Limitations on Provider Related Donations and Health Care Related Taxes; Medicaid and Supporting Regulations in 42 CFR 433.68 and 433.74 (CMS-R-148)

OMB 0938-0618

OMB 0938-0618

This information collection is necessary to ensure compliance with Sections 1903 and 1923 of the Social Security Act for the purpose of preventing payment of FFP on amounts prohibited by statute.

The latest form for Limitations on Provider Related Donations and Health Care Related Taxes; Medicaid and Supporting Regulations in 42 CFR 433.68 and 433.74 (CMS-R-148) expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2021-02-09
Comment filed on proposed rule and continue
 Revision of a currently approved collection 2020-06-17
Approved without change
 Extension without change of a currently approved collection 2017-09-26
Approved without change
 Extension without change of a currently approved collection 2014-08-28
Approved with change
 Extension without change of a currently approved collection 2011-04-27
Approved without change
 Extension without change of a currently approved collection 2008-04-06
Approved without change
 Reinstatement without change of a previously approved collection 2005-02-08
Approved without change
 Extension without change of a currently approved collection 2001-11-21
Approved without change
 Extension without change of a currently approved collection 1998-07-20
Approved without change
 Reinstatement with change of a previously approved collection 1995-03-27
Approved without change
 New collection (Request for a new OMB Control Number) 1992-08-27
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