Applicable Integrated Plan Coverage Decision Letter (CMS-10716)

ICR 202306-0938-003

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1386 can be found here:

Forms and Documents

Document Name	Status
CMS-10716_SupportingStatement_A.docx Supporting Statement A	2023-06-06
Crosswalk of Changes to CDL.pdf Supplementary Document	2023-06-06
Summary of comments and responses.pdf Supplementary Document	2023-06-05
Crosswalk of Changes to CDL.pdf Supplementary Document	2023-06-05

IC Document Collections

IC ID	Document Title	Status
241332	Applicable Integrated Plan Coverage Decision Letter Instruction	Modified

ICR Details