Medicaid Program Budget Report, and Supporting Regs.

Medicaid Program Budget Report, and Supporting Regs.

OMB: 0938-0101

IC ID: 7846

Information Collection (IC) Details

View Information Collection (IC)

Medicaid Program Budget Report, and Supporting Regs.
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-37 State Estimate of Quarterly Grant Awards (In Thousands) State Estimate of Quarterly Grant Awards CMS37_1.XLS No No Fillable Fileable
Form and Instruction CMS-37.1V Variances in Certification Quarter Estimate From Recent Expenditures CMS37_1V.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.3 Estimated Medical Assistance by Type of Service CMS37_3.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.3I Estimated Medical Assistance by Type of Service CMS37_3I.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.4 Explanations of Change Between Submissions CMS37_4.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.4M Medicaid SCHIP Expansion Program Benefits CMS37_4M.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.4V Medical Assistance Payments CMS37_4V.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.7 Estimated Average Number of Eligibles During the Year CMS37_7.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.9 State and Local Administration Summary CMS37_9.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.10 State and Local Administration CMS37_10.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.10I Information - State and Local Administration CMS37_10I.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.11 State and Local Administration Payments CMS37_11.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.11V Category Specific Variances in Estimates CMS37_11V.xls Yes Yes Fillable Fileable
Form and Instruction CMS-37.12 Other Budget Narratives CMS37_12.xls Yes Yes Fillable Fileable

Health Health Care Services

 

56 0
   
State, Local, and Tribal Governments
 
   100 %

  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 224 0 0 0 0 224
Annual IC Time Burden (Hours) 7,616 0 0 0 0 7,616
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
State Medicare Manual Section 2600WEB-R1 State Medicare Manual Section 2600WEB-R1.doc 07/08/2008
CMS-37-PRA Disclosure CMS-37-PRA Disclosure.doc 07/08/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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