PMD Demonstration

Fee-for-Service Recovery Audit Prepayment Review Demonstration and Prior Authorization Demonstration

OMB: 0938-1169

IC ID: 202523

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PMD Demonstration
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
42 CFR 421.200, 210, 304, 400

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

Health Health Care Services

 

179,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 179,000 0 0 0 0 179,000
Annual IC Time Burden (Hours) 89,500 0 0 0 0 89,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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