Information Collection Request
Proposed Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711)
ICR 202405-0938-022 · OMB 0938-1368 · Received in OIRA
Forms and Documents
Document Name | Status |
|---|---|
Supplementary Document | 2024-05-22 |
Supporting Statement A | 2024-05-21 |
CMS Responses CMS-10711 (60-days).docx
CMS-10711.Supporting Statement Part Af.pdfIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 254983 | Modified | ||
| 237862 | Modified |
Prior Authorization Process (Facet Joint Interventions)ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1368 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202212-0938-002 |
| Agency Tracking No | CPI |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |