[Medicaid] Annual State Report on Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements (CMS-10722)

OMB 0938-1385

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10722 Annual State Report on CMS VBP Supplemental Rebate Agreements Form
CMS-10722 - Supporting Statement A (2024 version 4).docx Supporting Statement A
Annual State Report on CMS VBP Supplemental Rebate Agreements Form

All Historical Document Collections

202405-0938-003 Approved with change	Revision of a currently approved collection	2024-05-03
202106-0938-006 Approved with change	New collection (Request for a new OMB Control Number)	2021-06-11
202006-0938-015 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2020-06-24