OMB control number

Medicaid Promoting Interoperability Program Document Templates (CMS-10292)

OMB 0938-1088 · HHS/CMS.

OMB 0938-1088

This information collection is being requested in order that States can submit documentation to CMS for review and approval in order that States can implement the Medicaid program and draw down Federal financial participation. The American Reinvestment and Recovery Act of 2009 provides States with the flexibility to request funds to develop a health information technology vision and road to get to the ultimate goal of meaningful use of certified EHR technology. We will be sending State Medicaid Directors letters and templates for the SMHP, the PAPD and IAPD to States in an effort to request these changes, if they so choose and to make the process as simple as possible. These documents will be collections of data and therefore, the need for this information request.

The latest form for Medicaid Promoting Interoperability Program Document Templates (CMS-10292) expires 2021-02-28 and is listed under ICR 201712-0938-009.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
CMS-10292 - Supporting Statement A (2021 version 3).docxSupporting Statement A
Medicaid Promoting Interoperability Program Document Templates Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202102-0938-009 Extension without change of a currently approved collection 2021-02-09 Approved without change
201712-0938-009 Extension without change of a currently approved collection 2017-12-08 Approved without change
201410-0938-013 Extension without change of a currently approved collection 2014-10-27 Approved with change
201108-0938-002 Revision of a currently approved collection 2011-08-16 Approved without change
201103-0938-002 Revision of a currently approved collection 2011-03-03 Approved without change
201004-0938-008 New collection (Request for a new OMB Control Number) 2010-04-23 Approved without change