Annual Notice of Change (ANOC) and Evidence of Coverage (EOC)

Annual Notice of Change and Evidence of Coverage for Applicable Integrated Plans in States that Require Integrated Materials (CMS-10824)

OMB: 0938-1444

IC ID: 258292

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Information Collection (IC) Details

View Information Collection (IC)

Annual Notice of Change (ANOC) and Evidence of Coverage (EOC)
 
No New
 
Mandatory
 
42 CFR 423.128 42 CFR 422.111

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction NTDSNPANOCCY20244122023_CS508Cleared.docx No   Fillable Printable
Instruction NTDSNPCH1CY20244122023_CS508Cleared.DOCX No   Fillable Printable
Instruction NTSPANDNSPCH2CY202402272023.DOCX No   Fillable Printable
Instruction NTDNSPCH3CY20244122023_CS508Cleared.docx No   Fillable Printable
Instruction NTDNSPCH4CY20244122023_CS508Cleared.DOCX No   Fillable Printable
Instruction NTDSNPCH5CY20244122023_CS508Cleared.DOCX No   Fillable Printable
Instruction NTSPANDSNPCH6CY202402272023.DOCX No   Fillable Printable
Instruction NTSPANDSNPCH7CY202402272023.DOCX No   Fillable Printable
Instruction NTSPANDSNPCH8CY202402272023.DOCX No   Fillable Printable
Instruction NTSPANDSNPCH9CY202402272023.DOCX No   Fillable Printable
Instruction NTDSNPCH10CY20244122023_CS508Cleared.DOCX No   Fillable Printable
Instruction NTSPANDSNPCH11CY202402272023.DOCX No   Fillable Printable
Instruction NTSPANDSNPCH12CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPANOCCY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH1CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH2CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH3CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH4CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH5CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH6CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH7CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH8CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH9CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH10CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH11CY202402272023.DOCX No   Fillable Printable
Instruction NTTCHIDSNPCH12CY202402272023.DOCX No   Fillable Printable

Health Health Care Services

 

47 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 47 0 0 47 0 0
Annual IC Time Burden (Hours) 564 0 0 564 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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