OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicaid Report on Payables and Receivables (R-199)

OMB 0938-0697 ยท HHS/CMS.

OMB 0938-0697

The Chief Financial Officers Act of 1990, as amended by the Government Management and Reform Act of 1994, requires government agencies to produce auditable financial statements. Form CMS-R-199 will collect accounting data from the States on payables and receivables.

The latest form for Medicaid Report on Payables and Receivables (R-199) expires 2023-04-30 and is listed under ICR 202002-0938-009.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-R-199 Medicaid Report on Payables and Receivables (R-199)Form
CMS-R-199 Supporting Statement - Part A_ FInal.docxSupporting Statement A
Medicaid Report on Payables and Receivables (R-199) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202002-0938-009 Reinstatement without change of a previously approved collection 2020-02-26 Approved without change
201608-0938-005 Reinstatement without change of a previously approved collection 2016-08-11 Approved without change
201305-0938-003 Reinstatement with change of a previously approved collection 2013-05-03 Approved with change
200910-0938-003 Extension without change of a currently approved collection 2009-10-16 Approved without change
200707-0938-003 No material or nonsubstantive change to a currently approved collection 2007-07-13 Approved without change
200607-0938-012 Extension without change of a currently approved collection 2006-07-13 Approved without change
200312-0938-002 Extension without change of a currently approved collection 2003-12-05 Approved without change
200010-0938-008 Reinstatement with change of a previously approved collection 2000-10-19 Approved without change
199708-0938-003 Reinstatement with change of a previously approved collection 1997-08-11 Approved without change
199611-0938-002 New collection (Request for a new OMB Control Number) 1996-11-12 Approved without change