Document Name Document Type
Form CMS-10487 Medicaid Emergency Psychiatric Services Demonstration Evaluation - IMDs Form and Instruction
CMS-10487 Key Informant Interview Protocols Attachment_B.pdf Form and Instruction
CMS-10487 Sampling Procedures for Medical Record Review Attachment_C.pdf Form and Instruction
CMS-10487 Medical Record Review Tools Attachment_D.pdf Form and Instruction
CMS-10487 Beneficiary Interview Protocol, Consent Form; and Recrui Attachment_E.pdf Form and Instruction

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