Information Collection

[Medicaid] GenIC #43 (Revised): Certified Community Behavioral Health Clinic (CCBHC) Cost Report

IC 265212 under ICR 202401-0938-016 · OMB 0938-1148.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1148 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10398 #43 CCBHC Cost Report [Medicaid] GenIC #43 (Revised): Certified Community Behavioral Health Clinic (CCBHC) Cost Report	Form

Record metadata
IC Title	[Medicaid] GenIC #43 (Revised): Certified Community Behavioral Health Clinic (CCBHC) Cost Report