OMB
.report
Search
Collection of Dental Provider Information
[Medicaid] State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Website and Hotline (CMS-10291)
OMB: 0938-1065
IC ID: 189778
OMB.report
HHS/CMS
OMB 0938-1065
ICR 202404-0938-021
IC 189778
( )
Documents and Forms
Document Name
Document Type
Form CMS-10291
Collection of Dental Provider Information
Form and Instruction
CMS-10291 IKN Dental Provider Data Submission Technical Information
InsureKidsNowTechGuidanceV312.pdf
Form and Instruction
REDLINE - InsureKidsNowTechGuidanceV312.docx
REDLINE - Insure Kids Now Provider Data Submission Technical Information
IC Document
Information Collection (IC) Details
© 2024 OMB.report |
Privacy Policy