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 206131 17178 0
Contract Requirements (ยง 438.3(n)) Modified 50 25 0
State Analysis and Transparency Responsibilities (sec. 438.920) Modified 40 160 0
Submitting Requests for Medical Necessity Disclosures (Potential Participants, Beneficiaries, and Contracting Providers) Modified 206130 51533 0
Total burden requested under this ICR: 412351 68896 0  
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