Medicaid - Determining Third Party Liability (TPL) State Plan Preprint and Supporting Regulation in 42 CFR 433.138

Medicaid - Determining Third Party Liability (TPL) State Plan Preprint and Supporting Regulation in 42 CFR 433.138 (CMS-R-107)

OMB: 0938-0502

IC ID: 8123

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Medicaid - Determining Third Party Liability (TPL) State Plan Preprint and Supporting Regulation in 42 CFR 433.138
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 433.138

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

2,900,000 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 2,900,000 0 0 200,000 0 2,700,000
Annual IC Time Burden (Hours) 510,968 0 0 38,709 0 472,259
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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