ICF/IID PRA Package Form Changes Document
Form CMS-3070 G
OMB NO. 0938-0062
Change in title from Intermediate Care Facilities for Individuals with Mental Retardation Survey Report to Intermediate Care Facilities for Individuals with Intellectual Disabilities Survey Report- Change made due to change in statue language
Block 13. Change ICF/MR to ICF/IID- Change made due to change in statute language
Block 15. Change QMRP to QIDP- Change made to parallel statute language
Block 15 O. Change QMRP to QIDP- Change made to parallel statute language
Block 16A. Change ICF/MR to ICF/IID- Change made due to change in statute language
Block 16B. Change ICF/MR to ICF/IID- Change made due to change in statute language
Block 16C. Change ICF/MR to ICF/IID- Change made due to change in statue language
Block 16D. Change ICF/MR to ICF/IID- Change made due to change in statue language
Block 16E. Change ICF/MR to ICF/IID- Change made due to change in statue language
Block 16H. Change ICF/MR to ICF/IID- Change made to change in statue language
Block 20D (1). Change Mental Retardation to Intellectual Disability- Change made due to change in statute language
Form CMS- 3070 H
OMB NO. 0938-0062
Change in title from Intermediate Care Facility for Persons with Mental Retardation Deficiencies Report to Intermediate Care Facility for Individuals With Intellectual Disabilities Deficiencies Report- Change made due to change in statute language
Block 2. Change COP to CoP- Change made to correct grammatical error
Form CMS- 3070 I
OMB NO. 0038-0062
There were no changes to this form.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | ADRIENNE ROGERS |
| File Modified | 0000-00-00 |
| File Created | 2021-01-28 |