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Annual State Report on CMS VBP Supplemental Rebate Agreements
[Medicaid] Annual State Report on Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements (CMS-10722)
OMB: 0938-1385
IC ID: 242409
OMB.report
HHS/CMS
OMB 0938-1385
ICR 202405-0938-003
IC 242409
( )
Documents and Forms
Document Name
Document Type
Form CMS-10722
Annual State Report on CMS VBP Supplemental Rebate Agreements
Form
CMS-10722 Annual State Report on CMS VBP Supplemental Rebate Agreements
CMS-10722 - VBP State Data Worksheet (2024 version 1).pdf
Form
Crosswalk.pdf
State Report - Crosswalk
IC Document
REDLINE - CMS-10722 - VBP State Data Worksheet (2024 version 1).pdf
State Report - Redline
IC Document
Information Collection (IC) Details
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