Payment Error Rate Measurement - State Medicaid and CHIP Eligibility

Payment Error Rate Measurement - State Medicaid and CHIP Eligibility

OMB: 0938-1012

IC ID: 46148

Information Collection (IC) Details

View Information Collection (IC)

Payment Error Rate Measurement - State Medicaid and CHIP Eligibility
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-10184.PERM Form Instructions-10-30-06.DOC Yes No Printable Only
Form CMS-10184 CMS-10184.FINAL-PERM Eligibility Error Rate Forms CMS-10184.FINAL-PERM Eligibility Error Rate Forms-10-30-06.doc Yes No Fillable Printable

Health Health Care Services

 

34 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 34 0 0 0 0 34
Annual IC Time Burden (Hours) 3,400 0 0 0 0 3,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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