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Utilization Management Committee and Health Equity 422.137

IC 272789 under ICR 202412-0938-003 · OMB 0938-0964.

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Utilization Management Committee and Health Equity 422.137
 
No New
 
Mandatory
 
42 CFR 422.137(c)(5) 42 CFR 422.137(d)(6)

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

Health Health Care Services

 

1,663 0
   
Private Sector Businesses or other for-profits
 
   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 1,663 0 1,663 0 0 0
Annual IC Time Burden (Hours) 10,463 0 10,463 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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