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[Medicaid] GenIC #56 (Revised): Section 1115 Demonstration: Budget Neutrality Monitoring Workbook CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction GenIC #56 Yes Yes Fillable Fileable
Form and Instruction GenIC #56 Yes Yes Fillable Fileable
Instruction Yes No Printable Only

Health Health Care Services

 

47 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 159 0 159 0 0 0
Annual IC Time Burden (Hours) 1,106 0 1,106 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 09/23/2025
Public Comment (Out of Scope) 09/23/2025
Crosswalk :Workbook 09/23/2025
Redline: Workbook 09/23/2025
Crosswalk: Playbook 09/23/2025
Redline: Playbook 09/23/2025
Crosswalk: Video Transcript 09/23/2025
Redline: Video Transcript 09/23/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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