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PRA Listing

Information collections available for public comment.


CMS Form Number Date Subject
CMS-10407 2014-11-24 Summary of Benefits and Coverage Uniform Glossary
CMS-R-305 2014-12-19 External Quality Review of Medicaid MCOs and Supporting Regulations
CMS-10221 2015-01-16 Site Investigation for Independent Diagnostic Testing Facilities (IDTFs)
CMS-R-185 2014-07-18 Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and of State Exemption Under State Laboratory Programs and Supporting Regulations
CMS-1880 and CMS-1882 2014-11-17 Certification as a Supplier of Portable X-Ray and Portable X-Ray Survey Report Form and Supporting Regulations
CMS-18F5 2014-02-14 Application for Hospital Insurance and Supporting Regulations
CMS-R-263 2015-01-16 Site Investigation for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
CMS-10237 2014-10-03 Part C—Medicare Advantage and 1876 Cost Plan Expansion Application
CMS-10291 2014-11-21 State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Web site and Hotline
CMS-10249 2015-03-25 Administrative Requirements for Section 6071 of the Deficit Reduction Act
CMS-R-235 2014-06-27 Data Use Agreement
CMS-209 2014-11-28 Laboratory Personnel Report (CLIA) and Supporting Regulations
CMS-R-246 2014-12-12 Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey
CMS-10418 2015-01-30 Annual Medical Loss Ratio (MLR) and Rebate Calculation Report and MLR Rebate Notices
CMS-64 2014-04-11 Medicaid Program Budget Report
CMS-37 2014-04-11 Medicaid Program Budget Report
CMS-10398 2014-10-20 Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions
CMS-R-148 2014-06-20 Limitations on Provider Related Donations and Health Care Related Taxes; Limitation on Payment to Disproportionate Share Hospitals
CMS-R-268 2014-06-13 MS Interactive Survey Tool
CMS-372(S) 2015-01-16 Annual Report on Home and Community Based Services Waivers
CMS–10422 2014-11-17 Payments for Services Furnished by Certain Primary Care Providers and Supporting Regulations in 42 CFR 438.6, 438.804, 447.400, and 447.410
CMS-10433 2014-07-30 Establishment of Qualified Health Plans and American Health Benefit Exchanges
CMS-10419 2014-10-31 Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS-1612-F; RIN 0938-AS12)
CMS-10459 2014-08-22 Coverage of Certain Preventive Services Under the Affordable Care Act
CMS-10472 2015-01-30 Standards for Navigators and Non-Navigator Assistance Personnel
CMS-10371 2015-01-30 Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges
CMS-R-245 2014-11-24 Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supporting Regulations
CMS-10488 2014-08-05 Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection
CMS-10485 2014-01-29 Evaluation of the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration: Provider Survey
CMS-10494 2015-01-30 Standards for Navigators and Non-Navigator Assistance Personnel; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors
CMS–10492 2014-09-29 Data Submission for the Federally-facilitated Exchange User Fee Adjustment
CMS-10500 2015-01-16 Outpatient/Ambulatory Surgery Patient Experience of Care Survey (O/ASPECS)
CMS-10502 2014-03-10 LTCH Quality Reporting Program: Program Evaluation
CMS-10503 2014-03-10 Inpatient Rehabilitation Facilities (IRF) Quality Reporting Program
CMS-10504 2014-03-10 Hospice Quality Reporting Program: Program Evaluation
CMS-10509 2014-04-18 Prospective Evaluation of Evidence-Based Community Wellness and Prevention Programs
CMS-10512 2014-02-07 Direct Service Workforce Resource Center CC Survey Instrument
CMS-10510 2014-06-27 Basic Health Program Report for Health Insurance Exchange Premium
CMS-102 & 105 2014-01-29 CLIA Budget Workload Reports and Supporting Regulations
CMS-10515 2014-01-31 Payment Collections Operations Contingency Plan
CMS-10462 2014-03-25 Community First Choice Option Evaluation
CMS-R-53 2014-02-14 Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations
CMS-10518 2014-06-02 Application for Participation in the Intravenous Immune Globulin (IVIG) Demonstration
CMS-10520 2014-03-21 Marketplace Quality Standards
CMS-10521 2014-07-25 Improving Quality of Care in Medicaid and CHIP through Increased Access to Preventive Services, State Survey
CMS-10525 2014-05-23 Health Plan Monitoring System Level I and Level II Data Entry for the Program of All-Inclusive Care for the Elderly
CMS-10527 2014-09-02 Annual Eligibility Redetermination, Product Discontinuance and Renewal Notices
CMS-10526 2014-12-09 Cost Sharing Reduction Reconciliation
CMS-10535 2015-03-03 Employer Notification to HHS of its Objection to Providing Coverage for Contraceptive Services
CMS-10529 2014-10-20 Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP
CMS-10536 2014-12-19 Medicaid Eligibility and Enrollment (EE) Implementation Advanced Planning Document (IAPD) Template
CMS-10532 2015-01-05 Risk Corridors Transitional Policy
CMS-10537 2014-08-29 National Implementation of the Hospice Experience of Care Survey (CAHPs Hospice Survey)
CMS-10522 2014-07-11 Executive Summary Form for Research Identifiable Data
CMS-10538 2015-01-23 Hospice Information for Medicare Part D Plans (formerly, Prior Authorization Form for Beneficiaries Enrolled in Hospice)
CMS-10530 2014-11-17 Ambulatory Surgical Center Quality Reporting (ASCQR) Program
CMS-10540 2014-11-26 Quality Improvement Strategy Plan Template and Quality Improvement Strategy Reporting Template
CMS-10448 2015-02-27 Essential Health Benefits Benchmark Plans and Accrediting Entities Data Collection
CMS-10541 2014-11-26 Summary of Benefits and Coverage Plan Variations
CMS-10542 2015-02-13 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey Mode Experiment
CMS-10543 2015-02-13 Emergency Department Patient Experience of Care (EDPEC) Survey Mode Experiment
CMS-10341 2015-02-27 Affordable Care Act Information and Collection Requirements for Section 1115 Demonstration Projects
CMS-10241 2015-03-25 Survey of Retail Prices: Payment and Utilization Rates, and Performance Rankings
CMS-224-14 2014-12-19 Federally Qualified Health Center Cost Report Form
CMS-10545 2015-01-09 Outcome and Assessment Information Set OASIS-C1/ICD-10
CMS-10549 2015-01-30 Generic Clearance for Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS)
CMS-R-306 2015-01-30 Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs) for Individuals Under Age 21 and Supporting Regulations
CMS-29 2015-01-23 Verification of Clinic Data—Rural Health Clinic Form and Supporting Regulations
CMS-10392 2015-01-30 Supporting Statement for Paperwork Reduction Act Submission
CMS-10410 2015-02-06 Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010
CMS-R-74 2015-02-06 Income and Eligibility Verification System Reporting and Supporting Regulations
CMS-2552-10 2015-02-06 Hospital and Hospital Health Care Complex Cost Report
CMS-10544 2015-02-12 Good Cause Processes (CMS-4159–F2; RIN 0938-AS20)
CMS-1696 2015-02-27 Appointment of Representative and Supporting Regulations
CMS-10464 2015-03-06 Agent/broker data collection in Federally Facilitated Health Insurance Exchanges
CMS-10555 2015-03-09 Small Business Health Options Program (SHOP) Effective Date and Termination Notice Requirements
CMS-10417 2015-02-27 Medicare Fee-for-Service Prepayment Medical Review
CMS-10102 2015-03-13 National Implementation of the Hospital CAHPS Survey