Planning Document (IAPD) Template (CMS-10536) 2024-09-04
0938-0790 Medicare and Medicaid; Programs For All-Inclusive Care For The Elderly (PACE) Contained in 42 CFR Part 460 (CMS-R-244) 2024-09-04
0938-1349 State Permissions for Enrollment in Qualified Health Plans in the Federally Facilitated Exchange & Non-Exchange Entities (CMS-10650) 2024-08-30
0938-1473 Supplemental to Form CMS-2552-10 Payment Adjustment for Establishing and Maintaining Access to Buffer Stock of Essential Medicines (CMS-10897) 2024-08-29
0938-1417 Distribution of GME Residency Positions Under Section 126 of the Consolidated Appropriations Act (CAA), 2021, and Section 4122 of the CAA, 2023 (CMS-10790) 2024-08-29
0938-0266 Ambulatory Surgical Center (ASC) Health Insurance Benefits Agreement Form, Request for Certification, Survey Report (CMS-377; CMS-370) 2024-08-29
0938-0202 Home Office Cost Statement (CMS-287-22) 2024-08-29
0938-1012 Payment Error Rate Measurement - State Medicaid and CHIP Eligibility (CMS-10184) 2024-08-28
0938-0994 Payment Error Rate Measurement in Medicaid & Children's Health Insurance Program (CHIP) (CMS-10178) 2024-08-28
0938-0981 National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102) 2024-08-28
0938-0974 Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program (CMS-10166) 2024-08-28
0938-1141 Rate Increase Disclosure and Review Reporting Requirements (CMS-10379) 2024-08-27
0938-1133 Disclosure Requirement for the In-Office Ancillary Services Exception (CMS-10332) 2024-08-27
0938-1080 Medical Necessity Disclosure Under MHPAEA and Claims Denial Disclosure Under MHPAEA (CMS-10307) 2024-08-26
0938-1286 Quality Improvement Strategy Implementation Plan and Progress Report (CMS-10540) 2024-08-14
0938-1399 Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections (CMS-10695) 2024-08-12
0938-1174 Essential Health Benefits Benchmark Plans (CMS-10448) 2024-08-09
0938-1435 Dispute Resolution for Discarded Drug Refunds (CMS-10835) 2024-08-08
0938-0769 Medicare Request for Retirement Benefit Information (CMS-R-285) 2024-08-08
0938-0953 Fast Appeals Notices: NOMNC/DENC (CMS-10123/10124) 2024-08-07
0938-1247 Generic Social Marketing & Consumer Testing Research (CMS-10437) 2024-08-06
0938-1221 Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488) 2024-08-01
0938-0685 Medicare Enrollment Application for Institutional Providers (CMS-855A) 2024-08-01
0938-0449 [Medicaid] Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003) 2024-07-31
0938-0860 New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System (CMS-10054) 2024-07-26
0938-1363 Reform of Requirements for Long-Term Care Facilities (CMS-10573) 2024-07-25
0938-1113 Implementation of the Medicare Prescription Drug Plan (PDP) and Medicare Advantage (MA) Plan Disenrollment Reasons Survey (CMS-10316) 2024-07-25
0938-1197 Health Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424, Subpart C (CMS-1500 and CMS-1490S) 2024-07-22
0938-1474 Rebate Reduction Requests underSections 11101 and 11102 of the Inflation Reduction Act (CMS-10858) - IRA 2024-07-19
0938-1476 Generic Collections for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398 Part II) 2024-07-11
0938-0080 Application for Part A (Hospital Insurance) and Part B (Medical Insurance) for People with End-Stage Renal Disease and Supporting Statute and Regulations in 42 CFR 406.7 and 406.13 (CMS-43) 2024-07-10
0938-1282 [Medicaid] Children's Health Insurance Program Managed Care and Supporting Regulations (CMS-10554) 2024-06-25
0938-1156 Establishment of Qualified Health Plans and American Health Benefit Exchanges (CMS-10400) 2024-06-18
0938-1453 [Medicaid] Medicaid Managed Care and Supporting Regulations (CMS-10856) 2024-06-14
0938-1409 The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD–10–PCS) (CMS-10774) 2024-06-12
0938-0273 Request for Certification in the Medicare and/or Medicaid Program to Provide Outpatient Physical Therapy (OPT) and/or Speech Pathology Services (OSP)- Initial and Extension Site Requests (CMS-381) 2024-06-12
0938-1258 Disclosure of State Rating Requirements Notice (CMS-10454) 2024-06-10
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) 2024-06-07
0938-1071 Ambulatory Surgical Centers Conditions of Coverage (CMS-10279) 2024-06-06
0938-1266 Cost-Sharing Reduction Reconciliation (CMS-10526) 2024-05-31
0938-0802 Transitional Pass through payments related to Drugs, Biologicals, and Radiopharmaceuticals to determine eligibility under the Outpatient Prospective Payment System (CMS-10008) 2024-05-24
0938-1281 Medicaid Managed Care Quality including Supporting Regulations in §§438.310, 438.330, 438.332, 438.334, and 438.340 (CMS-10553) 2024-05-14
0938-1397 Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams (CMS-10706) 2024-05-09
0938-1385 [Medicaid] Annual State Report on Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements (CMS-10722) 2024-05-03
0938-1188 Medicaid and CHIP Program (MACPro) (CMS-10434) 2024-05-02
0938-1394 Pharmacy Benefit Manager Transparency (CMS-10725) 2024-04-30
0938-1265 Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP (MBES/CBES Forms CMS-21 and -21B, -37, and -64) -- (CMS-10529) 2024-04-25
0938-1065 [Medicaid] State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Website and Hotline (CMS-10291) 2024-04-25
0938-1463 Supporting Statement for Direct Enrollment Entities (CMS-10877) 2024-04-22
0938-1461 Non-Standardized Plan Option Limit Exception Justification Form (CMS-10878) 2024-04-18
0938-0582 Medicaid Drug Rebate Program (MDRP): Quarterly State Invoice (CMS-R-144) and State Agency Contact Form (CMS-368) 2024-04-15
0938-1026 [Medicaid] Identifying Medicaid Payment for Physician Administered Drugs (CMS-10215) 2024-04-12
0938-1468 The Medicare Advantage and Prescription Drug Programs: Part C and Part DMedicare Advantage Prescription Drug (MARx) System Updates for the Medicare Prescription Payment Plan Program (CMS-10887 - IRA 2024-04-08
0938-1275 Generic Clearance for Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS) (CMS-10549) 2024-04-08
0938-1421 Medicare Advantage, Section 1876 Cost Plans, and Prescription Drug Program: Notification of Free Interpreter Services (CMS-10802) 2024-04-05
0938-1471 ADA Dental Claim Form (CMS-10883) 2024-04-04
0938-0746 Medicaid Disproportionate Share Hospital Annual Reporting (CMS-R-266) 2024-04-03
0938-1312 Establishment of an Exchange by a State and Qualified Health Plans (CMS-10593) 2024-03-29
0938-1284 Information Collection for Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs (CMS-10558) 2024-03-27
0938-1190 Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions (CMS-10466) 2024-03-14
0938-0676 Reconciliation of State Invoice (ROSI) (CMS-304) and Prior Quarter Adjustment Statement (PQRS) (CMS-304a) 2024-03-07
0938-0982 Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174) - IRA 2024-03-05
0938-0456 Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105 (CMS-R-64) 2024-03-01
0938-1382 Generic Clearance for Improving Customer Experience: OMB Circular A–11, Section 280 Implementation) (CMS-10710) 2024-02-29
0938-0599 CLIA Budget Workload Reports and Supporting Regulations (CMS-102, CMS-105) 2024-02-28
0938-1053 [Medicaid] Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249) 2024-02-23
0938-1028 HEDIS Data Collection for Medicare Advantage (CMS-10219) 2024-02-20
0938-1164 Medical Loss Ratio Annual Reports, MLR Notices, and Recordkeeping Requirements (CMS-10418) 2024-02-13
0938-1462 Reporting Requirements and Corrective Action Plans Under Section 1902(tt) of the Social Security Act (CMS-10875) 2024-01-30
0938-1424 Evaluation of the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC) (CMS-10769) 2024-01-26
0938-1341 Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (CMS-10592) 2024-01-26
0938-1343 Virtual Groups for Merit-Based Incentive Payment System (MIPS) (CMS-10652) 2024-01-24
0938-1129 Quality Bonus Payment Appeals (CMS-10346) 2024-01-19
0938-0997 Health Insurance Claims Form, UB-04 CMS 1450 2024-01-02
0938-1228 The Medicare Advantage and Prescription Drug Program: Part C Explanation of Benefits and Supporting Regulations (CMS-10453) - IRA 2023-12-21
0938-1440 Medicare Part C and Medicare Part D Enrollment Form Interviews (CMS-10816) 2023-12-08
0938-1264 Programs of All-Inclusive Care for the Elderly (PACE) PACE Quality Data Monitoring and Reporting (10525) 2023-12-08
0938-1457 CMS Health Equity Award – Call for Nominations (CMS-10866) 2023-11-27
0938-1218 [Medicaid] Basic Health Program Report for Health Insurance Exchange Premium (CMS-10510) 2023-11-24
0938-0287 Withholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31 (CMS-R-21) 2023-11-24
0938-0958 State Data for the Medicare Modernization Act (MMA) (CMS-10143) 2023-10-31
0938-0512 Organ Procurement Organization's Health Insurance Benefits Agreement and Supporting Regulations 42 CFR 486.301-486.348 (CMS-576 and CMS-576A) 2023-10-18
0938-1470 Patient Provider Dispute Resolution Requirements Related to Surprise Billing: Part II (CMS-10853) 2023-09-11
0938-1448 Payment Adjustment for Low-Volume Hospitals Under the Hospital Inpatient Prospective Payment System (IPPS) (CMS-10857) 2023-08-29
0938-1460 Special Requirements for Rural Emergency Hospitals (REHs) (CMS-10863) 2023-08-28
0938-1447 Medicare Disproportionate Share Hospital (DSH) Payments: Counting Days Associated With Section 1115 Demonstrations in the Medicaid Fraction (CMS-10839) 2023-08-28
0938-1458 Ambulatory Surgical Center (ASC) Covered Procedure List (CPL) Pre-Proposed Rule Recommendation Request (CMS-10809) 2023-08-25
0938-0022 Home Health Agency Cost Report and Supporting Regulations (CMS-1728-20) 2023-07-21
0938-1380 Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization Model Process and Requirements (CMS-10708) 2023-07-14
0938-1449 Negotiation Data Elements under Sections 11001 and 11002 of the Inflation Reduction Act (CMS-10847) 2023-06-30
0938-1078 Collection Requirements for Compendia for Determination of Medically-Accepted Indications for Off-label Uses of Drugs and Biologicals in an Anti-Cancer Chemotherapeutic Regimen (CMS-10302) 2023-06-27
0938-1361 Health Reimbursement Arrangements and Other Account-Based Group Health Plans (CMS-10704) 2023-06-20
0938-1029 Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs) (CMS-10221) 2023-06-07
0938-1388 Value in Opioid Use Disorder Treatment Demonstration (CMS-10728) 2023-05-31
0938-0626 Electronic Funds Transfer Authorization Agreement (CMS-588) 2023-05-15
0938-1450 End-stage Renal Disease (ESRD) Quality Incentive Program (QIP): Study of Quality and Patient Experience (CMS-10823) 2023-05-11
0938-1442 Medicare Advantage and Prescription Drug Program: Communications and Marketing Provisions (CMS-10837) 2023-05-01
0938-1037 Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool (CMS-10243) 2023-04-28
0938-1459 Generic Clearance for CMS and Medicare Administrative Contractor (MAC)Generic Customer Experience (CMS-10731) 2023-04-27
0938-0986 (CMS-437A and 437B) Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations 2023-04-21
0938-1456 Medicare Plan Performance Warning Information (CMS-10836) 2023-03-15
0938-1027 PACE State Plan Amendment Pre-print (CMS-10227) 2023-02-10
0938-1342 Evaluating Coverage to Care in Communities (CMS-10632) 2023-02-02
0938-0355 Home Health Agency Survey and Deficiencies Report and Supporting Regulations (CMS-1572) 2023-01-31
0938-0753 Medicare Advantage Program and Supporting Regulations (CMS-R-267) 2023-01-12
0938-1425 Supplemental to Form CMS-2552-10, Payment Adjustment for Domestic NIOSH-Approved Surgical N95 Respirators (CMS-10821) 2022-12-02
0938-1185 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (CMS-10415) 2022-11-29
0938-1436 Customer Satisfaction Survey for Enterprise Portal Services (EPS) Users (CMS-10789) 2022-11-10
0938-1205 Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel - CAC (CMS-10494) 2022-10-25
0938-1210 Report of a Hospital Dealth Associated with Restraint or Seclusion (CMS-10455) 2022-08-25
0938-1362 Home and Community Based Services (HCBS) Incident Management Survey (CMS-10692) 2022-06-29
0938-1373 Accrediting Organization Change of Ownership Requirements (CMS-10705) 2022-05-12
0938-0236 Independent Renal Dialysis Facility Cost Report (CMS-265-11) 2022-05-05
0938-0360 (CMS-3427) End Stage Renal Disease Application and Survey and Certification Report Form and Supporting Regulations 2022-05-04
0938-1423 Transparency in Pricing Information (CMS-10715) 2022-03-25
0938-1434 Patient-Reported Indicator Survey (PaRIS) (CMS-10792) 2022-03-02
0938-1297 Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575) 2022-02-25
0938-1430 SUPPORT for Patients and Communities Act Section 1003 Demonstration Evaluation (CMS-10786) 2022-02-23
0938-1432 Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Field Test (CMS-10793) 2022-02-07
0938-1215 Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges (CMS-10463) 2022-02-02
0938-1416 Estimation of Improper Payments of the Advanced Payment of Premium Tax Credit (APTC) in State Exchanges under the Affordable Care Act (CMS-10794) 2022-01-21
0938-1414 Omnibus COVID-19 Health Care Staff Vaccination (IFC) (CMS-10801) 2022-01-07
0938-1366 Information Collection Requirements Contained in the State Flexibility to Stabilize the Market Grant Program (CMS-10657) 2022-01-07
0938-0391 Statement of Deficiencies and Plan of Correction (CMS-2567) 2022-01-07
0938-1405 Prescription Drug and Health Care Spending (CMS-10788) 2021-11-23
0938-0062 ICF/IID Survey Report Form (CMS-3070G-I) and Supporting Regulations 2021-11-03
0938-0544 Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and supporting regulations (CMS-1557) 2021-11-02
0938-1372 Transparency in Pricing Information (CMS-10715) 2021-10-25
0938-1404 The Home Health Care CAHPS® Survey (HHCAHPS) Mode Experiment (CMS-10784) 2021-10-18
0938-1418 The ESRD Network Peer Mentoring Program (CMS-10768) 2021-10-12
0938-1274 (CMS–10531) Transcatheter Mitral Valve Repair (TMVR) National Coverage Decision (NCD) (CMS-10531) 2021-09-24
0938-1403 Agent and Broker Disclosure and Reporting Requirements (CMS-10787) 2021-09-17
0938-0065 (CMS-1856) Outpatient Physical Therapy Speech Pathology Survey Report and Supporting Regulations 2021-08-13
0938-0027 (CMS-1880) Request for Certification as Supplier of Portable X-Ray and Portable X-Ray Survey Report Form 2021-08-13
0938-1413 Medicare Beneficiary Experiences with Care Survey (MBECS) System (CMS-10701) 2021-07-30
0938-1391 CLIA Collection of Information Requirements Related to SARS-CoV-2 Test Results Reporting (CMS-10757) 2021-07-29
0938-1398 Accrediting Organization use of CMS Online Hospice Basic Training (CMS-10778) 2021-07-15
0938-1400 Evaluation of Risk Adjustment Data Validation (RADV) Appeals and Health Insurance Exchange Outreach Training Sessions (CMS-10764) 2021-06-28
0938-1023 Medicare Advantage Chronic Care Improvement Program (CCIP) Attestations (CMS-10209) 2021-06-17
0938-1236 CMS Identity Management System (CMS-10452) 2021-06-02
0938-0358 (CMS-437) Psychiatric Unit Criteria Work Sheet and Supporting Regulations 2021-06-01
0938-0074 (CMS-29) Request for Certification as Rural Health Clinic Form and Supporting Regulations 2021-06-01
0938-1034 Disclosures Required Regarding Physician Ownership and On-site Availability of an MD/DO (CMS-10225) 2021-05-21
0938-1246 Application for Participation in the Intravenous Immune Globulin (IVIG) Demonstration (CMS-10518) 2021-04-26
0938-0579 Business Proposal Forms For Quality Improvement Organizations (QIOs) (CMS-718-721) 2021-04-14
0938-0378 (CMS-724) MEDICARE/MEDICAID PSYCHIATRIC HOSPITAL SURVEY DATA AND SUPPORTING REGULATIONS 2021-04-14
0938-1411 Data Management Plan Self-Attestation Questionnaire (DMPSAQ) (CMS-10733) 2021-02-19
0938-1088 Medicaid Promoting Interoperability Program Document Templates (CMS-10292) 2021-02-09
0938-1309 QECP Annual Report Workbook Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10589) 2021-01-11
0938-1074 Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007 (CMS-10265) 2020-12-09
0938-1387 Medicare Coverage of Items and Services for Coverage with Evidence Development (CMS-10697) 2020-12-01
0938-1202 (CMS-10443) Transcatheter Valve Therapy Registry and KCCQ-10 2020-11-30
0938-0146 State Medicaid Eligibility Quality Control Sampling Plan (CMS-317) 2020-11-13
0938-1408 Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program – Contracting Forms (CMS-10744) 2020-11-05
0938-1288 Appropriate Use Criteria for Advanced Diagnostic Imaging Services (CMS-10570) 2020-10-29
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) 2020-09-25
0938-1375 Excepted Benefit Health Reimbursement Arrangements 2020-09-10
0938-1381 Collection of Premium Credit Adjustment Data Related to COVID-19 Emergency (CMS-10751) 2020-08-25
0938-1011 (CMS-10199) Data Collection for Medicare Beneficiaries Receiving Carotid Artery Stenting with Embolic Protection 2020-08-14
0938-1374 Hospital Survey for Specified Covered Outpatient Drugs (SCODs) (CMS-10709) 2020-08-10
0938-1379 Medicare Current Beneficiary Survey (MCBS) COVID-19 Rapid Response Supplement (CMS-P-0015A) 2020-07-23
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) 2020-07-06
0938-1376 Temporary Extraordinary Circumstances Exception for Excepted Provider-Based Departments (CMS-10730) 2020-05-11
0938-1358 Supporting Statement for Billing and Collection of the Separate Payment for Certain Abortion Services (CMS-10681) 2020-04-06
0938-1392 Electronic Medical Documentation Interoperability (EMDI) Pre and Post Pilot Measures Survey (CMS-10714) 2020-03-12
0938-0657 End-Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations (CMS-685) 2020-03-03
0938-0679 Durable Medical Equipment Medicare Administrative Contractors (MAC) Regional Carrier, Certificate of Medical Necessity and Supporting Documentation 2020-02-27
0938-0988 State Children's Health Insurance Program (SCHIP) Report on Payables and Receivables (CMS-10180) 2020-02-26
0938-0697 Medicaid Report on Payables and Receivables (R-199) 2020-02-26
0938-1262 Program Integrity Portal FWA Reporting Module - Part D Plans (CMS-10517) 2020-02-21
0938-1383 Program Integrity Portal FWA Reporting Module - Part C Plans (CMS-10724) 2020-02-20
0938-1389 Review and Approval Process for Waivers for State Innovation (CMS-10383) 2020-01-09
0938-1000 Medicare Parts C and D Program Audit Protocols and Data Requests (CMS-10191) 2020-01-07
0938-0897 Notification of MACs and CMS of Co-Located Medicare Providers 2019-12-20
0938-1121 Reporting Requirements for Grants to States for Rate Review Cycle IV and Effective Rate Review Program (CMS-10380) 2019-07-23
0938-1179 Medicare Enrollment Application- Reassignment of Medicare Benefits (CMS-855R) 2019-06-21
0938-1354 Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration (CMS-10673) 2019-04-29
0938-1370 Testing of Web Survey Design and Administration for CMS Experience of Care Surveys (CMS-10694) 2019-04-18
0938-0600 Medicare Credit Balance Reporting Requirements and Supporting Regulations in 42 CFR 405.371, 405.378, and 413.20 2019-04-12
0938-1365 Information Collection Requirement for Mid-Year Formulary Change Reporting and Notice Requirement (CMS-10696) 2019-04-09
0938-1364 Home Health (HH) National Provider Survey (CMS-10688) 2019-03-21
0938-1359 21st Century Cures Act Section 12002 IMD Study (CMS-10684) 2019-02-05
0938-1345 Appropriate Use Criteria (AUC) for Diagnostic Imaging Services: Consultation of Specified Applicable AUC through a Qualified Clinical Decision Support Mechanism (CDMS) (CMS-10654) 2018-12-18
0938-1356 Evaluation of the CMS Quality Improvement Organizations: Medication Safety and Adverse Drug Event Prevention (CMS-10675) 2018-12-06
0938-0691 Medicare Disproportionate Share Adjustment Procedures (CMS-R-194) 2018-10-05
0938-1300 Healthy Indiana Program (HIP) 2.0 Beneficiary Focus Groups and Informational Interviews (CMS-10615) 2018-07-05
0938-1158 (CMS-10336) Medicare and Medicaid Programs; Promoting Interoperability Program 2018-06-22
0938-1114 Medical Loss Ratio (IFR) Information Collection Requirements and Supporting Regulations (CMS-10361) 2018-05-23
0938-1351 Limited Wraparound Coverage Reporting (CMS-10571) 2018-04-17
0938-1169 Fee-for-Service Recovery Audit Prepayment Review Demonstration and Prior Authorization Demonstration (CMS-10421) 2018-02-07
0938-1350 CMS Tribal Long Term Services and Supports (LTSS) Program Survey 2018-01-10
0938-1235 Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration (CMS-10471) 2017-08-07
0938-1035 Provider Enrollment Chain and Ownership System (PECOS) Web Security Consent Form (CMS-10220) 2017-05-24
0938-1332 Montana Health and Economic Livelihood Partnership (HELP) Federal Evaluation (CMS-10635) 2017-05-16
0938-0967 (CMS-10151) Data Collection for Medicare Beneficiaries Receiving Implantable Cardioverter-defibrillators for Primary Prevention of Sudden Cardiac Death 2017-05-04
0938-0933 1932 State Plan Amendment Template (CMS-10120) 2017-04-21
0938-0301 Medicare Provider Cost Report Reimbursement Questionnaire and Supporting Regulations in 42 CFR 413.20, 413.24, and 415.60 (CMS-339) 2017-04-20
0938-1083 Medicare Program/Home Health Prospective Payment System Rate Update for CY2010: Physician Narrative Requirement, CY2011 Final Physician Face-to-Face Encounter 2017-03-24
0938-1313 Waiver Application for Providers and Suppliers Subject to an Enrollment Moratorium (CMS-10629) 2017-03-07
0938-0365 (CMS-R-39) Home Health Medicare Conditions of Participation (CoP) and Supporting Regulations 2017-03-02
0938-0610 (CMS-R-10) Advanced Directives (Medicare and Medicard) 2017-02-27
0938-1339 Evaluating a Pilot Mobile Health Program (CMS-10634) 2017-01-20
0938-1320 The Health Insurance Enforcement and Consumer Protections Grant Program (CMS-10605) 2016-12-20
0938-1315 Appropriate Use Criteria (AUC) for Diagnostic Imaging Services: Clinical Decision Support Mechanism (CDSM) Application Process (CMS-10624) 2016-11-22
0938-1330 (CMS-10622) Evaluation of the CMS Quality Improvement Organizations: Reducing Healthcare-Acquired Conditions in Nursing Homes 2016-11-15
0938-1097 Consumer Assistance Program Grants (CMS-10333) 2016-11-08
0938-1322 CMS Healthcare.gov Site Wide Online Survey 2016-10-14
0938-1321 Information Collection Requirements for Non-Exchange Entities (CMS-10633) 2016-10-06
0938-1324 Testing Experience and Functional Tools Demonstration: Personal Health Record (PHR) User Survey (CMS-10623) 2016-10-05
0938-1052 (CMS-10268) Consolidated Renal Operations in a Web Enabled Network (CROWNWeb) Third-party Submission Authorization Form 2016-09-29
0938-0818 (CMS-R-247) Expanded Coverage for Diabetes Outpatient Self-Management Training Services and Supporting Regulations 2016-09-29
0938-1214 Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology (CMS-10469) 2016-08-15
0938-1079 Grandfathering Provisions of the Medicare DMEPOS Competitive Bidding Program 2016-08-11
0938-0916 (CMS-10053) Paid Feeding Assistants in Long Term Care Facilities and Supporting Regulations 2016-07-29
0938-1073 Recovery Act - Reporting Requirements for States Under FMAP Increase and TMA Provisions (CMS-10295) 2016-07-22
0938-0692 Medicare and Medicare Advantage Programs; Notification Procedures for Hospital Discharges: Important Message From Medicare (CMS-R-193) 2016-07-20
0938-1203 Consumer Research Supporting Outreach for Health Insurance Marketplace 2016-06-27
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 2016-05-17
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 2016-05-11
0938-1316 (CMS-10600) Evaluation of the Medicare Patient Intravenous Immunoglobulin Demonstration 2016-05-03
0938-1192 Probable Fraud Measurement Pilot (CMS-10406) 2016-05-03
0938-1306 Temporary Reclassification for Grandfathered LTCH HwHs for Qualification for Temporary Exception from the Site Neutral Payment Rate for Certain Discharges 2016-04-27
0938-1194 Data Collection to Support Eligibility Determinations and Enrollment for Employees in the Small Business Health Options Program (CMS-10438) 2016-03-28
0938-1059 Physician Quality Reporting System (PQRS) (CMS-10276) 2016-03-23
0938-1323 Medicare Program; Reporting and Returning of Overpayments (CMS-10405) 2016-03-10
0938-1304 Medicare and Medicaid Program; Program Integrity Enhancements to the Provider Enrollment Process (CMS-10576) 2016-03-02
0938-1317 Reapplication Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10596) 2016-02-19
0938-1255 (CMS-10519) Physician Quality Reporting System and the Electronic Prescribing Incentive Program Data Assessment, Accuracy and Improper Payments Identification Support 2016-02-09
0938-1212 Evaluation of the Graduate Nurse Education Demonstration Program (CMS-10467) 2016-01-21
0938-1318 Home Health Face-to-Face Encounter Clinical Templates (CMS-10564) 2015-12-29
0938-1305 (CMS-10583) Medicare beneficiaries receiving beta amyloid positron emission tomography (PET) for dementia and neurodegenerative disease 2015-12-18
0938-1303 Small Business Health Options Program (SHOP) Effective Date and Termination Notice Requirements (CMS-10555) 2015-12-18
0938-0894 Medicare Ombudsman Customer Service Feedback Survey (CMS-10068) 2015-12-09
0938-1307 (CMS-10587) Medicare and Medicaid Programs: Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies 2015-11-25
0938-1287 Rural Health Clinics (RHCs) Reporting of Healthcare Common Procedure Coding System (HCPCS) and Other Codes as Required for RHC Claims and Supporting Regulations (CMS-10568) 2015-11-17
0938-1292 Coverage of Certain Preventive Services Under the Affordable Care Act (CMS-10459) 2015-09-23
0938-1283 Risk Corridors Data Validation for the 2014 Benefit Year (CMS-10582) 2015-09-01
0938-0653 Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777 (CMS-668B) 2015-08-12
0938-1291 (CMS–10551) Nursing Home NationalProvider Survey 2015-06-22
0938-1290 (CMS-10550) Hospital National Provider Survey 2015-06-22
0938-1139 Consumer Operated and Oriented Plan [CO-OP] Program (CMS-10392) 2015-04-28
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 2015-04-27
0938-1276 Executive Summary Form for Research Identifiable Data (CMS-10522) 2015-03-12
0938-1248 Employer Notification Request to HHS of its Objection to Providing Contraceptive Services (CMS-10535) 2015-03-09
0938-1272 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Mode Experiment (CMS-10542) 2015-03-03
0938-1273 Emergency Department Patient Experience of Care (EDPEC) Survey Mode Experiments (CMS-10543) 2015-02-27
0938-1173 Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS-10419) 2015-02-27
0938-0760 OASIS Collection Requirements as Part of the CoPs for HHAs and Supporting Regulations 2015-02-12
0938-1267 Risk Corridors Transitional Policy (CMS-10532) 2015-01-07
0938-1170 Payments for Services Furnished by Certain Primary Care Providers and Supporting Regulations in 42 CFR 438.6, 438.804, 447.400, and 447.410 (CMS-10422) 2014-11-19
0938-0756 MSInteractive Survey Tool for www.medicare.gov 2014-11-14
0938-1137 Letter Requesting Waiver of Medicare/Medicaid Enrollment Application Fee; Submission of Fingerprints; Submission of Medicaid Identifying Information; Medicaid Site Visit and Rescreening (CMS-10357) 2014-10-03
0938-1126 State Plan Preprint for Medicaid Recovery Audit Contractor (RAC) Program (CMS-10343) 2014-10-03
0938-1219 Medicaid Incentives for Prevention of Chronic Diseases Evaluation (CMS-10477) 2014-10-01
0938-1046 Certificate of Data Destruction for Data Acquired from the Centers for Medicare and Medicaid Services 2014-09-29
0938-1167 Community Based Care Transitions Program (CCTP) Implementation and Monitoring 2014-08-15
0938-1260 Improving Quality of Care in Medicaid and CHIP through Increased Access to Preventive Services, State Survey (CMS-10521) 2014-07-25
0938-1229 Survey on Core Competencies for the Direct Service Workforce (CMS-10512) 2014-05-08
0938-1252 Prospective Evaluation of Evidence-Based Community Wellness and Prevention Programs (CMS-10509) 2014-04-28
0938-1239 Nationwide Consumer Assessment of Healthcare Providers and Systems (DCAHPS) Survey for Adults in Medicaid (CMS-10493) 2014-04-28
0938-0731 Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI (CMS-21 and 21B) 2014-04-28
0938-0101 Medicaid Program Budget Report and Supporting Regs. (CMS-37) 2014-04-15
0938-1243 Hospice Quality Reporting Program: Program Evaluation 2014-03-31
0938-1238 Community First Choice Option Evaluation 2014-03-31
0938-1241 Inpatient Rehabilitation Facilities Quality Reporting Program: Program Evaluation 2014-03-19
0938-1242 Long Term Care Hospitals Quality Reporting Program: Program Evaluation 2014-03-18
0938-1216 State Health Insurance Exchange Security Incident Report 2014-03-06
0938-1253 Evaluation of the Rural Community Hospital Demonstration 2014-02-12
0938-1256 Evaluation of the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration: Provider Survey 2014-02-03
0938-0714 Issuance of Advisory Opinions Concerning Physicians' Referrals (CMS-R-216) 2014-01-24
0938-1226 Physician Quality Reporting System and the Electronic Prescribing Incentive Program 2014-01-09
0938-1225 Medicaid Emergency Psychiatric Services Demonstration Evaluation 2013-12-23
0938-1263 Medicare Health Care Quality (MHCQ) Demonstration Evaluation: Focus Group and Interview Protocols (CMS-10497) 2013-12-06
0938-0951 Collection of Drug Pricing and Network Pharmacy Data from Medicare Prescription Drug Plans (PDP and MA-PD) and Supporting Regulations in 42 CFR 423.48 2013-12-06
0938-1009 Physician Self-Referral Exceptions for Electronic Prescribing and Electronic Health Records (CMS-1303-F) 2013-11-22
0938-1231 Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest 2013-11-18
0938-1233 Medicare Enrollment Application for Registration of Eligible Entities That Provide Health Insurance Coverage Complementary to Medicare Part B and Supporting Regulations 2013-11-12
0938-1234 End Stage Renal Disease (ESRD) System Access Request Form 2013-10-31
0938-1261 Medicare and Medicaid Programs: Conditions of Participation for Community Mental Health Centers and Supporting Regulations in 42 CFR 485 2013-10-30
0938-0214 Medicare Secondary Payer Informaiton Collection and Supp. Regs. in 42 CFR 489.20, 411.25, 489.2 2013-10-25
0938-1259 Health Care Sharing Ministries Information Collection 2013-10-23
0938-1213 Program Integrity and Additional State Information Collections 2013-09-17
0938-0565 IRS/SSA/CMS Data Match and Supporting Regulations in 42 CFR Sections 411.20-411.206 2013-09-13
0938-1224 Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration: Focus Group Protocols 2013-09-12
0938-1223 Evaluation of the Multi-Payer Advance Primary Care Practice (MAPCP) Demonstration: Conduct Beneficiary Experience with Care Surveys 2013-09-10
0938-0246 Certification of Medicaid Eligibilty Quality Control (MEQC) Payment Error Rates and Supporting Regulations at 42 CFR.431.800 through 431.865 2013-08-26
0938-1227 Requirements for the Medicare Incentive Reward Program and Provider Enrollment 2013-08-13
0938-1100 Pre-Existing Condition Insurance Plan and Supporting Regulations 2013-08-06
0938-1176 Recognized Accrediting Entities Data Collection (45 CFR part 156.275) 2013-08-05
0938-1107 Parts C and D Complaints Resolution Performance Measures 2013-07-30
0938-1098 Tribal Consultation State Plan Amendment Template (CMS-10293) 2013-07-30
0938-0838 Collection of Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted Payments 2013-07-30
0938-0952 Federal Funding of Emergency Health Services (Section 1011); Provider Payment Determination and On-Call Cost Forms 2013-07-19
0938-0929 FEDERAL REIMBURSEMENT OF EMERGENCY HEALTH SERVICES FURNISHED TO UNDOCUMENTED ALIENS (SECTION 1011) PROVIDER ENROLLMENT APPLICATION 2013-07-19
0938-1161 Pre-Existing Condition Insurance Plan (PCIP) HIPAA Authorization Form 2013-06-18
0938-1208 Hospice Experience of Care Survey 2013-06-11
0938-0067 Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program (CMS-64) 2013-05-28
0938-1209 Emergency Room Patient Experiences with Care Survey 2013-05-01
0938-1211 Evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration 2013-04-30
0938-1199 MAC Satisfaction Indicator (MSI) Participant Registry 2013-04-04
0938-0866 ICRs Contained in 45 CFR Part 162; HIPAA Standards for Electronic Transactions 2013-03-29
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) 2013-03-22
0938-1200 Evaluation and Development of Outcome Measures for Quality Assessment in Medicare Advantage and Special Needs Plans 2013-03-08
0938-1149 Version 5010/ICD-10 Industry Readiness Assessment 2013-03-08
0938-1195 Medicare Advantage Quality Bonus Payment Demonstration 2013-03-05
0938-0949 Health Insurance Reform Security Standards - Final Rule 2013-02-28
0938-0850 State Health Insurance Assistance Program (SHIP) Client Contact Form, Pubic and Media Activity Form, and Resource Report Form 2013-02-26
0938-1198 Medicare Enrollment Application for Clinics/ Group Practice and Certain Other Suppliers 2013-02-12
0938-1186 Home and Community-Based Services (HCBS) Experience Survey 2013-02-04
0938-1150 Early Retiree Reinsurance Program: Survey of Plan Sponsors 2013-01-25
0938-1201 Medicare Plan Finder Experiment 2012-12-07
0938-1181 Durable Medical Equipment Face-to-Face Requirements 2012-11-28
0938-0999 Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424 Subpart C 2012-11-28
0938-1184 Minimum Data Set for Medicaid Incentives for Prevention of Chronic Diseases Program Grantees 2012-10-22
0938-1206 Evaluation of Patient Satisfaction and Experience of Care for Medicare Beneficiaries with ESRD: Impact of the ESRD Prospective Payment System (PPS) and ESRD Quality Incentive Program (QIP) 2012-10-18
0938-0979 New Freedom Initiative - Web-based Reporting System for Grantees (CMS-10161) 2012-10-11
0938-1166 Health Plan Identifier, Other Entity Identifier, and Change to National Provider Identifier Requirements 2012-09-26
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) 2012-09-24
0938-1180 For-Profit PACE Study 2012-07-27
0938-1183 Surveys of Physicians and Home Health Agencies to Assess Access Issues for Specific Medicare Beneficiaries as Defined in Section 3131(d) of the ACA 2012-06-27
0938-1178 Medicare Enrollment Application for Physician and Non-Physician Practitioners 2012-06-25
0938-0941 Medicare Demonstration Ambulatory Care Quality Measure Performance Assessment Tool ("PAT") 2012-05-22
0938-1168 Cooperative Agreement to Support Establishment of the Affordable Care Act's Health Insurance Exchanges 2012-05-21
0938-1182 Analysis of Transportation Barriers to Utilization of Medicare Services by American Indian and Alaska Native Medicare Beneficiaries 2012-04-26
0938-1165 Nursing Home Quality Improvement Questionnaire 2012-02-15
0938-1087 Early Retiree Reinsurance Program 2012-02-14
0938-1159 Section 1115 Demonstration: Long Term Services and Supports and Other Service Models for Individuals with Disabilities and Chronic Conditions 2011-12-20
0938-1095 Application for Coverage in the Pre-Existing Condition Insurance Plan 2011-12-19
0938-1145 State Balancing Incentive Payments Program (BIPP) 2011-11-30
0938-1160 CMS National Balancing Indicators Project (NBIP) Direct Service Workforce (DSW) Data Collection Effort 2011-11-22
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 2011-10-24
0938-1151 Medicaid Program; Medicaid State Plan Preprint for Use by States When Implementing Section 6401, Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid and CHIP 2011-10-12
0938-1125 Expedited Checklist: Medicaid Eligibility & Enrollment Systems - Advance Planning Document (E&E-APD ) (CMS-10385) 2011-10-07
0938-1050 QualityNet Identity Management System (QIMS) Account Form 2011-09-28
0938-1138 eRx Incentive Program Submission of Significant Hardship Exemption to Avoid the eRx Payment Adjustment 2011-08-29
0938-1142 Autism Spectrum Disorders (ASD): State of the States in Services and Supports for People with ASD 2011-07-25
0938-1143 Consumer Research on Public Reporting of Hospital Quality Measures (CMS-10360) 2011-07-07
0938-1103 Medicare Gainsharing Demonstration Evaluation: Physician Focus Groups 2011-07-06
0938-1105 Process for Obtaining Waivers of the Annual Limits Requirements of PHS Act Section 2711 2011-06-29
0938-0910 Detailed Explanation of Non-Coverage (42 CFR 422.626(e)(1)), and Notice of Medicare Non-Coverage (42 CFR 422.624(b)(1)) 2011-06-20
0938-1131 Medicaid Emergency Psychiatric Demonstration 2011-06-16
0938-0954 Medicare Part B Drug and Biological Competitive Acquisition Program and Supporting Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914, 414.916, and 414.917 2011-06-15
0938-1132 Medical Loss Ratio - Quarterly Reporting for Mini-med Plans and Expatriate Plans 2011-06-09
0938-1136 Provider-Preventable Conditions under 42 CFR 438.6 and 447.26 and Title 2702 Non-Payment Preprint (Attachment 4.19) 2011-06-06
0938-1047 State Plan Pre-print for Integrated Medicare and Medicaid Programs (CMS-10251) 2011-05-25
0938-1045 State Plan Template to Implement Section 6062 of the DRA (Opportunity for Families of Disabled Children to Purchase Medicaid Coverage for Such Children) CMS-10232 2011-05-25
0938-0939 Phone Surveys of Product/Service for Medicare Payment Validation and Supporting Regulations in 42 CFR, 405.502 2011-05-13
0938-1085 Temporary High Risk Pool Program (CMS-10319) 2011-03-31
0938-1128 Medicaid State Plan Preprint for Use by States When Implementing Section 6505, the Prohibition on Payments to Institutions or Entities Located Outside of the United States 2011-03-21
0938-0919 1-800-MEDICARE Beneficiary Satisfaction Survey (CMS-100098) 2011-03-04
0938-1123 MMIS APD Template for Use by States When Implementing the Mandatory National Correct Coding Initiative in Medicaid, implementation of Section 6507 of ACA (CMS-10358) 2011-02-25
0938-1118 Preliminary Establishment for Territories Cooperative Agreements for the Affordable Care Act Exchanges 2011-01-14
0938-1101 Limited Competition for State Planning and Establishment Grants for the Affordable Care Act's Exchanges 2011-01-13
0938-1122 Current State Practices Related to Payments to Providers for Health Care-Acquired Conditions 2011-01-05
0938-1124 Medicare Community-based Care Transitions Program 2010-12-28
0938-1033 Medicaid State Program Integrity (SPIA) CMS-10244 2010-12-17
0938-1336 Agent Broker Training Requirements 2010-12-13
0938-1337 Changes to Close the Part D Coverage Gap, Improvements to MTM Programs, Independence of LTC Consultant Pharmacists 2010-12-06
0938-1333 The Medicare Advantage and Prescription Drug Program: Customized Enrollee Data 2010-12-06
0938-1096 Data Collection for Developing Outpatient Therapy Payment Alternatives (DOTPA) 2010-12-06
0938-1120 Evaluation of Practice Models for Dual Eligibles and Medicare Beneficiaries with Serious Chronic Conditions 2010-11-26
0938-1338 De Minimis for LIS Individuals and Uniform Exceptions and Appeals Process for Prescription Drug Plans and MA-PD Plans 2010-11-23
0938-1335 Notification of Involuntary Disenrollment by the Centers for Medicare & Medicaid Services for Failure to Pay the Part D Income Related Monthly Adjustment Amount 2010-11-23
0938-1075 Optional Dental-only Supplemental Coverage SPA Template (CMS-10289) 2010-11-02
0938-0429 Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53 2010-10-27
0938-1110 Cooperative Agreements to Support Innovative Exchange Information Technology Systems 2010-10-20
0938-1117 The Medicare Acute Care Episode Demonstration 2010-09-30
0938-1108 Medicaid Savings Program Protection from Medicaid Estate Recovery -- State Plan Preprint Under Title 19 (CMS-10314) 2010-09-23
0938-1039 Data Collection for the Nursing Home Value-Based Purchasing (NHVBP) Demonstration 2010-09-20
0938-0915 Medicare Contractor Provider Satisfaction Survey (MCPSS) and Supporting Regulations in 42 CFR 421.120, 421.122 and 421.201 2010-09-01
0938-1112 Survey to Inform the Children's Health Insurance Program (CHIP) National Outreach & Education Campaign 2010-08-30
0938-1092 Grants to States for Health Insurance Premium Review 2010-08-25
0938-0965 Electronic Health Records (EHR) Demonstration System (EHRDS) - practice application and profile update system 2010-08-06
0938-0470 The Application for Federal Qualification (CMS 901A) Regulations in 42 CFR Section 417.140 and the Medicare Health Care Prepayment Plan Application (CMS 901D) in 42 CFR 417.800. 2010-08-06
0938-1334 Credentialing and Privileging Process for Physicians and Practitioners Providing Telemedicine Services 2010-07-22
0938-1116 Patient Safety Survey Under the 9th SOW: Nursing Home In Need (NHIN) 2010-07-22
0938-1082 Option to Cover Certain Children and Pregnant Women Lawfully Residing in the U.S. State Plan Amendment Template (CMS-10299) 2010-07-21
0938-1020 Requests by Hospitals for an Alternative Cost-to-Charge Ratio (CMS-10179) 2010-06-30
0938-1024 State Plan Pre-print implementing Section 6087 of the DRA: Optional Self Direction PAS Program (Cash and Counseling) CMS-10234 2010-05-10
0938-1089 Affordable Care Act Enrollment Opportunity Notice Relating to Extension of Dependent Coverage 2010-05-07
0938-1015 Evaluation of Medicare National Competitive Bidding Program for DME 2010-04-19
0938-1104 Program Evaluation of the Ninth Scope of Work Quality Improvement Organization Program (CMS-10294) 2010-04-12
0938-1072 Evaluation of the Medicare Care Management Performance Demonstration and the Electronic Health Records Demonstration 2010-02-19
0938-1084 Additional State Plan Option for Providing Premium Assistance State Plan Templates under Title XIX and XXI (CMS-10300) 2010-02-04
0938-1081 Consumer Research on Public Reporting of Hospital Outpatient Measures (CMS-10310) 2010-01-25
0938-1090 Electronic Health Records (EHR) Testing 2009-12-02
0938-0869 Survey of Newly Eligible Medicare Beneficiaries 2009-10-30
0938-0993 State Plan preprints to implement Sections of the Deficit Reduction Act of 2006 (CMS-10190) 2009-10-27
0938-1076 State Plan Pre-print to Implement Required Dental Benefits Pursuant of CHIPRA 2009 (CMS-10288) 2009-10-21
0938-0892 Publication Usage Survey 2009-10-02
0938-1062 Recovery Act of 2009 - Request for Review If You Have Been Denied Premium Assistance 2009-09-17
0938-1070 State Plan Amendment Template for Transitional Medical Assistance for Low-Income Families (CMS-10283) 2009-09-11
0938-0738 National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries 2009-08-31
0938-1068 Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009, State Option Pre-print to Include Pregnant Women in Title XXI. (CMS-10284) 2009-08-19
0938-1044 Submission of Information for the Hospital Outpatient Quality Data Program 2009-08-19
0938-0781 Home Health Advance Beneficiary Notices and Supporting Regulations in 42 CFR, Section 411.404 and 484.10(a) and (e) 2009-08-19
0938-0703 Information Collection Requirements Referenced in HIPAA for the Individual Market, Supporting Regulations 45 CFR 148, and Forms/Instructions 2009-08-04
0938-0955 Medicare Part B Drug and Biological Competitive Acquisition Program Applications 2009-06-24
0938-1061 Supplemental Appropriations Act of 1008 Mandated Report to Congress (CMS-10281) 2009-04-29
0938-0739 MPAF Data and Supporting Regulations in 42 CFR Sections 413.337, 413.343, 424.32 and 483.20 2009-04-02
0938-0242 Fire Safety Survey Report Forms (CMS-2786) 2009-04-02
0938-0502 Medicaid - Determining Third Party Liability (TPL) State Plan Preprint and Supporting Regulation in 42 CFR 433.138 (CMS-R-107) 2009-03-30
0938-1060 Hospital Leadership Quality Assessment Tool (HLQAT) 2009-01-30
0938-0827 HIPAA Nondiscrimination Provisions 2009-01-05
0938-0819 HIPAA Nondiscrimination Provisions (Regulation HCFA-2078-F) 2008-12-17
0938-0741 Medicare Advantage & Part D Disenrollment Requests Through 1-800-MEDICARE 2008-11-04
0938-1058 Medicare Registration Summary and Medication History Personal Health Record Evaluation 2008-10-29
0938-0990 Model Creditable Coverage Disclosure Notices 2008-10-29
0938-1064 Evaluation of the Home Health Pay for Performance Demonstration: Survey instrument 2008-10-21
0938-1063 National Medicare Training Program Needs Assessment Survey 2008-10-09
0938-0872 Minimum Data Set (MDS) For Swing Bed Hospitals and Supporting Regulations in 42 CFR 483.20 and 413.337 2008-09-05
0938-1057 Evaluation of the Medicare Care Management Performance Demonstration 2008-09-04
0938-0987 Competitive Acquisition Program (CAP) for Medicare Part B Drugs: CAP Physician Election Agreement 2008-06-27
0938-1055 HIFA Evaluation Enrollee Survey (CMS-10262) 2008-06-17
0938-1048 Evaluation of Care and Disease Management Under Medicare Advantage 2008-05-19
0938-1017 Evaluation of the Medical Adult Day Care Services Demonstration 2008-05-06
0938-0359 Medical Records Review Under PPS and Supporting Regulations at 42 CFR 412.40-412.52 2008-05-02
0938-1036 Survey of Contract Labor in Selected Health Industries 2008-01-08
0938-1038 Cost and Resource Utilization (CRU) Data Collection for the Medicare Post Acute Care Payment Reform Demonstration 2007-12-20
0938-0526 Quality Improvement (formerly Peer Review) Organization Contracts: Solicitation of Statement of Interest from In-State Organizations, General Notice and Supporting... 2007-12-20
0938-0372 ESRD Beneficiary Selection and Supporting Regulations Contained in 42 CFR 414.330 2007-12-17
0938-1040 Testing of Revised OASIS Instrument for Home Health Quality Measures & Data Analysis 2007-11-21
0938-0846 Physicians' Referrals to Health Care Entitles With Which They Have Financial Relationships and Supporting Regulations in 42 CFR, Sections 411.352, 411.354,411.355,411.357 and 411.361 2007-11-19
0938-0989 Individuals Authorized Access to the CMS Computer Services 2007-10-25
0938-0995 Disclosure of Financial Relationships Report ("DFRR") - Section 5006 of the DRA 2007-10-09
0938-0795 Conflict of Interest and Ownership and Control Informaiton 2007-09-28
0938-1032 Regional PPO Risk-Sharing Reconciliation Cost Report 2007-08-09
0938-1031 Physician Survey for the 2006 Medicare Oncology Demonstration Program 2007-07-26
0938-1030 Medicare Competitive Acquisition Program (CAP) for Part B Drugs Evaluation: CAP Physician Survey 2007-07-25
0938-1007 Alternative Benefits State Plan Amendment Health Opportunity Accounts Demonstration Program (CMS-10216) 2007-06-20
0938-0296 Medicare ESRD Exceptions 2007-04-15
0938-0911 Review of National Coverage Determinations and Local Coverage Determinations and Supporting Regulations in 42 CFR, Sections 426.400 and 426.500 2007-03-30
0938-0905 Accepting New Patients Indicator UPIN (Unique Physician Identification Number) Participating Physicians Directory 2007-03-30
0938-1025 Evaluation of the Medical Adult Day-Care Services Demonstration - Phase I 2007-03-14
0938-1021 Assessing Degrees of Health Care Involvement Survey 2007-03-13
0938-0709 Data Collection for the Second Generation Social Health Maintenance Organization Demonstration 2007-02-20
0938-1018 Evaluation of the Medical Adult Day-Care Services Demonstration - Phase I 2007-02-08
0938-0658 End-Stage Renal Disease (ESRD) Network Business Proposal Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR 405.2112 2006-12-22
0938-1014 Data Collection for Administering the Medicare Health Improvement Survey 2006-11-29
0938-0564 Proper Claim Not Filed and Supporting Regulation Contained in 42 CFR 411.32(c) 2006-10-17
0938-0918 National Voluntary Hospital Reporting Initiative--Hospital Quality Measures 2006-10-16
0938-0575 Medicare Physician Fee Schedule Geographic Practice Expense Index (GPCI) 2006-10-16
0938-1010 Mail Survey of Medicare Advantage Special Needs Plans / Focus Groups with Enrollees of Medicare Advantage SNPs 2006-10-04
0938-1006 Evaluation of Home Health Independence Demonstration: Home Health Agency Survey 2006-10-03
0938-0484 Emergency and Foreign Hospital Services Beneficiary Statement in Canadian/Mexican Travel Claims and Supporting Regulations in 42 CFR, Section 424.123 2006-09-15
0938-1008 Medicare Clinical Laboratory Services Competitive Bidding Demonstration Project : Bidding Form 2006-08-30
0938-1005 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Accreditation Proposals from Independent Accrediting Bodies 2006-08-11
0938-1004 Medicare Part C Audit Guide, Version 4 contained in 42 CFR 423.502 2006-07-12
0938-1003 National Evaluation of the Demonstration to Improve the Direct Service Community Workforce 2006-07-12
0938-1002 Evaluation of the Medicare Audit Recovery Audit Contractor Demonistration and RAC Provider Satisfaction Survey 2006-07-10
0938-1001 Voluntary Sample AMP Collection 2006-07-05
0938-0998 Evaluation of the Demonstration of Coverage of Chiropractic Services Under Medicare 2006-06-21
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 2006-06-12
0938-0996 Enrolling Low-Income Beneficiaries into the Medicare Prescription Drug Program Survey of State Agency Experiences 2006-05-16
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 2006-04-18
0938-0008 Health Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424, Subpart C 2006-03-09
0938-0875 Durable Medical Equipment Regional Carrier, Certificate of Medical Necessity and Supporting Documentation Requirements 2006-02-16
0938-0871 Medicare Lifestyle Modification Program Demonstration 2006-02-16
0938-0985 Medicare Health Support Program Medical Records Abstraction 2006-01-06
0938-0963 1-800-MEDICARE Customer Experience Questionnaire 2005-12-07
0938-0723 Medicare Integrity Program Organizational Conflict of Interest Disclosure Certificate and Supporting Regs at 42 CFR 421.300- 421.316 2005-12-07
0938-0980 Medicare Care Improvement Survey 2005-11-03
0938-0942 Physician Group Practice (PGP) Standardized Ambulatory Care Quality Measure Collection Initiative 2005-10-26
0938-0086 Disclosure of Ownership and Financial Control Interest Statement and Supporting Regulations Contained in 42 CFR 420.200-.206 and 455.100-.106 2005-10-06
0938-0847 Long-Term Care Awareness Campaign Demonstration Project 2005-09-19
0938-0279 Medicare Uniform Institutional Provider Bill 2005-09-16
0938-0973 Physician Assessment of Hospital Quality Reports 2005-09-15
0938-0972 Consumer Assessment of Health Behaviors Survey 2005-09-15
0938-0874 HIPAA Standard Unique Employer Identifier and Supporting Regulations in 45 CFR Part 160 and 162 2005-09-06
0938-0770 Community Mental Health Center Site Visit Assessment Tool and Supporting Regulations in 42 CFR 410.2 2005-08-05
0938-0477 Payment Adjustment for Sole Community Hospitals and Supporting Regs. in 42 CFR 412.92 2005-08-04
0938-0873 Quality Assessment and Performance Improvement (QAPI) Project Completion Report 42 CFR 422.152 2005-07-21
0938-0779 Medicare CAHPS Disenrollment Surveys and Supporting Regs. in 42 CFR 417.126, 417.470, 422.64, and 422.210 2005-07-19
0938-0959 HCAHPS Cost Information 2005-06-08
0938-0806 Informatics, Telemedicine, and Education Demonstration Project 2005-06-06
0938-0956 Beneficiary Survey on the Medicare Home Health Independence Demonstration 2005-06-03
0938-0754 Inpatient Psychiatric Services for Individuals Under Age 21 and Supporting Regs. 2005-03-15
0938-0943 Evaluation of Medicare Disease Management Demonstrations 2005-02-18
0938-0940 OASIS Study: OASIS Cost and Benefit Survey of Home Health Agencies and Supporting Regulations 42 CFR Parts 484 and 488 2005-02-02
0938-0938 Public Reporting on Quality Outcomes National Survey of Hospital Executives ("PRO QUO") 2005-01-26
0938-0937 Beneficiary Survey on the Medicare Drug Replacement Demonstration 2005-01-26
0938-0934 Religious Nonmedical Health Care Institutions (RNHCI) and Supporting Regulations in 42 CFR Section 403.766 2004-11-19
0938-0924 Application for Participation in Medicare Replacement Drug Demonstration 2004-11-01
0938-0932 Evaluation of PACE as a Permanent Program and a For Profit Demonstration 2004-10-20
0938-0898 CMSO Survey of States: Performance Measurement Reporting Capability 2004-10-06
0938-0925 Grants to State Phamaccurical Assistance Program (SPAP) 2004-09-23
0938-0859 NMEP Regional Survey of Medicare Beneficiaries 2004-09-23
0938-0844 Medicare Health Survey (MHS) and Data Collection for Administering the PACE Health Survey to Beneficiaries Enrolled in PACE and the Dual Eligible Demonstrations 2004-09-23
0938-0780 Medicare Telephone Customer Satisfaction Survey 2004-09-22
0938-0900 MSInteractive Survey Tool for cms.hhs.gov website 2004-09-10
0938-0717 Information Collection Requirements Referenced in 42 CFR Sec. 424.57; Additional DMEPOS Supplier Standards 2004-07-23
0938-0721 Independent Diagnostic Testing Facility and Supporting Regulations Contained in 42 CFR 410.33 2004-05-17
0938-0922 Instrument/tool for refinement of a prospective payment system for patients in inpatient psychiatric hospitals, and units: a pilot test 2004-05-03
0938-0033 Request for Review of Part B Medicare Claim and Supporting Regulations in 42 CFR Sec. 405.807 2004-04-19
0938-0791 A Project to Develop an Outcome-ased Continuous Quality Improvement System and Core Outcome and Comprehensive Assessment Data Set for PACE 2004-02-18
0938-0501 Medicare Qualification Statement for Federal Employees and Supporting Regulations in 42 CFR 406.15 2004-02-18
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 2004-02-18
0938-0888 Survey of Rural Medicare Provider Education Needs 2004-02-10
0938-0826 Survey of Medicaid Home and Community-Based Services Waiver and Personal Care Option Recipients for the Multi-Site Study of Medicaid HOme and Community-Based Services 2004-02-10
0938-0792 Refinement of RHC Certification and QAPI and Supporting Regulations in 42 CFR 491.8 and 491.11 2004-02-10
0938-0708 Evaluation of the State Medicaid Reform Demonstrations and Evaluation of the Medicaid Health Reform Demonstrations 2004-02-10
0938-0917 Survey of Medicare Preferred Provider Organization Demonstration 2004-02-05
0938-0903 CMS/AoA Aging and Disability Resource Center Grant Program (Real Choice Systems Change Grants for Community Living and the Older Americans Act, Public Law 106-501 (Catalog of Federal Domestic... 2004-01-28
0938-0890 Design and Implementation of a Targeted Beneficiary Survey on Access to Physician Services Among Medicare Beneficiaries 2004-01-14
0938-0796 Medicare Consumer Assessment of Health Plan Survey-Fee For Service (CAHPS-FFS) 2004-01-06
0938-0913 Medicare Drug Payment Exceptions Process 2003-12-29
0938-0901 Real Choice Systems Change Grants for Community Living: Included the following ten separate grants: Feasibility Studies and Development Grants 1. Respite for Adults; 2. Respite for...... 2003-12-24
0938-0155 Municipal Health Services Cost Report Form and Supporting Regulations 42 CFR 405.2470 2003-12-12
0938-0912 Medicare Health Survey (MHS) 2003-12-04
0938-0812 Employee Building Pass Application and File 2003-10-16
0938-0045 Request for Reconsideration of Part A Medicare Claim and Supporting Regulations in 42 CFR, 405.711 2003-10-16
0938-0909 Medicare Endorsed Prescription Drug Discount Card and Transitional Low-Income Assistance Program Response Form 2003-10-03
0938-0811 Ticket to Work and Work Incentives: Medicaid Infrastructure Grants 2003-10-01
0938-0041 Third Party Premium Billing Request and Supporting Regulations in 42 CFR 408.6 and 408.202 2003-10-01
0938-0906 Evaluation of the Medicaid Health Reform Demonstrations 2003-09-05
0938-0382 Medicare/Medicaid Hospital Surveyor's Worksheet and Supporting Regulations at 42.C.F.R. 488.26 and 442.30 2003-09-05
0938-0889 Pharmacy Plus Template Application 2003-07-30
0938-0902 Evaluation of the Illinois and Wisconsin State Pharmacy Assistance Waivers 2003-07-02
0938-0891 Pilot Test of Hospital CAHPS Survey 2003-06-27
0938-0507 Medicare Managed Care Disenrollment Form 2003-06-19
0938-0899 Data Collection for Administering The PACE Health Survey To Beneficiaries Enrolled In The Dual Eligible Demonstrations, Minnesota Senior Health Options and Minnesota Disability Health.. 2003-05-01
0938-0896 Demonstration to Improve the Direct Service Workforce 2003-04-14
0938-0777 Medicare Lifestyle Modification Program Demonstration and Addendum 2003-04-04
0938-0895 Medicare Part A Provider and Durable Medical Equipment Supplier Satisfaction Study 2003-03-25
0938-0893 Data Collection for Administering the Survey for the Evaluation of the Demonstration to Maintain Independence and Employment (DMIE) 2003-03-25
0938-0742 Adjusted Community Rate (ACR) Proposal Medicare+Choice 42 CFR 422.300-422.312 2003-03-18
0938-0885 Medicare-Endorsed Prescription Drug Card Assistance Initiative 2002-12-12
0938-0711 Managed Care Data Using the Uniform Institutional Providers Form 2002-11-01
0938-0805 Collection of Data on Physician Encounters from Medicare + Choice Organizations 2002-10-03
0938-0883 Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164 2002-10-01
0938-0837 Medicare Program Integrity Customer Satisfaction Project 2002-09-17
0938-0882 Medicare Endorsed Prescription Drug Card Assistance Initiative 2002-09-11
0938-0690 Granting and Withdrawal of Deeming Authority to National Accreditation Organizations and Supporting Regulations at 42 CFR 488.4-488.9, and 488.201 2002-08-21
0938-0768 Medicare Agreement Application, Health Care Prepayment Plan and Supporting Regulations in 42 CFR, Section 417.800-.840 2002-08-20
0938-0879 Making Good Choices Survey 2002-08-15
0938-0851 Assessing the CMS Fall Campaigns 2002-08-15
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 2002-08-15
0938-0170 Blood Bank Inspection Checklist and Report and Supporting Regulations in 42 CFR 493.1269-493-1285 2002-08-05
0938-0490 Criteria for Medicare Coverage of Heart Transplants 2002-07-31
0938-0876 Evaluation of the MassHealth Insurance Partnership 2002-07-23
0938-0877 Evaluation of Programs of Coordinated Care and Disease Management 2002-07-19
0938-0868 Administration Demonstration Initiatives Proposal Solicitation Package 2002-05-03
0938-0867 Survey of Medicare Private Fee-for-service (PFFS) Enrollees and Nonenrollees 2002-05-02
0938-0864 Medicare Current Beneficiary Survey -- Supplement on Patient Activation 2002-03-14
0938-0848 Health Insurance Flexibility and Accountability Section 1115 Model Waiver 2002-02-28
0938-0862 Medicare Lifestyle Modification Program Demonstration 2002-01-31
0938-0863 Evaluation of the BadgerCare Medicaid Demonstration 2001-12-27
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..... 2001-12-11
0938-0855 Upper Payment Limits Reporting Requirements and Supporting Regulations Contained in 42 CFR 447.272 and 447.321 2001-10-26
0938-0817 Survey of Medicare Beneficiaries Who Involuntarily Disenroll From Their Health Plan 2001-10-01
0938-0852 Durable Medicare Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey: Texas 2001-09-19
0938-0807 Oxygen Consumer Survey: Medical Equipment and Supplies 2001-08-24
0938-0300 Quality Control of Negative Case Actions (NCA) 2001-08-24
0938-0845 "Medicare Endorsed Rx Discount Card Initiative 2001-07-23
0938-0722 Medicare+Choice Provider Sponsored Organization Waiver Request Form and Supporting Regulations at 42 CFR 422.370 through 422.378 2001-07-19
0938-0705 Maximizing the Effective Use of Telemedicine: A Study of the Effects, Cost Effectiveness and Utilization Patterns of Consultations via Telemedicine 2001-07-16
0938-0843 Healthy Aging Smoking Cessation Demonstration 2001-07-12
0938-0840 Collection of Data on Quality Indicators for Congestive Heart Failure Submitted by Medicare+Choice Organizations Requesting Extra Payments in CY2002 and CY2003 and Supporting Regulations... 2001-06-14
0938-0839 National Medicare Practitioner and Provider Survey 2001-06-13
0938-0767 Medigap Compare 2001-06-07
0938-0673 Medicaid Post-Eligibility Preprint--And Supporting Regulations at 42 CFR 430.10 2001-06-07
0938-0834 Durable Medical Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey 2001-04-18
0938-0650 Alternate Quality Assessment Survey 2001-03-16
0938-0828 Medicare Beneficiary Customer Service Survey 2001-03-12
0938-0745 Quality Improvement System for Managed Care (QISMC) Standards and Guidelines 2001-03-09
0938-0670 Criteria for Medicare Coverage of Lung Transplants 2001-03-07
0938-0580 Criteria for Medicare Coverage of Liver Transplants 2001-03-07
0938-0825 Stages of Change Survey for Informed Choice in the Medicare Population 2001-02-08
0938-0823 Suggestion Program on Methods to Improve Medicare Efficiency and Supporting Regulations in 42 CFR 420.410 2001-01-31
0938-0824 Restraints/Seclusion Death Reporting for Hospitals and Supporting Regulations at 42 CFR 482.13 2001-01-30
0938-0820 Follow-Up of Medicare+Choice Disenrollees Receiving Fee-for-Service Inpatient Hospital Care 2001-01-30
0938-0799 TWWIA Demonstration to Maintain Independence and Employment 2001-01-19
0938-0700 Incentive Arrangement Disclosure Form and Supporting Regulations 42 CFR 417.479, 417.500, 422.208, 422.210, 434.44, 434.67, 434.70, 1003.100, 1003.101, 1003.103, 1003.106 2000-12-01
0938-0813 Evaluation of the OMB and SLMB Programs -- Beneficiary Survey 2000-10-25
0938-0481 Sterilization Regulations and Consent Form 2000-10-19
0938-0784 Flexibility in Payment Methods for Hospitals, Nursing Facilities, Supporting Regualtions in 42 CFR 447.254 2000-10-18
0938-0282 Quarterly Showing Validation Survey 2000-10-18
0938-0748 Medicare DMEPOS Competitive Bidding Demonstration 2000-10-06
0938-0465 Limitation on Liability and Information Collection Requirements Referenced in 42 CFR 411.404, 411.406, and 411.408 2000-09-20
0938-0810 Hospital Condition of Participation; Identification of Potential Organ, Tissue, & Eye Donors & Transplant Hospitals' Provision of Transplant-Related Data & Supporting Regulation at 42 CFR 482.45 2000-09-13
0938-0567 Request for Hearing for Part B Medicare by an Administrative Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E 2000-08-21
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 2000-08-21
0938-0034 Request for Hearing for Part B Medicare Claim and Supporting Regulations in 42 CFR, 405.821 2000-08-21
0938-0808 Study to Support Development and Refinement of a Classification System and Prospective Payment System for Patients in Inpatient Rehabilitation Hospitals and Exempt Rehabilitation Units 2000-08-10
0938-0655 Clinical Laboratory Improvement Amendments (CLIA) Adverse Action Extract and Supporting Regulations at 42 CFr 493.1840 2000-08-03
0938-0804 Medicare DMEPOS Competitive Bidding Demonstration: Follow-up to Original Survey 2000-07-10
0938-0801 Evaluation of QMB and SLMB Outreach Activities 2000-06-21
0938-0408 Methodology for Estimating Waiver Costs of HCFA Demonstration Projects 2000-06-21
0938-0800 Application Requirements: Solicitation for Proposals for the Medicare Coordinated Care Demonstration 2000-06-14
0938-0380 Hospital Request for Certification in the Medicare/Medicaid Program 2000-06-02
0938-0797 Individual Market-Guarantee Issue Election Packet, Supporting Regulations 45 CFR 148, and forms/instruction 2000-05-22
0938-0794 Health Care Services for Deaf and Hard of Hearing Adults - Case Story Forms 2000-04-24
0938-0624 Hospital Provider of Extended Care Services (Swing-Beds) in the Medicare and Medicaid Programs, 42 CFR 447.280 and 482.66 2000-03-09
0938-0789 Survey and Evaluation of New Members of Medicare+Choice Plans 2000-01-10
0938-0773 Bounceback Forms for www.Medicare.gov/nmep 1999-12-02
0938-0785 HCFA Day One Information Collection 1999-11-29
0938-0783 Market Survey of Fraud, Waste, and Abuse Detection Software 1999-11-09
0938-0766 Feedback Postcard 1999-10-28
0938-0782 Multi-State Evaluation of Dual Eligibles Demonstrations: Wisconsin Partnership Program 1999-10-18
0938-0247 Medicaid Management Information System (MMIS) 1999-09-30
0938-0771 Survey of Medicare Beneficiaries for the National Medicare and You Handbook: 2000 Evaluation 1999-09-07
0938-0775 National Hospital Malpractice Insurance Survey (NHMIS) 1999-07-07
0938-0774 Medicare Competitive Pricing Demonstration Bid Solicitation Package for Kansas City 1999-06-25
0938-0772 Peer Review Evaluation of Access to and Quality of Home Oxygen Equipment 1999-06-24
0938-0755 Oxygen Consumer Survey: Medical Equipment and Supplies Consumer Survey 1999-05-17
0938-0757 Managed Care Organization Year 2000 Continuity and Contingency Planning 1999-05-01
0938-0680 Field Testing of the Uniform Needs Assessment Instrument (UNAI): Small-Scale Trial Phase 2 1999-04-26
0938-0765 Evaluation of Medicare+Choice Medical Savings Account Demonstration; Insurer Survey Component 1999-04-22
0938-0764 Publication Information Sheet Reorder Form Feedback Questionnaire 1999-04-15
0938-0759 Medicare Beneficiary Information Needs: Supplement to the Medicare Current Beneficiary Survey (MCBS) 1999-02-05
0938-0489 Information Collection Requirements for Sole Community Home Health Agencies -- 42 CFR 424.22 1999-02-03
0938-0740 Bounceback Form for Medicare and You on WWW.Medicare.Gov 1999-01-08
0938-0737 Call-Back Survey of Callers to the Medicare+Choice Toll-Free Hotline 1999-01-08
0938-0752 Evaluation of the EverCare Demonstration Program 1998-11-24
0938-0750 Best Practices in Coordinated Care 1998-11-06
0938-0751 Medicare Current Beneficiary Survey: National Baseline Medicare Beneficiary Knowledge Supplement 1998-10-13
0938-0720 Development of an Assessment System for Post Acute Care 1998-08-28
0938-0736 Multi-State Evaluation of the Dual Eligible Demonstration 1998-08-04
0938-0733 Waiver Requirements and Solvency Standards for Provider-Sponsored Organizations -- 42 CFR 422.350-.390 1998-07-22
0938-0519 Medicare Home Health Quality Assurance Demonstration -- 42 CFR 484 1998-07-17
0938-0718 Research and Analytic Support for Implementing Performance Measurement in Medicare Fee for Service 1998-07-09
0938-0144 Corrective Action Plan, Medicaid Eligibility Quality Control -- 42 CFR 431.800-820 1998-06-25
0938-0713 Surety Bond Requirements for Home Health Agencies (HHA) -- 42 CFR Section 441.16, 489.66, and 489.67 1998-06-17
0938-0727 Evaluation of the Oregon Medicaid Reform Demonstration: Phase II Adult Interview, Phase II Child Interview, Survey of Agency Providers 1998-04-22
0938-0094 Medicaid-Integrated Quality Control Review Manual Instructions and Supporting Regulations -- 42 CFR 431.800, .865 1998-04-10
0938-0675 Quality Assurance for Phase II of the Home Health Agency Prospective Payment Demonstration 1998-04-08
0938-0726 Evaluation of the Medicare Choices Demonstrations 1998-04-06
0938-0725 Medicare Physician Communication Survey 1998-03-30
0938-0719 Mental Health Parity Act of 1996: Information Collection Requirements Contained in HCFA-2891-IFC -- 45 CFR 146.136 1998-03-02
0938-0715 End-Stage Renal Disease Managed Care Demonstration Evaluation 1998-02-19
0938-0712 Survey of Primary Caregivers for the District of Columbia's Managed Care Demonstration for Disabled and Special Needs Children 1997-12-31
0938-0511 Skilled Nursing Facility Prospective Payment System Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 1997-11-12
0938-0710 Evaluation of the Oregon Medicaid Reform Demonstration: Adult Interview, Child Interview, Pediatric Asthma Interview, Insulin- Dependent Diabetes Interview, Low Back Pain Interview Medical.... 1997-09-30
0938-0472 Requirement to Disclose HMO Financial Information to Members and Supporting Regulations in 42 CFR 417.124 1997-09-26
0938-0506 Ambulatory Surgical Centers Conditions for Coverage and Supporting Regulations -- 42 CFR 416.43 and 416.47 1997-09-18
0938-0487 Systems Performance Review (SPR) 1997-06-26
0938-0383 Medicare: Information on Provider Refunds and Supporting Regulations in 42 CFR 489.40-41 1997-06-16
0938-0704 Data Collection Forms for a Project to Develop a Case-Mix Adjustment System for a National Home Health Prospective Payment Program 1997-05-02
0938-0048 End Stage Renal Disease Death Notification 1997-04-30
0938-0644 Intake and Assessment Survey Package for the Community Nursing Organization Demonstration 1997-02-07
0938-0699 Notification Procedures for States Implementing Alternative Mechanisms in the Individual Health Insurance Market and Supporting Notice -- BPD-882-N 1997-01-16
0938-0693 Federally Qualified Health Center (FQHC) Survey 1996-12-31
0938-0684 National Provider System 1996-12-26
0938-0698 Hospital Standards for Potentially HIV Infectious Blood and Blood Products -- 42 CFR 482.27 1996-11-22
0938-0224 Medicare: Intermediary Request to Hospitals for Medical Information on Inpatient Claims for Statutorily Excluded Services -- SSA 1862; 42 CFR 411.15; 60 FR 181 1996-11-07
0938-0640 Medigap Complaint Data Base -- 42 CFR Section 403 1996-10-24
0938-0061 Quarterly Showing 1996-09-27
0938-0523 Information Collection Requirements Contained in 42 CFR 447.253 1996-09-23
0938-0654 Post Laboratory Survey Questionnaire, Surveyor 1996-09-04
0938-0336 Conditions of Participation for Rehabilitation Agencies and Conditions for Coverage for Physical Therapists in Independent Practice 1996-08-14
0938-0694 Evaluation of the Per-Episode Home Health Prospective Payment Demonstration 1996-07-31
0938-0627 Video Display Terminal (VDT) Operators' Eye Care Program 1996-06-24
0938-0604 State Survey Agency List of Positions and Schedule of Equipment Purchases 1996-06-20
0938-0390 Post-Certification Revisit Report 1996-06-20
0938-0662 Evaluation of the Program of All-Inclusive Care for the Elderly (PACE) Demonstration 1996-05-03
0938-0475 Hospice Core Service: Nursing Information Collection 1996-04-30
0938-0071 Physical Therapist in Independent Practice Survey Report 1996-04-26
0938-0687 Maximizing the Effectiveness of Home Health Care: The Influence of Service Volume and Integration with Other Care Settings on Patient Outcomes 1996-03-20
0938-0258 Physical Therapist in Independent Practice Request for Certification in the Medicare Program 1996-03-20
0938-0531 PRO Reporting Forms 1996-01-29
0938-0583 Survey Team Composition and Workload Report 1996-01-26
0938-0683 Evaluation of the Medicare Cataract Surgery Alternate Payment Demonstration 1995-11-13
0938-0682 Data Collection and Analysis for Generating Procedure-Specific Cost Estimates 1995-11-07
0938-0681 Evaluation of the Oregon Medicaid Reform Demonstration, Baseline Survey 1995-11-01
0938-0439 Medicare Physician/Supplier Overpayments 1995-07-13
0938-0211 Installment Agreement on Beneficiary Refund of Overpayment, HCFA-Pub. 13-3 and HCFA-Pub. 14-3 1995-07-13
0938-0678 Evaluation of Intermediate Care Facilities for Persons with Mental Retardation 1995-06-30
0938-0677 Study of the Cost of Administering Childhood Immunizations -- HCFA-17-C-90379/3-1 1995-04-24
0938-0223 Medicare Intermediary Request to Skilled Nursing Facilities for Medical Information on Claims to be Processed 1995-04-24
0938-0436 Pacemaker Related Data 1995-03-24
0938-0572 TERMINATION OF ENROLLMENT REGULATION -- BPD-306 1995-03-10
0938-0091 Requests for Medicare Payment by Municipal Health Services Program (MHSP) Clinics 1995-03-01
0938-0674 Targetted Race and Ethnicity Survey 1995-02-07
0938-0671 EVALUATION OF THE DRUG USE REVIEW DEMONSTRATIONS PROJECTS 1995-01-30
0938-0310 MEDICAID ELIGIBILITY QUALITY CONTROL(MEQC) STATISTICAL TABLES 1995-01-30
0938-0227 REQUEST FOR MEDICAL REVIEW OF PART B INTERMEDIARY OUTPATIENT THERAPY CLAIMS 1994-11-09
0938-0669 DIALYSIS UNIT HEALTH CARE QUALITY IMPROVEMENT PROGRAM SURVEY 1994-11-07
0938-0553 INFORMATION COLLECTION REQUIREMENTS FOR THE THIRD-PARTY LIABILITY (TPL) ACTION PLAN AS PROVIDED FOR IN BQC-64 1994-11-04
0938-0459 INFORMATION COLLECTION REQUIREMENTS IN BPO-500-F, THIRD-PARTY LIABILITY FOR MEDICAL ASSISTANCE, FFP RATES FOR SKILLED PROFESSIONAL MEDICAL PERSONNEL AND SUPPORTING STAFF 1994-11-04
0938-0629 MONITORING AND EVALUATION OF THE MEDICARE CATARACT SURGERY ALTERNATE PAYMENT DEMONSTRATION 1994-10-31
0938-0665 MEDICARE TECHNICAL ADVISORY GROUP (M-TAG) BENEFICIARY SURVEY 1994-10-17
0938-0664 EVALUATION OF PATIENT AND PHYSICIAN SATISFACTION WITH THE MEDICARE PARTICIPATING HEART BYPASS CENTER DEMONSTRATION 1994-09-29
0938-0663 EXAMINATION AND TREATMENT OF EMERGENCY MEDICAL CONDITIONS AND WOMEN IN LABOR AND 42 CFR 489.24 ESSENTIALS OF PROVIDER AGREEMENT RESPONSIBILITIES OF MEDICARE PARTICIPATING.... 1994-09-29
0938-0660 VOLUNTARY "PARTNER/REGULATED ENTITY" CUSTOMER SURVEYS TO IMPLEMENT EXECUTIVE ORDER 12862 WITHIN HCFA 1994-09-02
0938-0656 EVALUATION OF MEDICARE SELECT AMENDMENTS 1994-06-16
0938-0546 MEDICARE INFLUENZA VACCINE DEMONSTRATION 1994-05-18
0938-0652 VOLUNTARY CUSTOMER SURVEYS TO IMPLEMENT E.O. 12862 WITHIN THE HEALTH CARE FINANCE ADMINISTRATION (HCFA) 1994-04-28
0938-0651 MEDICARE AND MEDICAID COVERAGE DATA BANK REPORTS 1994-04-26
0938-0649 BENEFICIARY SURVEY FORM 1994-03-17
0938-0648 EVALUATION OF THE MEDICAID UNINSURED DEMONSTRATIONS 1994-01-31
0938-0647 EVALUATION OF THE MEDICARE CASE MANAGEMENT DEMONSTRATION 1994-01-31
0938-0620 A STUDY OF MEDICARE PATIENTS WITH VERY LONG HOME HEALTH EPISODES -- TASK 3.1, HOME CARE QUALITY STUDIES -- HCFA CONTRACT NO. 500-89-0056 1994-01-05
0938-0646 OSCAR USERS QUESTIONNAIRE 1994-01-04
0938-0434 AMBULATORY SURGICAL CENTER PAYMENT RATE SURVEY 1993-12-10
0938-0571 ESTABLISHING PROCEDURES FOR TRANSMITTING INFORMATION BETWEEN MEDICARE CARRIERS AND MEDICARE SUPPLEMENTAL INSURERS 1993-11-19
0938-0570 PATIENT INTAKE DATA FORM FOR THE NATIONAL HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION 1993-11-15
0938-0569 AGENCY CHARACTERISTICS FORM FOR THE NATIONAL HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION 1993-11-08
0938-0642 STATE SURVEY AGENCY BUDGET/EXPENDITURE REPORT, STATE AGENCY CERTIFICATION WORKLOAD REPORT 1993-10-14
0938-0499 RECORDKEEPING REQUIREMENTS CONTAINED IN PROVIDER REIMBURSEMENT MANUAL -- SECTIONS 2198 AND 2746 1993-10-14
0938-0641 GRANTEE DATA COLLECTION INSTRUMENT, ICA -- SECTION 4360 1993-10-04
0938-0616 CERTIFICATION RECOMMENDATION, CLIA LABORATORY 1993-10-04
0938-0611 SCREENING MAMMOGRAPHY SERVICES DATA REPORT 1993-10-04
0938-0615 MEDICARE PHYSICIAN SURVEY FORM 1993-08-18
0938-0637 PRENATAL SERVICES AND ASSISTANCE SCREENING QUESTIONNAIRE 1993-07-26
0938-0366 ITERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED, CONDITIONS OF PARTICIPATION, ICF/MR 1993-07-26
0938-0636 SURVEYOR SURVEY FOR THE HOME HEALTH AGENCY ASSESSMENT EVALUATION PROJECT 1993-06-28
0938-0635 CONTRACTOR FINANCIAL REPORTS -- HCFA-750B 1993-06-11
0938-0634 CONTRACTOR FINANCIAL REPORTS -- HCFA-750A 1993-06-11
0938-0632 STATUS OF ACCOUNTS RECEIVABLE -- HCFA-751B 1993-06-11
0938-0630 STATUS OF ACOUNTS RECEIVABLE 1993-06-11
0938-0608 MEDICARE COVERAGE OF SCREENING MAMMOGRAPHY 1993-04-26
0938-0460 INFORMATION COLLECTION REQUIREMENT IN HCFA PUBLICATION 14-3 SECTION 2120.1-2125 AND SECTION 4115 OF THE CARRIERS MANUAL 1993-04-26
0938-0628 STUDY OF MEDICAID UTILIZATION MANAGEMENT INITIATIVES 1993-04-21
0938-0371 INTERMEDIARY BENEFIT PAYMENT REPORT 1993-03-16
0938-0361 CONTRACTOR DRAWS ON LETTER OF CREDIT AND MONTHLY CONTRACTOR FINANCIAL REPORT 1993-03-11
0938-0399 MEDICARE PROGRAM CARRIER PERFORMANCE REPORT 1993-03-09
0938-0438 INFORMATION COLLECTION REQUIREMENTS CONCERNING CLAIMS PROCESSING ASSESSMENT SYSTEM (CPAS) -- HCFA-R-91, 331, 505, AND HCFA-R-83 1993-02-18
0938-0625 EVALUATION OF MARYLAND ACCESS TO CARE PROGRAM 1993-02-16
0938-0623 LONG TERM CARE PROGRAM AND MARKET CHARACTERISTICS STUDY 1993-01-11
0938-0622 EVALUATION OF MEDICAID EXTENSION DEMONSTRATION 1993-01-11
0938-0555 INFORMATION COLLECTION REQUIREMENTS IN BQC-64-F, STATE PLAN REQUIREMENTS AND OTHER PROVISIONS RELATING TO THIRD-PARTY LIABILITY (TPL) PROGRAMS 1993-01-11
0938-0554 INFORMATION COLLECTION REQUIREMENTS FOR REQUESTING COST AVOIDANCE WAIVERS AS PROVIDED FOR IN BQC-64 1993-01-11
0938-0485 MEDICARE/MEDICAID HOSPITAL SWING-BED SURVEY REPORT FORM 1993-01-11
0938-0617 OUTPATIENT RESOURCE COSTING STUDY (18-C-901-23/3-01), DATA COLLECTION OF PROVIDERS OF OUTPATIENT SERVICES 1992-12-22
0938-0350 MEDICARE CONTRACTOR ADMINISTRATIVE BUDGET AND COST REPORTING SYSTEM FORMS 1992-12-10
0938-0508 APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN MEDICARE, INFORMATION COLLECTION REQUIREMENTS -- 42 CFR 498 1992-11-17
0938-0356 HCFA FORMS AND MANUAL ORDER 1992-11-17
0938-0621 MEDICAID CAPITATED MANAGED CARE PROGRAM FOR SSI DISABLED 1992-10-30
0938-0574 END STAGE RENAL DISEASE (ESRD) MEDICAL CASE REVIEW 1992-10-02
0938-0619 MEDICARE CURRENT BENEFICIARY SURVEY, ROUND 5 OMB SUPPLEMENT 1992-09-01
0938-0441 PROVIDER OVERPAYMENT REPORT 1992-08-17
0938-0594 MEDICARE SUPPLIER NUMBER APPLICATION 1992-08-05
0938-0538 COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY INFORMATION COLLECTION REQUIREMENTS -- 42 CFR 485.56, 485.58, 485.60, 485.64, 485.66, AND 405.262 1992-08-05
0938-0586 PHYSICIAN FINANCIAL INTEREST IN CLINICAL LABORATORIES SURVEY FORM 1992-06-24
0938-0210 FEDERAL RE-REVIEW PROCESS (MEDICAID ELIGIBILITY QUALITY CONTROL) 1992-06-09
0938-0613 INFORMATION COLLECTION REQUIREMENTS CONTAINED IN THE REGULATION FOR HOME AND COMMUNITY-BASED SERVICES WAIVER FOR INDIVIDUALS AGE 65 OR OLDER 1992-05-22
0938-0609 MEDICARE INTERMEDIARY PART A AND PART B APPEALS REPORT 1992-03-26
0938-0607 CLINICAL LABORATORY IMPROVEMENT AMENDMENTS OF 1988, FEE COLLECTION -- 42 CFR SECTIONS 493.614, 493.633, AND 493.634 1992-03-23
0938-0203 "MEDICAID ELIGIBILITY QUALITY CONTROL," REGIONAL OFFICE COLLATERAL CONTACTS 1992-03-23
0938-0606 INTAKE AND FOLLOW-UP SURVEY OF MEDICARE BENEFICIARIES IN STAFF-ASSISTED HOME DIALYSIS DEMONSTRATION 1992-03-19
0938-0605 PHYSICIAN PAYMENT DIFFERENTIALS IN GROUP PRACTICES SURVEY 1992-03-19
0938-0452 MEDICARE, CARRIER APPEAL REPORT 1992-03-09
0938-0603 ATTENDING PHYSISIANS PARENTERAL/ENTERAL NUTRITION CERTIFICATION OF MEDICAL NECESSITY 1992-02-24
0938-0602 EVALUATION OF THE OBRA 1967 MEDICARE PAYMENT FOR THERAPEUTIC SHOES BENEFICIARY SURVEY 1992-02-06
0938-0601 PRECLEARANCE: INFORMATION COLLECTION FOR COMMUNITY NURSING ORGANIZATION DEMONSTRATION 1992-01-23
0938-0587 EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION 1992-01-06
0938-0597 TASK 4: HOME CARE WORKER SUPPLY AND HOME CARE QUALITY STUDIES 1991-11-18
0938-0558 INFORMATION COLLECTION REQUIREMENTS AT 42 CFR 411.54(C)(1) ITEMIZED STATEMENT OF HOSPITAL CHARGES 1991-11-12
0938-0595 MEDICAID PROVIDERS TAXES AND DONATIONS PROGRAMS APPLICATION 1991-10-29
0938-0593 DISCHARGE AND FOLLOW-UP PATIENT INTERVIEWS (EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION) 1991-10-01
0938-0592 TASK 3.2 ACCESS TO AND ADEQUACY OF PARAPROFESSIONAL HOME CARE - HOME CARE QUALITY STUDIES 1991-09-30
0938-0064 ESRD TRANSPLANT INFORMATION 1991-08-29
0938-0591 COST REPORT FORMAT FOR PEER REVIEW ORGANIZATIONS 1991-08-23
0938-0590 HOME CARE AGENCY SCREENING INSTRUMENT AND FOLLOW-UP TELEPHONE INTERVIEW 1991-08-21
0938-0049 LABORATORY PERSONNEL QUALIFICATION APPRAISAL 1991-08-21
0938-0588 A POLICY STUDY OF THE COST-EFFECTIVENESS OF INSTITUTIONAL SUBACUTE CARE ALTERNATIVES AND SERVICES 1991-07-29
0938-0533 MEDICARE THERAPEUTIC SHOE DEMONSTRATION PROGRAM CERTIFICATION AND PRESCRIPTION FORM 1991-06-21
0938-0585 APPLICATION TO PROVIDE COMMUNITY SUPPORTED LIVING ARRANGEMENTS (CSLA) SERVICES 1991-06-20
0938-0549 MEDICARE: SUPPORTING STATEMENT FOR REQUEST FOR MEDICAL REVIEW INFORMATION FOR PART B OUTPATIENT BILLS 1991-06-17
0938-0559 HOSPITAL AND HOSPITAL HEALTH CARE COMPLEX COST REPORT, FORM HCFA-2552-DEMO 1991-05-16
0938-0576 PRECLEARANCE - PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) EVALUATION 1991-05-07
0938-0548 MEDICARE - HMO REPORTING FORMS 1991-05-07
0938-0414 MEDICAID STATE AGENCY THIRD PARTY LIABILITY INVENTORY FORM 1991-05-07
0938-0089 'MEDICARE' REQUEST FOR CLAIM NUMBER VERIFICATION 1991-05-07
0938-0458 UNIFORM HOSPITAL BILL (HCFA-1450) AND RELATED ELECTRONIC MEDIA CLAIM FORMAT - MEDICAID SYSTEM REQUIREMENTS 1991-04-16
0938-0384 "MEDICARE" QUARTERLY PERIODIC INTERIM PAYMENT REPORT 1990-09-25
0938-0209 MEDICARE - RURAL HEALTH CLINICS-REQUESTS FOR MEDICAL INFORMATION HCFA-PUB. 13-3 INTERMEDIARY MANUAL SEC. 3640.14 1990-05-04
0938-0249 SURVEY OF PRIVATE HEALTH INSURANCE 1990-03-05
0938-0563 STATE SURVEY AGENCY BUDGET REQUEST - LONG-TERM CARE FACILITY WORKLOAD 1990-01-25
0938-0562 STATE SURVEY AGENCY QUARTERLY EXPENDITURE REPORT - LONG-TERM FACILITY WORKLOAD 1990-01-25
0938-0285 PAYMENT FOR PHYSICIANS' SERVICES FURNISHED IN HOSPITALS, SNFS, AND CORFS 1990-01-12
0938-0561 PRECLEARANCE: IMPLEMENTATION AND EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION 1989-12-12
0938-0560 UNIFORM COST REPORT DEMONSTRATION--VALIDATION QUESTIONNAIRE 1989-12-11
0938-0344 MEDICAID ELIGIBILITY QUALITY CONTROL - INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 431.804(D)(3) AND (4) 1989-12-11
0938-0557 TAX EQUITY AND FISCAL RESPONSIBILITY ACT (TEFRA) HMO AND CMP PROGRAM EVALUATION BENEFICIARY SURVEY 1989-11-09
0938-0556 INFORMATION COLLECTION REQUIREMENTS IN BPD-311-F, REVALUATION OF ASSETS 1989-10-20
0938-0055 MEDICARE REQUEST FOR APPROVAL AS A SUPPLIER OF ESRD SERVICES IN THE MEDICARE PROGRAM 1989-09-20
0938-0552 INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-483, SECTION 403.408 DEMONSTRATION COST REPORT 1989-09-08
0938-0488 MEDICAID - INFORMATION COLLECTION REQUIREMENTS IN ALTERNATIVE SANCTIONS FOR LONG TERM CARE FACILITIES, 42 CFR 442.118(B) 1989-08-29
0938-0478 THE LONG TERM CARE REQUEST FOR CERTIFICATION 1989-08-03
0938-0479 TITLE XIX SUPERIOR UTILIZATION REVIEW (UR) SYSTEM WAIVER REQUEST INFORMATION COLLECTION REQUIREMENT-SECTIONS 9320-9330 OF STATE MEDICAID MANUAL 1989-07-25
0938-0550 PRECLEARANCE: HOME CARE QUALITY STUDIES 1989-07-13
0938-0400 MEDICARE/MEDICAID -- SKILLED NURSING FACILITIES AND NURSING FACILITIES SURVEY REPORT FORM AND WORKSHEETS 1989-07-05
0938-0376 MEDICARE HISTOCOMPATIBILITY TESTING LABORATORIES SURVEY REPORT FORM 1989-06-30
0938-0528 SECTION 4005(D) OBRA: EXPANSION OF SWING BED PROGRAM 1989-06-28
0938-0442 MEDICAID - MMIS: CONDITION OF APPROVAL AND REAPPROVAL AND PROCEDURES FOR REDUCTION OF FFP, 42 CFR 433.112, 433.116, AND 433.117 1989-06-27
0938-0431 INFORMATION COLLECTION REQUIREMENTS IN BOC-18-F, CLAIMS PROCESSING ASSESSMENT SYSTEM (CPAS) 1989-06-26
0938-0457 INDIRECT COST OF MEDICAL EDUCATION - PROVIDER REIMBURSEMENT MANUAL 1989-06-19
0938-0535 REFUNDING OF FEDERAL SHARE OF OVERPAYMENTS MADE TO MEDICAID PROVIDERS 1989-06-16
0938-0532 MEDICARE ALZHEIMER'S DISEASE DEMONSTRATION 1989-06-07
0938-0253 MEDICARE - HOSPITAL PROVIDERS OF LONG-TERM CARE (SWING-BED PROVISION) 1989-05-18
0938-0284 1988 PHYSICIANS' PRACTICE COST AND INCOME SURVEY 1989-05-05
0938-0461 MEDICARE - INFORMATION COLLECTION REQUIREMENTS IN HCFA-PUB. 14-3 CARRIER MANUAL SECTIONS 2070.2, 3060.2.D., 4110.2 AND 4110.4 - PHYSICIAN/SUPPLIER BACKGROUND INFORMATION 1989-05-03
0938-0161 HEALTH PREPAYMENT DATA CARD CODING SHEET 1989-04-27
0938-0547 MEDICARE - PILOT STUDY - OUTCOMES MANAGEMENT - HMOS 1989-04-24
0938-0509 THE HOME AND COMMUNITY-BASED SERVICES WAIVERS MANUAL INSTRUCTIONS 1989-04-18
0938-0537 INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-408-F PAYMENT FOR KIDNEYS SENT TO FOREIGN COUNTRIES OR TRANSPLANTED IN PATIENTS OTHER THAN MEDICARE BENEFICIARIES 1989-04-17
0938-0543 PILOT TEST OF A HOME HEALTH AGENCY FUNCTIONAL ASSESSMENT INSTRUMENT 1989-04-06
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. 1989-04-06
0938-0491 MEDICARE - PRO REPORTING FORMS 1989-04-06
0938-0476 HOSPICE CORE SERVICE: NURSING (HOSPICE MANUAL) 1989-04-06
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. 1989-04-06
0938-0510 MEDICARE - INFORMATION COLLECTION REQUIREMENTS IN SOM SECTION 2280 AND ROM - SECTION - 5223 DIALYSIS AT HOME PROGRAM 1989-04-03
0938-0525 SUPPLEMENTAL SURVEY MECHANISM 1989-03-13
0938-0524 HMO/CMP DISENROLLMENT SURVEY FORM 1989-03-13
0938-0392 HOSPICE COST REPORT AND DATA FORM 1989-03-02
0938-0542 MEDICARE - INFORMATION COLLECTION REQUIREMENTS FOR HOME HEALTH AGENCIES & HOSPICES AT 42 CFR 421.117(E) AND (F) AND SECTION 140 OF THE HHA & HOSPICE MANUALS, ETC. 1989-02-16
0938-0370 CONDITIONS OF PARTICIPATION FOR LONG-TERM CARE FACILITIES "MEDICAID" AND "MEDICARE" 1989-02-13
0938-0422 COVERAGE OF OXYGEN FOR USE IN A PATIENT'S HOME - BERC-024 FNC AND MANUAL INSTRUCTIONS, "MEDICARE" 1988-11-22
0938-0235 FREESTANDING FEDERALLY-FUNDED HEALTH CENTER COST REPORT 1988-11-10
0938-0450 EVALUATION OF SOCIAL/HEALTH MAINTENANCE ORGANIZATION (S/HMO) DEMONSTRATION 1988-11-02
0938-0389 SURVEY OF SELF INSURED PLANS 1988-09-29
0938-0173 MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) DISPOSITION LIST 1988-08-12
0938-0482 MEDICARE - ELECTION TO RECALCULATE MEDICARE REIMBURSEMENT BASED ON 42 CFR 405.457 1988-07-19
0938-0078 REQUEST FOR FEDERAL ASSISTANCE 1988-05-18
0938-0514 PILOT TEST - HOME HEALTH AGENCY SURVEY FORMS 1988-04-28
0938-0527 MEDICARE, MEDICAID, AND CLINICAL LABORATORIES IMPROVEMENT ACT (CLIA) PATIENT CONFIDENTIALITY RULES, 42 CFR 74.53(B) (C), 405.1316(F)(2)(3) AND 441.16(A)(B) AND (C) 1988-04-18
0938-0430 EVALUATION OF THE MEDICAID COMPETITION (CAPITATION) DEMONSTRATIONS 1988-04-05
0938-0402 STATEMENT OF CUMULATIVE EXPENDITURES FOR DEMONSTRATION PROJECTS 1988-03-29
0938-0521 MEDICAID - INFORMATION COLLECTION REQUIREMENTS IN HSQ-127-F 42 CFR SECTIONS 442.114(A), 441.115(A) AND 442.116(A)(C) AND (D) 1988-02-11
0938-0520 MEDICARE - HMO REPORTING FORMS 1988-01-19
0938-0518 BENEFICIARY INCENTIVES TO PARTICIPATE IN ALTERNATIVE HEALTH PLANS 1988-01-04
0938-0517 DATA COLLECTION TO ESTABLISH A FEE SCHEDULE FOR THE SERVICES OF CRNAS 1987-11-30
0938-0516 PRE CLEARANCE FOR: A988 PHYSICIANS PRACTICE COSTS AND INCOMES SURVEY 1987-10-28
0938-0515 MEDICARE - EVALUATION OF OPA MARKETING EDUCATIONAL PROMOTION SURVEY QUESTIONNAIRE 1987-10-08
0938-0513 INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-356-F "LIMITS ON PAYMENTS FOR DRUGS" 1987-09-08
0938-0291 EARLY PERIODIC SCREENING DIAGNOSTIC AND TREATMENT (EPSDT) REPORT 1987-07-14
0938-0032 MEDICARE/CLIA - DEPARTMENTAL CLINICAL LAB SURVEY REPORT FORM 1987-06-08
0938-0368 INFORMATION COLLECTION REQUIREMENTS IN 42 CFR PART 405.1315, 1316, AND 1317 CONDITIONS OF PARTICIPATION FOR LABORATORIES 1987-05-22
0938-0020 REQUEST FOR INFORMATION - MEDICARE PAYMENTS FOR SERVICES TO A PATIENT NOW DECEASED 1987-05-08
0938-0205 QUESTIONNAIRE CONCERNING FORGED CHECK 1987-04-14
0938-0505 MISCELLANEOUS CONFORMING AMENDMENTS 1987-03-30
0938-0504 INFORMATION COLLECTION REQUIREMENTS IN BPO-41P, ADJUSTMENT OF FEDERAL SHARE FOR UNCASHED OR CANCELLED CHECKS, 45 CFR SECTIONS 201.5 (A)(3), 201.67 (C)(2) & 201.67(D)(2) 1987-03-30
0938-0503 PRECLEARANCE FOR: EVALUATION OF TEFRA HMO AND CMP PROGRAM (PRECLEARANCE NO. 008) 1987-03-24
0938-0234 MEDICARE - CLAIMS DEVELOPMENT DATA PROVIDED BY CHIROPRACTORS 1987-03-02
0938-0500 EVALUATION OF THE MEDICARE COMPETITION DEMONSTRATIONS 1987-02-27
0938-0497 "MEDICAID" INFORMATION COLLECTION REQUIREMENTS IN BPO-47-FN, MMIS REQUIREMENTS FOR PHYSICIAN AND SUPPLIER SERVICES 1987-02-17
0938-0496 "MEDICARE" NEW YORK BILLING FORM 1987-02-17
0938-0377 INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-297-FC & RELATED INSTRUCTIONS IMPLEMENTING THE U.S. DISTRICT COURT'S DECISION IN LYNCH V. RANK 1987-02-04
0938-0492 MEDICARE ESRD OUTCOME SURVEY REPORT FORM 1986-11-03
0938-0413 REPORT OF PRO REVIEW ACTIVITY 1986-10-23
0938-0418 MEDICARE - QUARTERLY ACUTE CARE GENERAL HOSPITAL REPORT SUMMARY AND THE QUARTERLY SPECIALTY HOSPITAL REVIEW REPORTING SUMMARY 1986-10-02
0938-0446 RECIPIENT, USE AND EXPENDITURES FOR MEDICAID ENROLLEES COVERED UNDER SECTION 1619(A) AND (B) OF THE SOCIAL SECURITY ACT 1986-08-01
0938-0295 FREEDOM OF CHOICE: WAIVERS OF AND EXCEPTIONS TO STATE PLAN REQUIREMENTS, 42 CFR 431.54(F)(3) AND 431.55(B)(2) 1986-08-01
0938-0290 MODIFICATION TO NATIONAL (RURAL) SWING-BED EVALUATION 1986-08-01
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. 1986-07-07
0938-0483 INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED PROTOTYPE SURVEY REPORT FORM 1986-06-20
0938-0473 INFORMATION COLLECTION REQUIREMENTS IN BERC-240-F, RECOGNITION OF STATE REIMBURSEMENT CONTROL SYSTEM 1986-04-28
0938-0471 42 CFR PART 110 - (NPRM) HEALTH MAINTENANCE ORGANIZATIONS 1986-04-22
0938-0464 MEDICAID PROGRAM CHARACTERISTICS QUESTIONNAIRE 1986-02-13
0938-0326 INFORMATION COLLECTION REQUIREMENTS IN 42 CFR PART 434, SUBPARTS A THRU E, MEDICAID CONTRACTS WITH HEALTH MAINTENANCE ORGANIZATIONS (HMOS) & PREPAID HEALTH PLANS 1986-01-10
0938-0289 MEDICARE EVALUATION OF THE MEDICARE COMPETITION SURVEY QUESTIONNAIRE 1985-12-31
0938-0180 MEDICARE MEDICARE INTERIM PAYMENT UPDATE REPORT 1985-12-30
0938-0396 PRECLEARANCE: NONCERTIFIED HOSPICE COST ANALYSIS 1985-11-14
0938-0440 PRO SEMIANNUAL RESOURCES ALLOCATION REPORT 1985-11-01
0938-0349 SURVEY OF SEC. 2176 HOME & COMMUNITY BASED MEDICAID WAIVER PROGRAMS (SURVEY FOR THE DEVELOPMENTALLY DISABLED & CHRONICALLY MENTALLY ILL) - SURVEY OF THE IE OR OTHER PDP 1985-10-02
0938-0404 SKILLED NURSING FACILITY SURVEY FORM 1985-09-20
0938-0451 JCAH HOSPICE MAIL SURVEY QUESTIONNAIRE 1985-08-30
0938-0262 REPORT ON PROVIDER PARTICIPATION IN THE MEDICAID PROGRAM 1985-07-03
0938-0437 COURT ORDERED REGULATIONS REGARDING PROSPECTIVE PAYMENT AMOUNTS AND ADMINISTRATIVE REVIEW 1985-06-28
0938-0286 EVALUATION OF MEDICARE AND MEDICAID ALCOHOLISM SERVICES DEMONSTRATION 1985-06-28
0938-0433 INTERMEDIARY'S REQUEST TO HOSPITALS FOR MEDICAL INFORMATION ON OUTPATIENT CLAIMS 1985-06-24
0938-0233 CONTRACTORS INFORMATION COLLECTIONS--CLAIMS DEVELOPMENT PHYSICIANS AND OTHER HEALTH CARE PROVIDERS 1985-06-24
0938-0432 NATURE, PROCESS, AND MODES OF HOSPICE CARE DELIVERY HOSPICE SURVEY PROFILE AND HOSPICE ASSESSMENT AND SURVEY 1985-06-13
0938-0428 STATE MEDICAID MANUAL, PART 3, ON ASSIGNMENT OF RIGHTS 1985-05-07
0938-0427 PRECLEARANCE FOR: COMPETITIVE BIDDING FOR DURABLE MEDICAL EQUIPMENT DEMONSTRATION (NO. 003) 1985-05-01
0938-0425 PRECLEARANCE FOR: PROSPECTIVE PAYMENT AND ANALYTICAL SUPPORT STUDIES 1985-04-29
0938-0206 REQUEST TO ADJUST CUSTOMARY CHARGE SCREEN 1985-04-10
0938-0259 BILLING FORM FOR THE ALCOHOLISM SERVICES COVERAGE DEMONSTRATION 1985-04-09
0938-0421 PRECLEARANCE: DESIGN AND EVALUATION OF THE HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION 1985-03-29
0938-0312 RECALCULATION OF CASE-MIX INDEX BASED ON TOTAL MEDICARE DISCHARGES 1985-03-28
0938-0337 INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 405.460 EXCEPTIONS TO COST LIMITS 1985-03-21
0938-0419 ADMISSION AND QUALITY OBJECTIVE PROGRESS REPORTS 1985-03-19
0938-0271 STATEMENT OF REIMBURSABLE COST - ALCOHOLISM DEMONSTRATION 1985-03-19
0938-0177 HOSPICE STATEMENTS OF REIMBURSEMENTS 1985-03-04
0938-0407 ELECTRONIC MEDIA CLAIM (EMC)/HARD COPY (HC) STUDY 1985-02-19
0938-0015 INPATIENT ADMISSION AND BILLING-CHRISTIAN SCIENCE SANATORIUM 1985-02-19
0938-0406 INFORMATION COLLECTION REQUIREMENTS IN BERC-247-F, PAYMENTS TO HEALTH MAINTENANCE ORGANIZATIONS AND COMPETITIVE MEDICAL PLANS, R-29 1985-02-14
0938-0230 END STAGE RENAL DISEASE BILLING SUPPLEMENT FORM 1985-02-14
0938-0405 RECONSIDERATION DETERMINATION AND SANCTION REPORT 1985-02-07
0938-0225 CONTRACTORS' INFORMATION COLLECTION - "MACHINE READABLE CLAIMS" 1985-01-24
0938-0219 CONTRACTORS' INFORMATION COLLECTIONS - ADMINISTRATIVE DATA, UNCONNECTED WITH INDIVIDUAL CLAIM 1985-01-24
0938-0217 CONTRACTORS' INFORMATION COLLECTIONS INTERIM PAYMENT ADJUSTMENT FORMS FOR HHAS 1985-01-24
0938-0423 PRECLEARANCE: EVALUATION OF THE CLINICAL LABORATORY SERVICES DEMONSTRATION 1985-01-10
0938-0281 EVALUATION OF ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM 1984-12-03
0938-0397 INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 42 CFR, SECTIONS 447.413 AND 447.415 (BPO-07-F) 1984-11-09
0938-0013 PROVIDER BILLING FOR MEDICAL AND OTHER HEALTH SERVICES 1984-10-31
0938-0395 HEALTH FACILITY LICENSURE AND CERTIFICATION DIRECTORS SURVEY QUESTIONNAIRE 1984-10-26
0938-0394 DIALYSIS PATIENT QUESTIONNAIRE 1984-10-05
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 1984-09-28
0938-0012 HOME HEALTH AGENCY, AND COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, BILLING 1984-09-28
0938-0393 HOME HEALTH AGENCY COST REPORT, SUPPLEMENT K 1984-09-20
0938-0114 ESRDD DEMONSTRATION PROJECT COST REPORT 1984-09-14
0938-0387 SCHEDULE OF NET HOURS AVAILABLE 1984-09-12
0938-0385 PRECLEARANCE: EVALUATION OF SOCIAL/HEALTH MAINTENANCE ORGANIZATION (S/HMO) DEMONSTRATION 1984-08-23
0938-0381 REPAYMENT REQUEST DOCUMENTS - HOSPITAL, SNF, HHA 1984-08-06
0938-0150 BILLING FORMS FORM MEDICARE/MEDICAID HOSPICE DEMONSTRATION 1984-07-18
0938-0218 CONTRACTORS' INFORMATION COLLECTIONS - RECONSIDERATIONS/ APPEALS 1984-06-26
0938-0212 CONTRACTORS' INFORMATION COLLECTION--AUDIT PROGRAMS 1984-06-26
0938-0201 CONTRACTORS' INFORMATION COLLECTION -- EXTENDED REPAYMENT SCHEDULE 1984-06-02
0938-0159 MEDICARE REIMBURSEMENT SETTLEMENT DATA FOR HOSPITALS AND SKILLED NURSING FACILITIES 1984-05-03
0938-0142 MEDICARE REIMBURSEMENT SETTLEMENT DATA FOR OUTPATIENT PHYSICAL THERAPY PROVIDERS 1984-05-03
0938-0140 UNIFORM BILLING FORM 1984-04-10
0938-0351 INFORMATION COLLECTED FROM FISCAL INTERMEDIARIES AND CARRIERS - FINANCIAL COLLECTIONS CATEGORY 1984-03-15
0938-0347 HOSPITAL WAGE INDEX SURVEY 1984-02-29
0938-0346 MEDICARE/MEDICAID HEALTH CARE FACILITY SURVEY AND CERTIFICATION FORMS 1984-02-17
0938-0342 1984 LONG-TERM CARE SURVEY 1983-12-27
0938-0092 DEMONSTRATION PROJECT FOR CALCULATING ADJUSTED AVERAGE PER CAPITA COSTS 1983-12-27
0938-0341 REPORT OF MEDICAL REVIEW ACTIVITY 1983-12-21
0938-0340 MEDICAID QUALITY CONTROL (MQC) DISPOSITION LIST 1983-12-16
0938-0339 42 CFR 433.113, FFP FOR OPERATION OF MECHANIZED CLAIMS PROCESSING AND INFORMATION RETRIEVAL SYSTEMS 1983-12-15
0938-0305 INFORMATION COLLECTION REQUIREMENTS CONTAINED IN REGULATION SECTION 405.1042(C), HOSPITAL UTILIZATION REVIEW PLAN (PROSPECTIVE PAYMENT, BERC-263) 1983-12-14
0938-0306 INFORMATION COLLECTION REQUIREMENTS IN REG. SEC. 405.1627 & 405.1629, PHYSICIAN CERTIFICATION & RECERTIFICATION (PROSPECTIVE PAYMENT REG, BERC-263) 1983-11-10
0938-0325 STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS AND SERVICES 1983-11-02
0938-0060 MONTHLY STATISTICAL REPORT ON MEDICAL CARE 1983-11-02
0938-0243 CONTRACTORS' INFORMATION COLLECTION-POST PROCESSING OF CLAIMS DATA 1983-10-31
0938-0226 CONTRACTORS INFORMATION COLLECTIONS - "CLAIMS DEVELOPMENT HOME HEALTH AGENCIES" 1983-10-31
0938-0213 CONTRACTOR INFORMATION COLLECTION--CONTRACTOR PROGRAM INTEGRITY FORMS TO VERIFY SERVICES 1983-10-31
0938-0309 INFORMATION COLLECTION REQUIREMENTS IN REGULATIONS SECTION 405.476(B) SOLE COMMUNITY HOSPITAL EXCEPTION (PROSPECTIVE PAYMENT, BERC-263) 1983-10-20
0938-0188 329 REQUIREMENT FOR NARRATIVE NOTATION OF HOME HEALTH VISIT IN MEDICAL RECORDS 1983-10-19
0938-0178 CONTRACTORS INFORMATION COLLECTIONS - ADMISSIONS 1983-10-19
0938-0076 MEDICAID/MEDICARE ABUSE REPORT 1983-10-19
0938-0087 PSRO GRANT APPLICATION AND INSTRUCTIONS 1983-10-11
0938-0010 INPATIENT HOSPITAL AND SKILLED NURSING FACILITY ADMISSION AND BILLING 1983-09-30
0938-0186 DIRECT DEALING LETTER NO. 301-BILLING FOR PHYSICAL THERAPY SERVICES 1983-09-20
0938-0031 DETERMINING LEVEL OF CARE REQUIRED BY PATIENT IN SKILLED NURSING FACILITY 1983-09-14
0938-0304 INFORMATION COLLECTION REQUIREMENTS IN REGULATION 489.23(B) AND (C) (WAIVER OF REQUIREMENTS TO BILL NON-PHYSICIAN SERVICES ON PART A-PROSPECTIVE PAYMENT, BERC-263) 1983-08-29
0938-0108 MEDICAID QUALITY CONTROL THIRD PARTY RESOURCE WORKSHEET (HCFA 301C) - (ADDENDUM) THIRD PARTY LIABILITY REVIEW WORKSHEET (HCFA-301D) 1983-08-10
0938-0298 PROFESSIONAL STANDARDS REVIEW ORGANIZATION ROUTINE FEDERAL REPORTING REQUIREMENTS 1983-07-27
0938-0164 GPPP- SPECIAL ADMINISTRATIVE COST REPORT, QUARTERLY INVOICE & FINAL SPECIAL ADMINISTRATIVE COSTS 1983-06-28
0938-0294 PRECLEARANCE: EVALUATION OF THE MEDICAID COMPETITION DEMONSTRATION 1983-05-24
0938-0083 REQUEST FOR ADDITIONAL MEDICAL INFORMATION 1983-05-18
0938-0038 COST REPORT FORMS FOR GROUP PRACTICE PREPAYMENT PLANS WHICH DEAL DIRECTLY WITH HCFA 1983-05-18
0938-0016 PROVIDER BILLING FOR PATIENT SERVICES BY PHYSICIANS 1983-05-18
0938-0153 PIP QUARTERLY REPORT FOR HOME HEALTH AGENCIES 1983-04-29
0938-0288 TRANSMITTAL OF SUPPLEMENTARY INFORMATION FOR DETERMINATION OF THE TARGET AMOUNT UNDER THE MEDICARE PROSPECTIVE PAYMENT SYSTEM 1983-04-06
0938-0189 NATIONAL HEART TRANSPLANT STUDY 1983-03-25
0938-0241 LONG TERM CARE DEMONSTRATION PROJECT OF NORTH SAN DIEGO COUNTY 1983-01-17
0938-0104 PSYCHIATRIC HOSPITAL SURVEY REPORT FORM 1983-01-17
0938-0085 PAPERWORK BURDEN ASSOCIATED WITH THE END-STAGE RENAL DISEASE FACILITY SURVEY 1983-01-17
0938-0278 MEDICARE HHA PROSPECTIVE PAYMENT DEMONSTRATION 1983-01-12
0938-0103 PAPERWORK BURDEN ASSOCIATED WITH THE HOSPITAL SURVEY AND REQUEST TO ESTABLISH ELIGIBILITY 1982-12-23
0938-0011 HOME HEALTH AGENCY REQUEST FOR CERTIFICATION PAPERWORK BURDEN ASSOCIATED WITH HOME HEALTH 1982-12-23
0938-0275 PSRO ROUTINE FEDERAL REPORTING REQUIREMENTS, HCFA 111, 121-B 135, 153, SF 269 1982-12-13
0938-0190 TELEPHONE SURVEYS OF MEDICARE PART B PROVIDERS AND BENEFICIARIES (TO EVALUATE PART B FIXED PRICE CONTRACTING) 1982-11-12
0938-0059 STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS, SERVICES 1982-11-10
0938-0036 REFERRAL AND TREATMENT PLAN 1982-11-09
0938-0268 ANNUAL REPORT ON WAIVERS FOR HOME AND COMMUNITY BASED SERVICES 1982-10-28
0938-0244 MEDIGAP INDUSTRY SURVEY 1982-10-19
0938-0100 MEDICARE/MEDICAID SKILLED NURSING FACILITY SURVEY REPORT 1982-10-05
0938-0208 CONTRACTORS INFORMATION ON COLLECTIONS-REGIONAL OFFICE PROGRAM VALIDATION REVIEWS OF PROVIDERS AND MEDICAID AGENCIES 1982-09-20
0938-0204 CONTRACTORS INFORMATION COLLECTIONS-HCFA REGIONAL OFFICE PROGRAM INTEGRITY FORMS TO VERIFY SERVICES 1982-08-27
0938-0264 MEDICARE SUPPLEMENTAL POLICIES 1982-08-09
0938-0263 MEDICARE EXCLUSION OF SERVICES REIMBURSABLE UNDER AUTOMOTIBLE, NO-FAULT OR LIABILITY INSURANCE 1982-08-09
0938-0106 HOME DIALYSIS TARGET RATE REIMBURSEMENT AGREEMENT AND INSTRUCTIONS 1982-07-15
0938-0073 RURAL HEALTH CLINIC SURVEY REPORT 1982-06-18
0938-0257 SURVEY OF RECENT OPTOMETRY GRADUATES TO DETERMINE PRACTICE PATTERNS 1982-06-01
0938-0256 EVALUATION STUDY OF THE HMO CAPITATION DEMDEMONSTRATION 1982-05-21
0938-0255 EVALUATION OF MUNICIPAL HEALTH SERVICES PROGRAM 1982-04-20
0938-0254 PRECLEARANCE OF PROPOSED CONTRACT TO PROVIDE DIRECT REIMBURSEMENT OF CLINICAL SOCIAL WORKERS 1982-04-14
0938-0252 MEDICARE COMPETITION DEMONSTRATION PRECLEARANCE 1982-04-02
0938-0105 TUBERCULOSIS HOSPITAL REPORT FORM 1982-04-02
0938-0143 FORM HCFA-231, "COMPENSATION SURVEY OF KEY ADMINISTRATIVE EMPLOYEES" 1982-03-30
0938-0070 DELEGATED PROVIDER ADMISSIONS SUMMARY 1982-03-30
0938-0066 PHYSICIAN EXTENDERS REIMBURSEMENT STUDY 1982-03-29
0938-0145 REQUEST FOR MEDICARE PAYMENT BY MMHD FACILITY 1982-03-19
0938-0063 PROFESSIONAL STANDARDS REVIEW ORGANIZATION ROUTINE FEDERAL REPORTING REQUIREMENTS 1982-03-01
0938-0240 UNIFORM BILLING FORM FOR THE STATE OF NEW YORK, FR. UBF-1, "MEDICARE" 1981-12-04
0938-0239 DELIVERY OF MEDICAL & SOCIAL SERVICES TO THE HOMEBOUND ELDERLY, NEW YORK CITY -- BILLING FORMS 1981-12-04
0938-0232 CONTRACTORS' INFORMATION COLLECTIONS - CARRIERS' EXTERNAL AUDIT OF SERVICES PROVIDED TO BENEFICIARIES 1981-12-04
0938-0231 CONTRACTORS' INFORMATION COLLECTION-- "STATE MEDICAID AGENCY VERIFICATION OF SERVICES RECEIVED" 1981-12-04
0938-0229 CONTRACTORS INFORMATION COLLECTIONS - SOLE COMMUNITY PROVIDER EXEMPTION REQUESTS 1981-12-04
0938-0228 CONTRACTORS INFORMATION COLLECTIONS - INTERMEDIARIES COLLECTION OF DATA ON OWNERS COMPENSATION 1981-12-04
0938-0044 CONTRACTORS INFORMATION COLLECTIONS - STATE SURVEY AGENCY CORRECTION OF DEFICIENCY FORMS 1981-12-04
0938-0238 CONTRACTORS INFORMATION COLLECTION - ORGAN PROCUREMENT AGENCY AND HISTOCOMPATIBILITY LABORATORY FORMS 1981-12-01
0938-0220 PRECLEARANCE--EVALUATION OF THREE DEMONSTRATIONS IN NURSING HOMES CERTIFICATION SURVEY AND INSPECTIONS OF CARE 1981-11-20
0938-0077 PROGRAM INTEGRITY ACTIVITY REPORT (REVISION OF HCFA-52 FORMERLY CALLED OPI POSTPAYMENT REVIEW SUMMARY-MEDICAID) 1981-11-20
0938-0216 CONTRACTOR INFORMATION COLLECTION - PROVIDER PERMANENT REFERENCE FILE 1981-11-19
0938-0215 CONTRACTORS' INFORMATION COLLECTIONS--PERIODIC AUDIT OF PROVIDER/SUPPLIER CLAIMS DATA 1981-11-19
0938-0207 CONTRACTORS' INFORMATION COLLECTIONS -- COMPREHENSIVE HEALTH CENTER FORMS 1981-11-19
0938-0200 CONTRACTORS' INFORMATION COLLECTION SUPPLEMENTAL DESK REVIEW 1981-11-19
0938-0179 CONTRACTOR'S INFORMATION COLLECTION - PROVIDER BASED PHYSICIAN FORMS 1981-11-19
0938-0199 ANCILLARY SERVICES UTILIZATION STUDY 1981-11-02
0938-0198 EVALUATION OF NEW YORK'S LONG-TERM HOME HEALTH CARE PROGRAM 1981-10-27
0938-0197 QUESTIONNAIRE ON MEDICAID STATE AGENCY FRAUD AND ABUSE CONTROL ACTIVITIES 1981-10-27
0938-0196 MEDICARE MENTAL HEALTH DEMONSTRATION COST & STATISTICAL REPORT 1981-10-13
0938-0082 MEDICAID QUALITY CONTROL STATISTICAL REPORTS 1981-10-13
0938-0185 MEDICARE URBAN CLINICS DEMONSTRATION PRE-CLEARANCE ORDS 81-4-095 1981-08-26
0938-0184 PRECLEARANCE: MEDIGAP HCFA-81-ORDS-32/AMG 1981-08-26
0938-0181 SURVEY FOR THE NATIONAL HOSPITAL RATE-SETTING STUDY 1981-08-26
0938-0039 PROVIDER CHAIN OPERATOR DATA 1981-07-06
0938-0054 HOSPITAL INSTITUTIONAL PLANNING QUESTIONNAIRE 1981-06-19
0938-0053 SUMMARY OF DEFICIENCIES NOT CORRECTED 1981-06-19
0938-0043 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION AND CONTINUATION SHEET 1981-06-19
0938-0174 STUDY OF UNENTITLED ESRD POPULATION 1981-06-15
0938-0169 QUESTIONNAIRE ON REGULATORY REFORM 1981-05-05
0938-0167 TRIAGE--COORDINATED CARE OF THE ELDERLY (BILLING FORMS) 1981-04-28
0938-0131 EVALUATION OF SECOND SURGICAL OPINION PROGRAMS FOR ELECTIVE SURGERY 1981-04-27
0938-0163 MEDICARE REIMBRUSEMENT SETTLEMENT DATA FOR HOME HEALTH AGENCIES 1981-04-08
0938-0162 EVALUATION OF REIMBURSING FOR HOME DIALYSIS SERVICES 1981-03-23
0938-0160 LETTER TO COLLCT DATA ON STATE REGULATION OF MEDIGAP INSURANCE POLICIES 1981-03-12
0938-0157 NATIONAL ASSESSMENT OF MEDICARE DIAGNOSTIC AND SURGICAL DATA QUALITY 1981-03-11
0938-0099 PENALTY REQUIREMENTS APPLICABLE TO THE EPSDT PROGRAM 1981-03-06
0938-0097 CHILD HEALTH STATUS REPORT 1981-02-27
0938-0156 PILOT TEST OF REVISED MEDICAID AND INTEGRATED QUALITY CONTROL FORMS 1981-02-25
0938-0152 NATIONAL SECOND SURGICAL OPINION PROGRAM - REACTION TO TELEVISION'S "20/20", UNNECESSARY SURGERY PROGRAM 1981-02-11
0938-0149 EVALUATION OF THE SSOP MEDICARE DEMONSTRATIONS IN DETROIT AND NEW YORK AND THE MEDICAID PROGRAM IN MASSACHUSETTS 1981-02-04
0938-0021 PREPAYMENT PLAN FOR GROUP MEDICAL PRACTICES DEALING THROUGH A CARRIER 1981-01-08
0938-0139 APPLICATION FOR FEDERAL ASSISTANCE FOR ESRD NETWORK COORDINATING COUNCIL 1980-12-19
0938-0136 EVALUATION OF THE OKLAHOMA UTILIZATION REVIEW SYSTEM 1980-09-10
0938-0056 HOSPITAL, HOSPITAL-SKILLED NURSING FACILITY COMPLEX, COST REPORT 1980-06-11
0938-0117 UNIFORM BILL QUESTIONNAIRE 1980-06-02
0938-0134 SURVEY OF MEDICAID REIMBURSEMENT POLICIES 1980-01-21
0938-0001 NATIONWIDE SURVEY OF INDEPENDENT PREPAID AND SELF-INSURED HEALTH PLANS 1980-01-03
0938-0084 STERILIZATIONS AND HYSTERECTOMIES 1979-12-19
0938-0069 MEDICAID QUALITY CONTROL REVIEW SCHEDULE AND WORKSHEET 1979-08-21
0938-0057 INDIVIDUALIZED SERVICE PLAN (SHORT FORM, EXTENDED FORM 1 AND 2) 1979-05-18
0938-0088 HOSPITAL INTERIM RATE CHANGE REPORT (PIP QUARTERLY REPORT) 1979-03-19
0938-0119 PRESURGICAL SCREENING PROGRAM COST BENEFIT ANALYSIS QUESTIONNAIRE 1978-12-15
0938-0081 INSTRUCTIONS FOR COMPLETION OF FEDERAL ASSISTANCE REPORTS--MEDICAID FRAUD 1978-09-06
0938-0075 RURAL HEALTH CLINIC BILLING 1978-05-12
0938-0072 MEDICARE SECOND SURGICAL OPINION DEMONSTRATION PROJECTS 1978-02-21
0938-0111 AMBULATORY HEALTH CARE CENTER STANDARDS FOR BUREAU OF COMMUNITY HEALTH SERVICES CENTERS 1976-06-30