Uniform Hospital Bill (hcfa-1450) And Related Electronic Media Claim Format - Medicaid System Requirements

OMB 0938-0458

Latest Forms, Documents, and Supporting Material

Document Name
UNIFORM HOSPITAL BILL (HCFA-1450) AND RELATED ELECTRONIC MEDIA CLAIM FORMAT - MEDICAID SYSTEM REQUIREMENTS Form

All Historical Document Collections

199104-0938-004 Approved without change	Reinstatement with change of a previously approved collection	1991-04-16
198903-0938-018 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-03-20
198811-0938-005 Approved without change	Reinstatement with change of a previously approved collection	1988-11-17
198510-0938-008 Approved without change	New collection (Request for a new OMB Control Number)	1985-10-24