Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP (MBES/CBES Forms CMS-21 and -21B, -37, and -64) -- (CMS-10529)

OMB 0938-1265

OMB 0938-1265

MBES/CBES is a financial reporting system that produces Budget and expenditures for Medical Assistance and Children's Health Insurance Program. All forms (CMS-21, -21B, -37, and -64) are to be filed on a quarterly basis and need to be certified by the States to the CMS.

The latest form for Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP (MBES/CBES Forms CMS-21 and -21B, -37, and -64) -- (CMS-10529) expires 2021-04-30 and can be found here.

OMB Details

Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI (CMS-21 and CMS-21B)

Federal Enterprise Architecture: Health - Health Care Services

Form CMS-21Quarterly Children’s Health Insurance Program Statement of Expenditures for Title XXImbescbesval0.medicaid.gov/MBESCBES/Default.aspxForm and instruction
Form CMS-21BChildren's Health Insurance Program Budget Report for the Title XXImbescbesval0.medicaid.gov/MBESCBES/Default.aspxForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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