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[Medicaid] GenIC #96 (New): Mental Health (MH) and Substance Use Disorder (SUD) Parity Reporting Tools CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10398 #96 Yes Yes Fillable Fileable
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Form and Instruction CMS-10398 #96 Yes Yes Fillable Fileable
Form and Instruction CMS-10398 #96 Yes Yes Fillable Fileable

Health Health Care Services

 

566 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 93 0 93 0 0 0
Annual IC Time Burden (Hours) 6,074 0 6,074 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 04/22/2026
OMB Terms of Clearance 06/04/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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