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[Medicaid] GenIC #45 (Revised): Certified Community Behavioral Health Clinic (CCBHC) 2024 State Proposal Demonstration Application CMCS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10398 #45 Yes Yes Fillable Fileable
Form and Instruction CMS-10398 #45 Yes Yes Fillable Fileable
Form and Instruction CMS-10398 #45 Yes Yes Fillable Fileable

Health Health Care Services

 

30 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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 1,790 0 1,790 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 02/01/2024
Track Change: Demonstration Application 02/01/2024
Crosswalk: Demonstration Application 02/01/2024
Response to Public Comments 02/01/2024
Public Comment 43jw (National Council for Mental Wellbeing) 02/01/2024
Public Comment ya9i (affiliate.dhhs.nh.gov) 02/01/2024
Public Comment afry (healthmanagement.com) 02/01/2024
Public Comment a3nh (Myers and Stauffer, LC) 02/01/2024
Public Comment z9dd 02/01/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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