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
236560
19713
26992
State Analysis and Transparency Responsibilities (sec. 438.920)
Modified
43
172
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
236560
59140
0
Total burden requested under this ICR:
473213
79050
26992
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