OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Adapting Best Practices for Medicaid Readmissions

OMB 0935-0204 ยท HHS/AHRQ.

OMB 0935-0204

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form #6 Provider Interview Tool (Test Strategies)Form and Instruction
Form Form #5 Provider Interview Tool (Baseline)Form and Instruction
Form Form #4 Patient-Family-Caregiver Interview Tool (Test Strategies)Form and Instruction
Form Form #3 Patient-Family-caregiver Interview Tool (Drivers)Form and Instruction
Form Form #2 Medical Records Review Tool (Test Strategies)Form and Instruction
Form Form #1 Medical Records Review Tool (Drivers)Form and Instruction
Supporting Statement Part B -- Adopting Best Practices for Medicaid Readmissions 11-26-2012.docSupporting Statement B
Attachment G -- Federal Register Notice.pdf Supplementary Document
Supporting Statement Part A -- Adopting Best Practices for Medicaid Readmissions 11-26-2012.docSupporting Statement A
Provider interviews Form and Instruction
Provider interviews Form and Instruction
Patient/family /caregiver interviews Form and Instruction
Patient/family /caregiver interviews Form and Instruction
Medical records review Form and Instruction
Medical records review Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201206-0935-001 New collection (Request for a new OMB Control Number) 2012-06-18 Approved with change