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View Information Collection (IC)

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[Medicaid] GenIC #94 (New): Streamlining Medicaid Enterprise Systems (MES) Advance Planning Documents (APD) Templates CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction GenIC #94 Yes Yes Fillable Fileable
Form and Instruction GenIC #94 Yes Yes Fillable Fileable
Form and Instruction GenIC #94 Yes Yes Fillable Fileable
Form and Instruction GenIC #94 Yes Yes Fillable Fileable
Form and Instruction GenIC #94 Yes Yes Fillable Fileable
Form and Instruction GenIC #94 Yes Yes Fillable Fileable
Form and Instruction GenIC #94 Yes Yes Fillable Fileable
Form and Instruction GenIC #94 Yes Yes Fillable Fileable

Health Health Care Services

 

56 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 3,314 0 3,314 0 0 0
Annual IC Time Burden (Hours) 86,096 0 86,096 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CROSSWALK - MES APD Template 09/03/2025
SHO letter (2025-003): Streamlining Medicaid Enterprise Systems (MES) Templates to Improve Monitoring and Oversight to Ensure Fiscal Integrity 09/03/2025
Generic Supporting Statement 09/03/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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