CMS-368 - Crosswalk

CMS-368 State Agency Contact Form_Crosswalk_07.2021.xlsx

Medicaid Drug Rebate Program (MDRP): Quarterly State Invoice (CMS-R-144) and State Agency Contact Form (CMS-368)

CMS-368 - Crosswalk

OMB: 0938-0582

Document [xlsx]
Download: xlsx | pdf
12/2019 (old version) 10/2020 (new version) Type of Change Reason for Change Burden Change
Title:
MEDICAID DRUG REBATE PROGRAM (MDRP)
and DRUG UTILIZATION REVIEW (DUR) PROGRAM
STATE AGENCY CONTACT FORM


Title:
MEDICAID DRUG REBATE PROGRAM
STATE AGENCY CONTACT FORM
Form CMS-368


Rev To align verbiage with other MDRP forms N/A
MDRP STATE DDR CONTACT STATE MDP CONTACT Rev MDRP is no longer reuired to differentiate between MDRP and DUR Contacts, as the DUR contact has been removed. N/A
MDRP TECHNICAL CONTACT STATE TECHNICAL CONTACT Rev MDRP is no longer reuired to differentiate between MDRP and DUR Contacts, as the DUR contact has been removed. N/A
MDRP POLICY CONTACT STATE POLICY CONTACT Rev MDRP is no longer reuired to differentiate between MDRP and DUR Contacts, as the DUR contact has been removed. N/A
MDRP REBATE CONTACT STATE REBATE CONTACT Rev MDRP is no longer reuired to differentiate between MDRP and DUR Contacts, as the DUR contact has been removed. N/A
DUR STATE CONTACT N/A Del The DUR State Contact has been removed from this PRA (0928-0582) as it is now accounted for in to PRA 0938-0659. N/A















File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy