GenIC #52 (Extension w/o change): Delivery System and Provider Payment Initiatives Under Medicaid Managed Care Products

Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)

OMB: 0938-1148

IC ID: 229740

Information Collection (IC) Details

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GenIC #52 (Extension w/o change): Delivery System and Provider Payment Initiatives Under Medicaid Managed Care Products
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10398 #52 Section 438.6(c) pre-print 52 - 438.6c Preprint - Clean Version_04_05_2017.docx Yes Yes Fillable Fileable

Health Health Care Services

 

44 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 264 0 264 0 0 0
Annual IC Time Burden (Hours) 264 0 264 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
#52 - Supporting Statement 52 - Supporting Statement Delivery System and Provider Payment Initiatives.docx 01/12/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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