Home Health Services: Documentation of the Face-to-Face Encounter

Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations under 42 CFR 440.70(f) and (g) (CMS-10609)

OMB: 0938-1319

IC ID: 222848

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Home Health Services: Documentation of the Face-to-Face Encounter
 
No Unchanged
 
Mandatory
 
42 CFR 440.70(f) and (g)

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

Health Health Care Services

 

1,143,443 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 1,143,443 0 0 0 0 1,143,443
Annual IC Time Burden (Hours) 190,955 0 0 0 0 190,955
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PRA Disclosure Statement Disclosure Statement.doc 08/05/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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