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

View Information Collection (IC)

Bundle: GenICs 37 (Managed Care Rate Setting Guidance), 50 (Community First Choice State Plan), and 51 (Fast Track for Section 1115 Medicaid and CHIP Demonstration Extensions)
 
New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes Yes Printable Only
Form CMS-10398 #50 Yes Yes Fillable Fileable
Instruction Yes No Printable Only
Form and Instruction CMS-10398 #51 Yes Yes Fillable Printable
Form and Instruction CMS-10398 #51 Yes Yes Fillable Fileable
Form and Instruction CMS-10398 #51 Yes Yes Fillable Fileable
Form and Instruction CMS-10398 #51 Yes Yes Fillable Fileable

Health Health Care Services

 

56 0
   
State, Local, and Tribal Governments
 
   0 %

  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 113 0 113 0 0 0
Annual IC Time Burden (Hours) 1,158 0 1,158 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
#37 Supporting Stattement: Managed Care Rate Setting Guidance 09/13/2016
#37 Crosswalk: Managed Care Rate Setting Guidance 09/13/2016
#50 Supporting Statement: Community First Choice State Plan 09/13/2016
#51 Supporting Statement: Fast Track Federal Review Process for Section 1115 Medicaid and CHIP Demonstration Extensions 09/13/2016
Bundled Burden Table 09/13/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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