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[Medicaid] GenIC #86 (New) Section 1115 Reentry Demonstration Initiative CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form GenIC #86 Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Form and Instruction GenIC #86 Yes Yes Fillable Fileable
Form and Instruction GenIC #86 Yes Yes Fillable Fileable

Health Health Care Services

 

10 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) 300 0 300 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 12/19/2024
REDLINE: Reentry Implementation Plan Template 12/19/2024
CROSSWALK: Reentry Implementation Plan Template 12/19/2024
Response to Public Comments 12/19/2024
Public Comment (Mathematica) 12/19/2024
Public Comment (Equifax Workforce Solutions) 12/19/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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