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
213314
17776
66811
State Analysis and Transparency Responsibilities (sec. 438.920)
Modified
41
164
0
State Contract Requirements (ยง 438.3(n))
Modified
50
25
0
Submitting Requests for Medical Necessity Disclosures (Potential Participants, Beneficiaries, and Contracting Providers)
Modified
213314
53329
0
Total burden requested under this ICR:
426719
71294
66811
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