Intrastate Rate and Minute Data for MARS Methodology

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Overview

Rate and Demand
Add. Costs Paid to Provider
Contact

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Sheet 1: Rate and Demand

Interstate TRS Fund
2018 Intrastate Rate and Minute Data for MARS Methodology
Jurisdiction			Prepared By		Telephone		Email Address
					Actual Intrastate Per Minute Compensation Rates		Number of Intrastate Minutes
Report data for calendar year 2018
Fill in the state abbreviation above, service type and provider name. Once all three are entered, this will fill in automatically. Jurisdiction	Service Type	Provider	Rate Start Date	Rate End Date	Conversation	Session	Conversation	Session

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Sheet 2: Add. Costs Paid to Provider

Interstate TRS Fund
Additional Costs Paid to Provider for Calendar Year 2018
Jurisdiction	Service Type	Provider	Rate Start Date	Rate End Date	Amount	Description

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Sheet 3: Contact

DRAFT - NOT FOR PUBLIC USE
Not Approved by OMB
2018 version
OMB Control number 3060-0463
See instructions for public burden estimate
If you have questions about the content of these forms, please contact:							Bob Loube		[email protected]		301-681-0338
Please send this completed workbook by February 20, 2019 to:									[email protected]		717-585-6605