OMB
.report
Search
Cms-r-262 Section B - 6 - Home Health - Base 1 Screen
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)
Appendix C - PBP_2008_screenshots_sec_b6
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)
OMB: 0938-0763
OMB.report
HHS/CMS
OMB 0938-0763
ICR 200703-0938-005
IC 43667
Cms-r-262 Section B - 6 - Home Health - Base 1 Screen
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0763 can be found here:
2024-01-25 - Revision of a currently approved collection
2023-02-08 - Revision of a currently approved collection
Document [doc]
Download:
doc
|
pdf
PBP 2008 Data Entry System Screens
Section B – 6 –Home Health – Base 1 Screen
Section B – 6 –Home Health – Base 2 Screen
Section B – 6 –Home Health – Base 3 Screen
Section B – 6 –Home Health – Base 4 Screen
Page
4
File Type
application/msword
File Modified
2006-12-20
File Created
2006-12-20
© 2024 OMB.report |
Privacy Policy