Proposed Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711)

ICR 202212-0938-002

OMB: 0938-1368

Federal Form Document

Forms and Documents

Document Name	Status
CMS-10711.Supporting Statement Part A.docx Supporting Statement A	2022-12-01

IC Document Collections

IC ID	Document Title	Status
254983	Prior Authorization Process (One New Service Category - Facet Joint Interventions)	Modified
237862	Prior Authorization Process (Five Original Categories)	Modified