HH Demo Fax and Electronic Submissions and Resubmissions (16 States)

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

OMB: 0938-1311

IC ID: 222824

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

HH Demo Fax and Electronic Submissions and Resubmissions (16 States)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-10599 - Home Health Instrument.pdf Yes No Printable Only

Health Health Care Services

 

13,221 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 1,461,477 0 0 1,046,769 0 414,708
Annual IC Time Burden (Hours) 730,739 0 0 523,385 0 207,354
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.

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