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Information Collection

Payment Error Rate Measurement - State Medicaid and CHIP Eligibility (MEQC Substitution)

IC 190303 under ICR 202408-0938-027 · OMB 0938-1012.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form
Form
Information Collection (IC) Details

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Payment Error Rate Measurement - State Medicaid and CHIP Eligibility (MEQC Substitution)
 
No Removed
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10184 MEQC Substitution CMS 10184A MEQC substitution (1).doc Yes Yes Fillable Fileable
Form CMS-10184 MEQC substitution Detailed Case Review Findings CMS 10184B.MEQC substitution Detailed Case Review Findings.doc Yes Yes Fillable Fileable

Health Health Care Services

 

19 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved 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 0 0 -19 0 19 0
Annual IC Time Burden (Hours) 0 0 -407,094 0 407,094 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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