OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicaid Emergency Psychiatric Services Demonstration Evaluation

OMB 0938-1225 · HHS/CMS.

OMB 0938-1225

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10487 Medicaid Emergency Psychiatric Services Demonstration Evaluation - states Form and Instruction
Form CMS-10487 Medicaid Emergency Psychiatric Services Demonstration Evaluation - IMDs Form and Instruction
Form CMS-10487 Medicaid Emergency Psychiatric Services Demonstration Evaluation - Facilities Form and Instruction
Parts_A-B.pdf Supporting Statement B
Attachment_K.pdf Supplementary Document
Attachment_I.pdf Supplementary Document
Attachment_H.pdf Supplementary Document
Attachment_G.pdf Supplementary Document
Attachment_F.pdf Supplementary Document
Crosswalks_508-cert_111813.pdf Supplementary Document
CMS-10487 Supporting Statement A_rev_clean_022414.docx Supporting Statement A
Medicaid Emergency Psychiatric Services Demonstration Evaluation - states Form and Instruction
Medicaid Emergency Psychiatric Services Demonstration Evaluation - IMDs Form and Instruction
Medicaid Emergency Psychiatric Services Demonstration Evaluation - Facilities Form and Instruction

All Historical Document Collections

201312-0938-018

Approved with change

New collection (Request for a new OMB Control Number)

2013-12-23