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GenIC #52 (Revision) - Delivery System and Provider Payment Initiatives Under Medicaid Managed Care Products

IC 243372 under ICR 201712-0938-019 · OMB 0938-1148.

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Document Name
Document Type
Other-Example
Other-Example
Form and Instruction
IC Document
IC Document
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GenIC #52 (Revision) - Delivery System and Provider Payment Initiatives Under Medicaid Managed Care Products CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Example 4386c-Preprint-AppendixK-Example.docx Yes No Printable Only
Other-Example 4386c-Preprint-COVID19-Example.docx Yes No Printable Only
Form and Instruction CMS-10398 #52 Section 438.6(c) Preprint 438.6(c) Revised Preprint Template_12 30 2020_ clean copy.docx Yes Yes Fillable Fileable

Health Health Care Services

 

44 0
   
State, Local, and Tribal Governments
 
   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 132 0 132 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk - Section 438.6(c) Preprint 438.6(c) Crosswalk.xlsx 08/28/2020
Supporting Statement GenIC 52 - Generic Supporting Statement (2020 version 5) Clean.docx 01/05/2021
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