OMB control number
Improving Quality of Care in Medicaid and CHIP through Increased Access to Preventive Services, State Survey (CMS-10521)
OMB 0938-1260 · HHS/CMS.
OMB 0938-1260
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10521 Preventive Services in Medicaid Survey | Form and Instruction |
 PRA package Medicaid prevention survey response to comments 7914.doc | Supplementary Document |
 Crosswalk (OSORA PRA 7-25-2014).xlsx | Supplementary Document |
| 141014 CMS-10521 - Supporting Statement B rev 7-25-2014 by OSORA PRA Passback back to CMS mbh 101414 clean.docx | Supporting Statement B |
| CMS-10521 - Supporting Statement A - CLEAN [rev by MBH on 11-14-2014].docx | Supporting Statement A |
 Preventive Services in Medicaid Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201407-0938-015 | New collection (Request for a new OMB Control Number) | 2014-07-25 | Approved with change |