[Medicaid] Annual State Report on Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements (CMS-10722)

ICR 202405-0938-003

OMB: 0938-1385

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10722 Annual State Report on CMS VBP Supplemental Rebate Agreements Form	Modified
CMS-10722 - Supporting Statement A (2024 version 4).docx Supporting Statement A	2024-05-03

IC Document Collections

IC ID	Document Title	Status
242409	Annual State Report on CMS VBP Supplemental Rebate Agreements Form	Modified