View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Medicaid Payment for Prescription Drugs - Physicians and Hospital Outpatient Departments Collecting and Submitting Drug Identifying Information to State Medicaid Programs (CMS-10215)
 
No New
 
Mandatory
 
42 CFR 447.520

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

20,000 20,000
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   45 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,910,400 3,910,400 0 0 0 0
Annual IC Time Burden (Hours) 15,837 15,837 0 0 0 0
Annual IC Cost Burden (Dollars) 336,294 336,294 0 0 0 0

Title Document Date Uploaded
Bon Secours Health System 07/19/2007
Charleston Area Medical Center 07/19/2007
Columbus Regional Medical Center 07/19/2007
Federation of American Hospitals 07/19/2007
Gaston Memorial Hospital 07/19/2007
Grady Health System 07/19/2007
Hamilton Medical Center 07/19/2007
MCG Health System 07/19/2007
NorthOaks Health System 07/19/2007
Phoenix Children's Hospital - Robert Meyer 07/19/2007
Phoenix Children's Hospital - Ken Cross 07/19/2007
Phoenix Children's Hospital - Larry Smith 07/19/2007
Providence Hospital 07/19/2007
Rhode Island Hospital 07/19/2007
Santa Clara Valley 07/19/2007
Shands Jacksonville 07/19/2007
SHNPA 07/19/2007
The Johns Hopkins Hospital DRA Reg Comment 07/19/2007
The Johns Hopkins Hospital 07/19/2007
The Medical Center of Central Georgia 07/19/2007
The Moses H 07/19/2007
University of California, Davis 07/19/2007
University of Michigan Hospitals and Health Centers 07/19/2007
Wellstar Douglas Hospital 07/19/2007
Women & Infants Hospital of Rhode Island 07/19/2007
Response to Comments 07/19/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.