HH Demo Fax and Electronic Submissions and Resubmissions (Illinois, Florida, Texas)

Pre-Claim Review Demonstration For Home Health Services (CMS-10599)

OMB: 0938-1311

IC ID: 222818

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HH Demo Fax and Electronic Submissions and Resubmissions (Illinois, Florida, Texas)
 
No Removed
 
Voluntary
 

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

Health Health Care Services

 

5,208 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   95 %

  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 0 0 0 -2,387,221 0 2,387,221
Annual IC Time Burden (Hours) 0 0 0 -1,193,611 0 1,193,611
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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