Collection of Diagnostic Data in the Abbreviated RAPS Format from Medicare Advantage Organizations for Risk Adjusted Payments (CMS-10062)

ICR 202303-0938-011

OMB: 0938-0878

Federal Form Document

Forms and Documents

Document Name	Status
RAPS Inbound Record Layout 08192020.pdf Supplementary Document	2020-08-27
CMS-10062 Supporting_Statement_A.docx Supporting Statement A	2023-03-30
CMS-10062 - Crosswalk_121322.pdf Supplementary Document	2023-03-27

IC Document Collections

IC ID	Document Title	Status
8704	Collection of Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted Payments Supporting Reg 42 CFR Part 422 & 423 Subparts F and G	Modified