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Elimination of Cost-Sharing for full benefit dual-eligible Individuals Receiving Home and Community-Based Services (Annual - effective 1/1/2012)

IC 195885 under ICR 202602-0938-014 · OMB 0938-1127.

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Elimination of Cost-Sharing for full benefit dual-eligible Individuals Receiving Home and Community-Based Services (Annual - effective 1/1/2012)
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 423.772 42 CFR 423.782

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

Health Health Care Services

 

51 0
   
State, Local, and Tribal Governments
 
   100 %

  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 51 0 0 0 0 51
Annual IC Time Burden (Hours) 612 0 0 0 0 612
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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