List of Respondents

Attachment A_Respondent List.docx

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

List of Respondents

OMB: 0920-0879

Document [docx]
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Attachment A- HHIAG Assessment Respondents

STATE

Total N

Respondents per Governmental Entity

Governmental Entity

Category or Official Type: (Health Department Staff/Medicaid CHIP staff)

Alaska

2

1

Department of Health and Social Services, Division of Public Assistance, Medicaid

Medicaid/CHIP

1

Department of Health and Social Services, Division of Public Health

Health Dept.

California


6


2

Department of Health Care Services, Medicaid

Medicaid/CHIP

4

Department of Public Health, Office of AIDS

Health Dept.

Connecticut


4


1

Department of Social Services, Medicaid

Medicaid/CHIP

3

Department of Public Health

Health Dept.

Georgia

6

2

Department of Community Health, Medicaid

Medicaid/CHIP

4

Department of Public Health

Health Dept.

Illinois

6

2

Department of Healthcare and Family Services, Medicaid

Medicaid/CHIP

4

Department of Public Health

Health Dept.

Iowa

6

2

Department of Human Services, Medicaid

Medicaid/CHIP

4

Department of Public Health

Health Dept.

Louisiana

5

3

Department of Health, Louisiana Medicaid

Medicaid/CHIP

2

Department of Health, Office of Public Health

Health Dept.

Maryland


6


1

Department of Health and Mental Hygiene, Medicaid

Medicaid/CHIP

5

Department of Health and Mental Hygiene, Public Health Services

Health Dept.

Massachusetts


4


2

MassHealth

Medicaid/CHIP

2

Department of Public Health

Health Dept.

Michigan


6


2

Department of Health and Human Services, Medicaid

Medicaid/CHIP

4

Department of Community Health

Health Dept.

Mississippi


6


4

Division of Medicaid

Medicaid/CHIP

2

State Department of Health

Health Dept.

Nevada


5


3

Department of Health and Human Services, Medicaid

Medicaid/CHIP

2

Department of Health and Human Services, Public and Behavioral Health

Health Dept.

New Hampshire


7


3

Department of Health and Human Services, Medicaid

Medicaid/CHIP

4

Department of Health and Human Services, Division of Public Health Services

Health Dept.

New York


10


3

Department of Health, Medicaid

Medicaid/CHIP

7

Department of Health, AIDS Institute

Health Dept.

North Carolina


5


1

Division of Medical Assistance

Medicaid/CHIP

4

Department of Health and Human Services

Health Dept.

Rhode Island


5


3

Department of Human Services, Medicaid

Medicaid/CHIP

2

Department of Health

Health Dept.

Virginia

9

3

Department of Medical Assistance Services

Medicaid/CHIP

6

Department of Health

Health Dept.

Washington

5

2

Department of Social and Health Services, Medicaid

Medicaid/CHIP

3

Department of Health

Health Dept.

Wisconsin

7

3

Department of Health Services, Medicaid

Medicaid/CHIP

4

Department of Health Services, Division of Public Health

Health Dept.

Total States (19)

Total Resp.

110



(67 State, 43 Medicaid/ CHIP)














File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAttachment A_Respondent List by General Title
AuthorHeitgerd, Janet (CDC/OID/NCHHSTP)
File Modified0000-00-00
File Created2021-01-22

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