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Medicaid Managed Care: States
Medicaid Managed Care and Supporting Regulations (CMS-10856)
OMB: 0938-1453
IC ID: 261963
OMB.report
HHS/CMS
OMB 0938-1453
ICR 202308-0938-018
IC 261963
( )
Documents and Forms
Document Name
Document Type
Form CMS-10108
Medicaid Managed Care: States
Form
CMS-10108 Managed Care Program Annual Report (MCPAR) Template
The Managed Care Program Annual Report (MCPAR Template.pdf
Form
CMS-10108 Medical Loss Ratio (MLR) Reporting Template
Medical Loss Ratio (MLR) Reporting Template.pdf
Form
CMS-10108 Network Adequacy and Access Assurances Tool
Access and Network Adequacy Assurances Reporting Tool.pdf
Form
Contract Portal Screenshots.docx
Other-Contract Portal Screenshot
Information Collection (IC) Details
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