Medicaid and Children's Health Insurance Plan (CHIP) Managed Care

Payment Error Rate Measurement in Medicaid & Children's Health Insurance Program (CHIP) (CMS-10178)

OMB: 0938-0994

IC ID: 43679

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Medicaid and Children's Health Insurance Plan (CHIP) Managed Care
 
No Unchanged
 
Mandatory
 
42 CFR 457.950

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

36 0
   
State, Local, and Tribal Governments
 
   10 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 36 0 -28,014 0 28,050 0
Annual IC Time Burden (Hours) 29,700 0 1,650 0 28,050 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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