Estimation of Improper Payments of the Advanced Payment of Premium Tax Credit (APTC) in State Exchanges under the Affordable Care Act (CMS-10794)

OMB 0938-1416

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10794 State Exchange Improper Payment Measurement (SEIPM) Data Request Form Form and Instruction
CMS - 10794 - Supporting Statement Final.docx Supporting Statement A
CMS - 10794 - Supporting Statement B Final.docx Supporting Statement B
State Exchange Improper Payment Measurement (SEIPM) Data Request Form Form and Instruction