OMB control number
Temporary Reclassification for Grandfathered LTCH HwHs for Qualification for Temporary Exception from the Site Neutral Payment Rate for Certain Discharges
OMB 0938-1306 · HHS/CMS.
OMB 0938-1306
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS-10619.Emergency Justification (signed).pdf | Supplementary Document |
 CMS-10619 Supporting Statement Part A -FINAL.doc | Supporting Statement A |
| CMS-10619. Emergency Justification 4-15-16.doc | Supplementary Document |
 Application |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201604-0938-011 | New collection (Request for a new OMB Control Number) | 2016-04-27 | Approved with change |