OMB control number
Improving Quality of Care in Medicaid and CHIP through Increased Access to Preventive Services, State Survey (CMS-10521)
OMB 0938-1260 · HHS/CMS.
OMB 0938-1260
Latest Forms, Documents, and Supporting Material
Document Name |
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Form and Instruction |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
Form CMS-10521 Preventive Services in Medicaid Survey
PRA package Medicaid prevention survey response to comments 7914.doc
Crosswalk (OSORA PRA 7-25-2014).xlsx
141014 CMS-10521 - Supporting Statement B rev 7-25-2014 by OSORA PRA Passback back to CMS mbh 101414 clean.docx
Preventive Services in Medicaid Survey All Historical Document Collections
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Approved with change |
New collection (Request for a new OMB Control Number) | 2014-07-25 |