OMB control number
Medicare Advantage Quality Bonus Payment Demonstration
OMB 0938-1195 · HHS/CMS.
OMB 0938-1195
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10445 Medicare Advantage Quality Bonus Payment Demonstration MAO mail survey | Form and Instruction |
| CMS-10445 Supporting Statement B.docx | Supporting Statement B |
 MA QBP Demo Eval Survey_Changes Table 02012013.doc | Supplementary Document |
| CMS-10445 Response_to_Public_Comments.doc | Supplementary Document |
| Appendix B_Letters to health plans.docx | Supplementary Document |
| Appendix E_FAQ.docx | Supplementary Document |
| CMS-10445 Supporting Statement A_02082013.docx | Supporting Statement A |
 Medicare Advantage Quality Bonus Payment Demonstration MAO mail survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201303-0938-002 | New collection (Request for a new OMB Control Number) | 2013-03-05 | Approved without change |