CORRECTIVE ACTION PLAN (MEDICAID ELIGIBILITY QUALITY CONTROL)

ICR 199206-0938-004

OMB: 0938-0144

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
0938-0144 199206-0938-004
Historical Active 198904-0938-052
HHS/CMS
CORRECTIVE ACTION PLAN (MEDICAID ELIGIBILITY QUALITY CONTROL)
Revision of a currently approved collection   No
Regular
Approved without change 09/02/1992
Retrieve Notice of Action (NOA) 06/04/1992
  Inventory as of this Action Requested Previously Approved
09/30/1995 09/30/1995 07/31/1992
51 0 55
20,400 0 22,000
0 0 0

MEDICAID ELIGIBILITY QUALITY CONTROL IS A STATE-ADMINISTERED MANAGEMEN SYSTEM DESIGNED TO IMPROVE THE ADMINISTRATION OF THE MEDICAID PROGRAM. STATES ARE REQUIRED TO SUBMIT A CORRECTIVE ACTION PLAN ONCE A YEAR. T PLAN MUST DETAIL THE INITIATIVES THAT STATE WILL IMPLEMENT IN ORDER TO PRECLUDE THE TYPE OF ERRORS FOUND.

None
None


No

1
IC Title Form No. Form Name
CORRECTIVE ACTION PLAN (MEDICAID ELIGIBILITY QUALITY CONTROL) HCFA-320

  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 51 55 0 0 -4 0
Annual Time Burden (Hours) 20,400 22,000 0 0 -1,600 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.
06/04/1992


© 2024 OMB.report | Privacy Policy