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[Medicaid] GenIC #84 (New): PACE Medicaid Capitation Rate Setting Guide CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Form Appendix B Yes Yes Fillable Fileable
Instruction Yes No Printable Only

Health Health Care Services

 

34 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 34 0 34 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Response to Public Comments 01/28/2025
Comment (WelbeHealth) 01/28/2025
Comment (National PACE Association) 01/28/2025
Generic Supporting Statement 01/28/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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