Availability of Information and the Criteria for Medical Necessity Determinations (Regulated Entities)

Medical Necessity and Contract Amendments Under Mental Health Parity (CMS-10556)

OMB: 0938-1280

IC ID: 216059

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

View Information Collection (IC)

Availability of Information and the Criteria for Medical Necessity Determinations (Regulated Entities)
 
No Modified
 
Mandatory
 
42 CFR 457.496(e)(1) 42 CFR 438.915(a) 42 CFR 440.395(c)(1)

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

Health Health Care Services

 

142,403 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 142,403 142,403 0 0 0 0
Annual IC Time Burden (Hours) 11,867 11,867 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy