Payment Error Rate Measurement in Medicaid and the State Children Health Insurance Program

Payment Error Rate Measurement in Medicaid and the State Children Health Insurance Program

OMB: 0938-0974

IC ID: 8834

Information Collection (IC) Details

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Payment Error Rate Measurement in Medicaid and the State Children Health Insurance Program
 
No Modified
 
Mandatory
 
42 CFR 431.970

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10166 CAP SHO Letter CAP SHO Letter FINAL to OMB 090407.doc No No Fillable Fileable
Form CMS-10166 IPIA IPIA.pdf Yes Yes Fillable Printable

Health Health Care Services

 

34 0
   
State, Local, and Tribal Governments
 
   99 %

  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 34 0
Annual IC Time Burden (Hours) 56,100 0 0 27,540 28,560 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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