PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Availability of Information and the Criteria for Medical Necessity Determinations (Regulated Entities)
Modified
142403
11867
0
Contract Requirements (ยง 438.6(n))
Unchanged
602
301
0
State Analysis and Transparency Responsibilities (sec. 438.920)
New
36
288
0
Submitting Requests for Medical Necessity Disclosures (Potential Participants, Beneficiaries, and Contracting Providers)
New
142403
35601
0
Total burden requested under this ICR:
285444
48057
0
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