Medical Necessity and Contract Amendments Under Mental Health Parity (CMS-10556)

ICR 202211-0938-009

OMB: 0938-1280

Federal Form Document

Forms and Documents

Document Name	Status
CMS-10556 - Supporting Statement A (2022 version 7).docx Supporting Statement A	2022-11-22

IC Document Collections

IC ID	Document Title	Status
220885	State Analysis and Transparency Responsibilities (sec. 438.920)	Modified
220884	Submitting Requests for Medical Necessity Disclosures (Potential Participants, Beneficiaries, and Contracting Providers)	Modified
216060	State Contract Requirements (§ 438.3(n))	Modified
216059	Availability of Information and the Criteria for Medical Necessity Determinations (Regulated Entities)	Modified