View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

[Medicaid] GenIC #43 (Revision): Certified Community Behavioral Health Clinic (CCBHC) Cost Report CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10398 #43 Yes Yes Fillable Fileable
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only

Health Health Care Services

 

242 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 440 0 440 0 0 0
Annual IC Time Burden (Hours) 14,419 0 14,419 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 02/06/2026
Redline: CCBHC Cost Report 02/06/2026
Crosswalk: CCBHC Cost Report 02/06/2026
Redline: CCBHC Cost Report Instructions 02/06/2026
Crosswalk: CCBHC Cost Report Instructions 02/06/2026
Redline: CCBHC Cost Report Elements 02/06/2026
Crosswalk: CCBHC Cost Report Elements 02/06/2026
Response to Public Comments 02/06/2026
Comment (Ramsdell) 02/06/2026
Comment (State of New Jersey) 02/06/2026
Comment (Volunteers of America) 02/06/2026
Comment (Anonymous) 02/06/2026
Comment (Health Management Associates) 02/06/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.