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Non-Quantitative Treatment Limitation Analyses and Compliance Under MHPAEA (CMS-10773)
OMB 0938-1393
OMB.report
HHS/CMS
OMB 0938-1393
OMB 0938-1393
Latest Forms, Documents, and Supporting Material
Document
Name
CMS-10773 Appendix II - Comment Response Summary.pdf
Supplementary Document
CMS-10773.Supporting Statement 30-day 10-26-21.docx
Supporting Statement A
Notification of Non-compliance (Self-Insured Non-Federal Governmental Plans and Issuers)
Other-Guidance
Corrective Action Plans (Self-Insured Non-Federal Governmental Plans and Issuers)
Other-Guidance
Review of Comparative Analysis (Issuers and Self-Insured Non-Federal Governmental Plans)
Other-Guidance
Self-Insured Non-Federal Governmental Plans (NQTL analysis)
Other-Guidance
Issuers (NQTL Analysis Documentation and Recordkeeping)
Other-Guidance
All Historical Document Collections
202110-0938-013
Approved with change
Extension without change of a currently approved collection
2021-10-26
202104-0938-001
Approved with change
New collection (Request for a new OMB Control Number)
2021-04-02
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