Information Collection Request
Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations under 42 CFR 440.70(f) and (g) (CMS-10609)
ICR 202301-0938-021 · OMB 0938-1319 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1319 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Response to 60-Day Public Comments.docx |
Supplementary Document | Uploaded 2023-02-08 | Repair queued |
| CMS-10609 - Supporting Statement A (2023 version 7).docx |
Supporting Statement A | Uploaded 2023-02-08 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 222848 |  Home Health Services: Documentation of the Face-to-Face Encounter |
Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1319 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201912-0938-011 |
| Agency Tracking No | CMCS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |