Identifying Medicaid Payment for Physician Administered Drugs

Identifying Medicaid Payment for Physician Administered Drugs (CMS-10215)

OMB: 0938-1026

IC ID: 181535

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Identifying Medicaid Payment for Physician Administered Drugs
 
No Modified
 
Mandatory
 
42 CFR 447.520

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

Health Health Care Services

 

20,000 20,000
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   96 %

  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 84,589,433 0 80,679,433 0 0 3,910,000
Annual IC Time Burden (Hours) 351,046 0 334,819 0 0 16,227
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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