Beneficiary Feedback (sec. 447.203(b)(4))

(CMS-10391) Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204

OMB: 0938-1134

IC ID: 197690

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Beneficiary Feedback (sec. 447.203(b)(4))
 
No New
 
Mandatory
 
42 CFR 447.203(b)(4)

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

Health Health Care Services

 

50 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 50 0 0 50 0 0
Annual IC Time Burden (Hours) 6,450 0 0 6,450 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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