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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 2015-05-26 External Quality Review (EQR) of Medicaid Managed Care, EQR Protocols, 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-2540-10 0006-05-01 Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Cost Report Form
CMS-R-263 2015-01-16 Site Investigation for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
CMS-10237 2015-07-07 Part C—Medicare Advantage and 1876 Cost Plan Expansion Application
CMS-10137 2015-07-07 Solicitation for Applications for Medicare Prescription Drug Plan 2017 Contracts
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 2015-05-08 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) 2015-05-22 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-10432 2015-08-05 Procedural Requirements for the FY 2016 Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program
CMS-10419 2014-10-31 Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS-1612-F; RIN 0938-AS12)
CMS-10459 2015-07-10 Coverage of Certain Preventive Services Under the Affordable Care Act
CMS-10463 2015-06-26 Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership 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 2015-07-24 Consumer Experience Survey Data Collection
CMS-10485 2014-01-29 Evaluation of the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration: Provider Survey
CMS-10500 2015-05-01 Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery (OAS CAHPS) Survey
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-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 2015-06-19 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 2015-08-04 Federally Qualified Health Center Cost Report Form
CMS-10545 2015-01-09 Outcome and Assessment Information Set OASIS-C1/ICD-10
CMS-R-306 2015-05-01 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-10410 2015-06-26 Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010
CMS-R-74 2015-06-26 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 2015-05-08 Appointment of Representative and Supporting Regulations
CMS-10464 2015-07-10 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 2015-05-29 National Implementation of the Hospital CAHPS Survey
CMS-10550 2015-03-20 Hospital National Provider Survey
CMS-10551 2015-03-20 Nursing Home National Provider Survey
CMS-10558 2015-06-26 Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs
CMS-10556 2015-04-10 Medical Necessity and Contract Amendments Under Mental Health Parity
CMS-10141 2015-06-19 Medicare Prescription Drug Benefit Program
CMS-10552 2015-03-30 Electronic Health Record Incentive Program-Stage 3
CMS-179 2015-06-26 State Plan Under Title XIX of the Social Security Act (Base Plan Pages, Attachments, Supplements to Attachments)
CMS-10539 2015-07-02 Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies
CMS-10261 2015-08-24 Part C Medicare Advantage Reporting Requirements and Supporting Regulations
CMS-10185 2015-08-24 Medicare Part D Reporting Requirements and Supporting Regulations
CMS-10431 2015-04-30 PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program
CMS-437A & 437B 2015-05-15 State Agency Sheets for Verifying Exclusions From the Inpatient Prospective Payment System and Supporting Regulations
CMS-10554 2015-05-26 Children’s Health Insurance Program Managed Care and Supporting Regulations
CMS-10553 2015-05-26 Medicaid Comprehensive Quality Strategy (CQS) and Supporting Regulations
CMS-10108 2015-05-28 Medicaid Managed Care and Supporting Regulations
CMS-10561 2015-08-21 Essential Community Provider Data Collection to Support QHP Certification for PY 2017
CMS–10565 2015-06-17 Off-Cycle Submission of Summaries of Model of Care Changes
CMS-643 2015-06-19 Hospice Survey and Deficiencies Report Form and Supporting Regulations
CMS-10575 2015-06-25 Generic Clearance for the Heath Care Payment Learning and Action Network
CMS-10568 2015-07-15 Rural Health Clinics (RHCs) Reporting of Healthcare Common Procedure Coding System (HCPCS) and Other Codes as Required for RHC Claims and Supporting Regulations in 42 CFR 405.2462(g)(3)
CMS-10570 2015-07-15 Appropriate Use Criteria for Advanced Diagnostic Imaging Services
CMS–10276 2015-07-15 The Physician Quality Reporting System
CMS-10492 2015-07-10 Data Submission for the Federally-facilitated Exchange User Fee Adjustment
CMS-R-234 2015-07-15 Subpart D - Private Contracts and Supporting Regulations Contained in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, and 405.455
CMS-10569 2015-07-01 Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb)
CMS-10110 2015-07-21 Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations
CMS-10387 2015-07-21 Skilled Nursing Facility (SNF) Prospective Payment System and Consolidated Billing: Change of Therapy (COT) OMRA (Other Medicare required Assessment)
CMS-10250 2015-07-08 Hospital Outpatient Quality Reporting (OQR) Program
CMS-10433 2015-07-31 Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations
CMS-10572 2015-08-12 Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers
CMS-10143 2015-08-12 Monthly File of Medicaid/Medicare Dual Eligible Enrollees
CMS-10564 2015-08-12 Home Health Face-to-Face Encounter Clinical Templates
CMS-10393 2015-07-21 Medicare Beneficiary and Family-Centered Satisfaction Survey
CMS-10582 2015-08-27 Risk Corridors Data Validation for the 2014 Benefit Year