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GenIC #64 (Revision): Federal Meta-Analysis Support: Section 1115 Substance Use Disorder Demonstrations CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Demonstration Characteristics Interview Introductory Email Yes Yes Printable Only
Other-Demonstration Characteristics Interview Email Invitation with Program Characteristics Grid Yes Yes Fillable Fileable
Instruction No   Printable Only
Other-Demonstration Characteristics Interview Confirmation Email Yes No Printable Only
Other-Demonstration Characteristics Interview Outlook Invitation Yes No Printable Only
Other-Demonstration Characteristics Interview Reminder Email Yes No Printable Only
Other-Implementation Interview Introductory Email from CMS to State Medicaid Director and Single State Substance Abuse Agency Director Yes No Printable Only
Other-Implementation Interview Email Invitation Yes No Printable Only
Other-Implementation Interview Confirmation Email Yes No Printable Only
Other-Implementation Interview Outlook Invitation Yes No Printable Only
Other-Implementation Interview Reminder Email Yes No Printable Only
Instruction No   Printable Only
Other-MCO and Behavioral Health Stakeholder Interview Introductory Email from CMS to State Medicaid Director Yes No Printable Only
Other-MCO and Behavioral Health Provider Stakeholder Interview Introductory Email from RTI to State Medicaid Director Yes No Printable Only
Other-MCO and Behavioral Health Provider Stakeholder Interview Introductory Email from State Medicaid Director Yes No Printable Only
Other-MCO and Behavioral Health Provider Stakeholder Interview Email Invitation Yes No Printable Only
Other-MCO and Behavioral Health Provider Stakeholder Interview Outlook Invitation Yes No Printable Only
Other-MCO and Behavioral Health Provider Stakeholder Interview Confirmation Email Yes No Printable Only
Instruction No   Printable Only
Instruction No   Printable Only
Instruction No   Printable Only
Other-MCO and Behavioral Health Provider Stakeholder Interview Thank You Email Yes No Printable Only

Health Health Care Services

 

60 0
   
State, Local, and Tribal Governments
 
   100 %

  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 340 0 340 0 0 0
Annual IC Time Burden (Hours) 405 0 405 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 07/06/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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