MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) DISPOSITION LIST

ICR 198601-0938-003

OMB: 0938-0173

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0173 198601-0938-003
Historical Active 198504-0938-003
HHS/CMS
MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) DISPOSITION LIST
Revision of a currently approved collection   No
Regular
Approved without change 02/25/1986
Retrieve Notice of Action (NOA) 01/29/1986
  Inventory as of this Action Requested Previously Approved
09/30/1986 09/30/1986 03/31/1986
660 0 660
1,786 0 2,146
0 0 0

THE MEQC DISPOSITION LIST IS THE SUMMARY OF THE STATE MEQC FINDINGS BY CASE FOR POSITIVE REVIEWS AND NEGATIVE CASE ACTION REVIEWS. THESE LISTS ARE USED BY HCFR TO PROVIDE INFORMATION FOR PRODUCING ERROR RATES, SELECTING SUBSAMPLE CASES, AND MONITORING STATE REVIEWS.

None
None


No

1
IC Title Form No. Form Name
MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) DISPOSITION LIST HCFA-321

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 660 660 0 0 0 0
Annual Time Burden (Hours) 1,786 2,146 0 0 -360 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/29/1986


© 2024 OMB.report | Privacy Policy