Survey Of Medicaid Reimbursement Policies

SURVEY OF MEDICAID REIMBURSEMENT POLICIES

OMB: 0938-0134

IC ID: 112937

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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SURVEY OF MEDICAID REIMBURSEMENT POLICIES
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-167T, No No
Form HCFA-L- No No
Form 167T No No


    

50 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 0 0 50 0 0
Annual IC Time Burden (Hours) 200 0 0 200 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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