form_number: CMS-10398 #99

subject: Medicaid CCBHC Services SPA Template

form_number: CMS-10952A-D

subject: Self-Attestation for Recertification of CORFs, OPT/SLP, and RHCs Providers and PXR Suppliers Forms CMS-10952A-D

form_number: CMS-R-43

subject: Conditions of Coverage (CfC) for Portable X-Ray Suppliers

form_number: CMS-10949

subject: Rural Health Transformation (RHT) Program Reporting

form_number: CMS-10945

subject: Administrative Procedures for Chronic and Post-Acute Care Quality Programs

form_number: CMS-10379

subject: Rate Increase Disclosure and Review Reporting Requirements

form_number: CMS-R-13

subject: Conditions for Coverage (CfCs) for Organ Procurement Organizations (OPOs)

form_number: CMS-10488

subject: Consumer Experience Survey Data Collection

form_number: CMS-10407

subject: Summary of Benefits and Coverage and Uniform Glossary

form_number: CMS-10791

subject: Requirements Related to Surprise Billing; Part II

form_number: CMS-10948

subject: Generic Clearance for the Collection of Medicare Current Beneficiary Survey (MCBS) Respondent “Pulse” Feedback

form_number: CMS-R-48

subject: Hospital Conditions of Participation (CoPs) and Supporting Regulations

form_number: CMS-10282

subject: Conditions of Participation for Comprehensive Outpatient Rehabilitation Facilities (CORFs)

form_number: CMS-10628

subject: Initial Request for State Implemented Moratorium Form

form_number: CMS-10266

subject: Conditions of Participation for Transplant Programs

form_number: CMS-10943

subject: CMS Meeting Request Public Portal

form_number: CMS-10906

subject: Provider Directory Data for Medicare Plan Finder

form_number: CMS-10439

subject: Supporting Statement for Data Collection to Support Eligibility Determinations for Small Businesses in the Small Business Health Options Program

form_number: CMS-10492

subject: Coverage of Certain Preventive Services Under the Affordable Care Act: Data Submission Requirements to Receive the Federally-facilitated Exchange User Fee Adjustment

form_number: CMS-10942

subject: State Exchange Improper Payment Measurement (SEIPM)

form_number: CMS-855I

subject: Medicare Enrollment Application for Physician and Non-Physician Practitioners

form_number: CMS-10712

subject: Religious Nonmedical Health Care Institutions (RNHCIs) Conditions of Participation

form_number: CMS-10398 #96

subject: Medicaid and the Children’s Health Insurance Program (CHIP) Parity Tools

form_number: CMS-10934

subject: 13th SOW QIN-QIO and AIAN Measure Data Collection

form_number: CMS-10507

subject: State-based Exchange Annual Reporting Tool (SMART)

form_number: CMS-10855

subject: Medicaid Managed Care and Supporting Regulations

form_number: CMS-10690

subject: CLIA Proficiency Testing (PT) (CMS-10690)

form_number: CMS-R-199

subject: Medicaid Report on Payables and Receivables

form_number: CMS-10398 #56

subject: Section 1115 Demonstration: Budget Neutrality Monitoring Workbook

form_number: CMS-R-70

subject: HSQ-110 Acquisition, Protection, and Disclosure of Quality Improvement Organization (QIO) Information and Supporting Regulations

form_number: CMS-R-72

subject: Information Collection Requirements in 42 CFR Sections 478.18, 478.34, 478.36, and 478.42 QIO Reconsiderations and Appeals

form_number: CMS-10398 #94

subject: Streamlining Medicaid Enterprise Systems (MES) Advance Planning Documents (APD) Templates.

form_number: CMS-10434 #26

subject: Child and Adult Core Set Measures

form_number: CMS-10434 #47

subject: Health Home Core Sets

form_number: CMS-10935

subject: Supplemental to Form CMS-2552-10: Weighted Median Medicare Advantage Organization Payer- Specific Negotiated Charge Data

form_number: CMS-10931

subject: Medicare Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey

form_number: CMS-10930

subject: Medicare Prescription Drug Inflation Rebate Program under Sections 11101 and 11102 of the Inflation Reduction Act (IRA)

form_number: CMS-10932

subject: Accreditation of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers

form_number: CMS-10923

subject: Generic Clearance for Improving DASG’s APIs Customer Experience

form_number: CMS-10578

subject: Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers

form_number: CMS-417

subject: Hospice Request for Certification in the Medicare Program

form_number: CMS-10398 #93

subject: Medicaid 1915(l) State Plan Option to Provide Medical Assistance for Eligible Individuals Who Are Patients in Eligible Institutions for Mental Diseases

form_number: CMS-10277

subject: Medicare and Medicaid Programs: Conditions of Participation for Hospices

form_number: CMS-10916

subject: 13th SOW QIN-QIO and AIAN Advancing Healthcare Quality through Technology (AHQT) Readiness Assessment

form_number: CMS-10755

subject: Medicare Part D E-Prescribing Tools in 42 CFR 423.128(d)(1) and 423.16

form_number: CMS-10398 #68

subject: State Plan Amendment (SPA) Template for Section 1905(a)(29) of the Social Security Act Medication Assisted Treatment (MAT)

form_number: CMS-10398 #90

subject: CAA of 2024, Section 206 Planning Grant Reporting

form_number: CMS-10398 #91

subject: State Plan Amendment (SPA) Template for Medicaid Clinic Benefit

form_number: CMS-10398 #87

subject: Managed Care Plan (MCP) Medical Loss Ratio (MLR) Reporting Template

form_number: CMS-10798

subject: Application for Part B Immunosuppressive Drug Coverage (Part B-ID)

form_number: CMS-10538

subject: Hospice Information for Medicare Part D Plans (CMS-10538)

form_number: CMS-10398 #83

subject: PACE SPA Preprint

form_number: CMS-10398 #84

subject: PACE Medicaid Capitation Rate Setting Guide

form_number: CMS-10797

subject: Disclosure of Eligibility Criteria for Supplemental Benefits for the Chronically Ill (SSBCI)

form_number: CMS-10398 #85

subject: 3.1-M State Plan Amendment (SPA) Templates for Eligible Juveniles Who are Inmates of a Public Institution

form_number: CMS-10398 #88

subject: Medicaid/CHIP School-Based Services (SBS) Grants

form_number: CMS-10398 #86

subject: Section 1115 Reentry Demonstration Initiative

form_number: CMS-10797

subject: Application for Medicare Part A and Part B Special Enrollment Period (Exceptional Circumstances)

form_number: CMS-10875

subject: Reporting Requirements and Corrective Action Plans Under Section 1902(tt) of the Social Security Act

form_number: CMS-10912

subject: Medicare Transaction Facilitator for 2026 and 2027 under Sections 11001 and 11002 of the Inflation Reduction Act (IRA)

form_number: CMS-10530

subject: Ambulatory Surgical Center Quality Reporting Program

form_number: CMS-10250

subject: Hospital Outpatient Quality Reporting (OQR) Program

form_number: CMS-10870

subject: Rural Emergency Hospital Quality Reporting (REHQR)

form_number: CMS-10539

subject: Medicare and Medicaid Programs: Home Health Facilities (HHAs) and Supporting Regulations

form_number: CMS-10516

subject: Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards

form_number: CMS-10443

subject: The TVT Registry

form_number: CMS-10913

subject: Medicare Part C Utilization Management Annual Data Submission and Audit Protocol Data Request

form_number: CMS-10902

subject: Environmental Health Hazards Checklist Medicare Coverage for Individuals Exposed to Environmental Health Hazards

form_number: CMS-222-17

subject: Rural Health Clinic Cost Report 

form_number: CMS-10905

subject: Service Level Data Collection for Initial Determinations and Appeals

form_number: CMS-10434 #82

subject: Quality Improvement Affinity Group Expression of Interest Form

form_number: CMS-10434 #66(BN)

subject: Medicaid and Children’s Health Insurance Program Renewal Compliance Template

form_number: CMS-10434 #66

subject: Medicaid and Children’s Health Insurance Program Eligibility Processing Data Report

form_number: CMS-R-240

subject: Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 413.65

form_number: CMS-287-22

subject: Home Office Cost Statement

form_number: CMS-10767

subject: Patient Access through Application Programming Interfaces (API)

form_number: CMS-10897

subject: Supplemental to Form CMS-2552-10 Payment Adjustment for Establishing and Maintaining Access to Buffer Stock of Essential Medicines

form_number: CMS-2540-24

subject: Skilled Nursing Facility and Skilled Nursing Facility Complex Cost Report

form_number: CMS-10891

subject: Medicaid Program; Medicare Savings Program Application and Eligibility Determinations

form_number: CMS-R-38

subject: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR 4

form_number: CMS-10398 #81

subject: Improving Quality of Care and Outcomes Data for Pregnant Medicaid Beneficiaries and Newborn Infants through Linkage and Evaluation of Vital Records (VR) Birth Certificates (BC), Death Certificates (DC) and T-MSIS Analytic Files (TAF)

form_number: CMS-10279

subject: Medicare and Medicaid Programs: Conditions for Coverage for Ambulatory Surgical Centers

form_number: CMS-10882

subject: Part C and Part D Medicare Prescription Payment Plan Model Documents

form_number: CMS-10164 A&B

subject: Medicare EDI Enrollment Form and EDI Registration

form_number: CMS-10884

subject: Prior Authorization Demonstration for Certain Ambulatory Surgical Center (ASC) Services

form_number: CMS-10858

subject: Rebate Reduction Requests under Sections 11101 and 11102 of the Inflation Reduction Act

form_number: CMS-10887

subject: The Medicare Advantage and Prescription Drug Programs: Part C and Part D Medicare Advantage Prescription Drug (MARx) system

form_number: CMS-10885

subject: Retrospective Appeal Requests

form_number: CMS-10868

subject: Medicare Change of Status Notice (MCSN)

form_number: CMS-10398 #43

subject: Certified Community Behavioral Health Clinic (CCBHC) Cost Report

form_number: CMS-10398 #45

subject: Certified Community Behavioral Health Clinic (CCBHC) 2024 State Proposal Demonstration Application

form_number: CMS-10398 #48

subject: Behavioral Health Clinic Quality Data Reporting

form_number: CMS-10883

subject: ADA Dental Form

form_number: CMS-10874

subject: Part D Drug Management Program

form_number: CMS-10878

subject: Information Collection Requirements for Non-Standardized Plan Option Limit Exceptions

form_number: CMS-10877

subject: Supporting Statement for Direct Enrollment Entities

form_number: CMS-10652

subject: Virtual Groups for Merit-Based Incentive Payment System (MIPS)

form_number: CMS-10558

subject: Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs

form_number: CMS-1561 & 1561A

subject: Health Insurance Benefit Agreement and Supporting Regulations

form_number: CMS-10434 #77

subject: Medicaid and Continuous Eligibility for Children

form_number: CMS-10398 #34

subject: Model Application Template and Instructions for State Child Health Plan Under Title XXI of the Social Security Act, State Children’s Health Insurance Program

form_number: CMS-10865

subject: Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease

form_number: CMS-10866

subject: CMS Health Equity Award – Call for Nominations

form_number: CMS-10856

subject: Medicaid Managed Care and Supporting Regulations

form_number: CMS-10857

subject: Payment Adjustment for Low-Volume Hospitals Under the Hospital Inpatient Prospective Payment System (IPPS)

form_number: CMS-10137

subject: Solicitation for Applications for Medicare prescription Drug Plan 2027 Contracts

form_number: CMS-10861

subject: Medicare Health Outcomes Survey Field Test

form_number: CMS-10809

subject: Ambulatory Surgical Center (ASC) Covered Procedure List (CPL) Pre-Proposed Rule Recommendation Request

form_number: CMS-10453

subject: Medicare Advantage and Prescription Drug Programs: Part C and Part D Explanation of Benefits

form_number: CMS-1728-20

subject: Home Health Agency Cost Report

form_number: CMS-10853

subject: Patient Provider Dispute Resolution Requirements Related to Surprise Billing: Part II

form_number: CMS-10302

subject: Collection Requirements for Compendia for Determination of Medically-accepted Indications for Off-label Uses of Drugs and Biologicals in an Anti-cancer Chemotherapeutic Regimen

form_number: CMS-10849

subject: Drug Price Negotiation for Initial Price Applicability Year 2028 under Sections 11001 and 11002

form_number: CMS-10852

subject: CoreQ: Short Stay Discharge Survey

form_number: CMS-855O

subject: Medicare Enrollment Application - Registration for Eligible Ordering and Referring Physicians and Non-Physician Practitioners

form_number: CMS-10835

subject: Dispute Resolution for Discarded Drug Refunds

form_number: CMS-10834

subject: Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA–PD Plan

form_number: CMS-R-297

subject: Medicare Request for Employment Information

form_number: CMS-10398 #79

subject: COVID–19 Risk Corridor Reconciliation Reporting Template

form_number: CMS-10846

subject: Medicare Part D Manufacturer Discount Program Agreement

form_number: CMS-10844

subject: Negotiation Program Drug Selection for Initial Price Applicability Year 2028 under Sections 11001 and 11002

form_number: CMS-10142

subject: Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP)

form_number: CMS-10843

subject: Advancing Interoperability and Improving Prior Authorization Processes

form_number: CMS-10823

subject: End-stage Renal Disease (ESRD) Quality Incentive Program (QIP): Study of Quality and Patient Experience

form_number: CMS-10829

subject: Improper Payment Pre-Testing and Assessment (IPPTA) Data Request Form

form_number: CMS-10840

subject: Agent/Broker Consent Information Collection

form_number: CMS-10831

subject: Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program

form_number: CMS-10260

subject: Medicare Advantage and Prescription Drug Program

form_number: CMS-10836

subject: Medicare Plan Performance Warning Information

form_number: CMS-10141

subject: Medicare Prescription Drug Benefit Program

form_number: CMS-10830

subject: Data Collection to Support CMS Burden Reduction and Health Informatics Efforts

form_number: CMS-10731

subject: Generic Clearance for CMS and Medicare Administrative Contractor (MAC) Generic Customer Experience

form_number: CMS-10825

subject: List of Screening Instruments for Housing Stability, Food Security, and Transportation Questions on Health Risk Assessments (HRAs) and Requirements for Integrated HRAs

form_number: CMS-10595

subject: TQHP Issuers Data Collection for Notices for Plan or Display Errors Special Enrollment Periods

form_number: CMS-643

subject: Hospice Survey and Deficiencies Report Form and Supporting Regulations

form_number: CMS-437A & 437B

subject: Rehabilitation Unit & Hospital Criteria Worksheet

form_number: CMS-10824

subject: Annual Notice of Chance and Evidence of Coverage For Applicable Integrated Plans in States that Require Integrated Materials

form_number: CMS-10789

subject: Customer Satisfaction Survey for Enterprise Portal Services (EPS) Users

form_number: CMS-10434 #26

subject: Medicaid Adult and Child Core Set Measures

form_number: CMS-10434 #47

subject: Health Home Core Sets

form_number: CMS-10816

subject: Medicare Part C and Medicare Part D Enrollment Form Interviews

form_number: CMS-10398 #7

subject: Connecting Kids to Coverage Outreach and Enrollment

form_number: CMS-10398 #59

subject: Medicaid Section 1115 Severe Mental Illness (SMI) and Children with Serious Emotional Disturbance (SED) Demonstrations

form_number: CMS-10440

subject: Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Health Benefits Exchanges, Medicaid and CHIP Agencies

form_number: CMS-10398 #76

subject: Expressions of interest in the Improving Maternal Health by Reducing Low-Risk Cesarean Delivery Affinity Group

form_number: CMS-10106

subject: Medicare Authorization to Disclose Personal Health Information

form_number: CMS-10573

subject: Reform of Requirements for Long-Term Care Facilities

form_number: CMS-367A & E

subject: Medicaid Drug Rebate Program Labeler Reporting Format

form_number: CMS-10398 #64

subject: Section 1115 Federal Meta Analysis Substance Use Disorder (SUD) Demonstrations

form_number: CMS-10398 #57

subject: Medicaid Section 1115 Substance Use Disorder (SUD) Demonstration: Monitoring Reports Documents and Templates

form_number: CMS-10409

subject: LTCH CARE Data Set For the Collection of Data Pertaining to the Long-Term Care Hospital Quality Reporting Program

form_number: CMS-10398 #17

subject: CHIP State Plan Eligibility

form_number: CMS-10325

subject: Disclosure and Recordkeeping Requirements for Grandfathered Health Plans under the Affordable Care Act

form_number: CMS-10286

subject: Notice of Research Exception under the Genetic Information Nondiscrimination Act

form_number: CMS-10666

subject: Non-Exchange Entities

form_number: CMS-10802

subject: Medicare Advantage and Prescription Drug Program: Final Marketing Provisions in 42 CFR 422.111(h)(1)(iii) and 423.128(d)(1)(iii)

form_number: CMS-10799

subject: D-SNP Enrollee Advisory Committee

form_number: CMS-10796

subject: Dual Eligible Special Needs Plan Contract with the State Medicaid Agency

form_number: CMS-10398 #13

subject: Medicaid Accountability – Nursing Facility, Outpatient Hospital and Inpatient Hospital Upper Payment Limits

form_number: CMS-10398 #24

subject: Medicaid Accountability – Upper Payment Limits for Clinics, Physician Services, ICF/IID, PRTFs, and IMDs

form_number: CMS-10398 #73

subject: Supplemental Payment Reporting under the Consolidated Appropriations Act, 2021

form_number: CMS-10398 #74

subject: Coverage of Routine Patient Cost for Items & Services in Qualifying Clinical Trials

form_number: CMS-10398 #75

subject: ARP 1135 State Plan Amendment

form_number: CMS-10803

subject: Essential Community Provider-Network Adequacy (ECP/NA) Data Collection to Support QHP Certification

form_number: CMS-10433

subject: Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations

form_number: CMS-10788

subject: Prescription Drug and Health Care Spending

form_number: CMS-10515

subject: Payment Collections Operations Contingency Plan: Enrollment and Payment Data Template

form_number: CMS-10783

subject: Generic Beneficiary & Family Centered-Care Quality Improvement Organization (BFCC-QIO) Data Collection Research

form_number: CMS-10792

subject: Patient-Reported Indicator Survey (PaRIS)

form_number: CMS-10793

subject: Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Field Test

form_number: CMS-10790

subject: Distribution of GME Residency Positions Under Section 126 of the Consolidated Appropriations Act (CAA), 2021, and Section 4122 of the CAA, 2023

form_number: CMS-10786

subject: SUPPORT Act Section 1003 Demonstration Evaluation

form_number: CMS-10787

subject: Agent and Broker Disclosure and Reporting Requirements

form_number: CMS-10785

subject: Reporting Requirements Regarding Air Ambulance Services

form_number: CMS-10784

subject: The Home Health Care CAHPS® Survey (HHCAHPS) Mode Experiment

form_number: cms-10148

subject: HIPAA Administrative Simplification Compliance Review Information Retrieval Forms

form_number: CMS-10781

subject: FOIA/Privacy Act Requests for Medicare Claims Data via CMS FOIA Public Portal

form_number: CMS-10398 #72

subject: Expressions of Interest in the Infant Well-Child Visit Affinity Group

form_number: CMS-10572

subject: Transparency in Coverage Reporting by Qualified Health Plan Issuers

form_number: CMS-10561

subject: Supporting Statement for Essential Community Provider Data Collection to Support QHP Certification

form_number: CMS-10777

subject: Conditions of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID)

form_number: CMS-10330

subject: Notice of Rescission of Coverage and Disclosure Requirements for Patient Protection under the Affordable Care Act

form_number: CMS-10779

subject: Complaints Submission Process under the No Surprises Act

form_number: CMS-10780

subject: Requirements Related to Surprise Billing: Qualifying Payment Amount, Notice and Consent, Disclosure on Patient Protections Against Balance Billing, and State Law Opt-in

form_number: CMS-10773

subject: Nonquantitative Treatment Limitation Analyses and Compliance Under MHPAEA

form_number: CMS-10501

subject: Healthcare Fraud Prevention Partnership (HFPP) Data Sharing and Information Exchange

form_number: CMS-10775

subject: Medicare Severity Diagnosis Related Groups Reclassification Request (MS-DRGs)

form_number: CMS-10166

subject: Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program

form_number: CMS-10178

subject: Medicaid and Children’s Health Insurance (CHIP) Managed Care Payments and Related Information

form_number: cms-10184

subject: Payment Error Rate Measurement – State Medicaid and CHIP Eligibility

form_number: CMS-10398 #69

subject: Reporting Requirements for Additional Funding for Medicaid HCBS During the COVID–19 Emergency

form_number: CMS-10398 #71

subject: Reporting Requirements for State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services During the COVID–19 Emergency

form_number: CMS-10774

subject: The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD–10–PCS)

form_number: CMS-10398 #37

subject: Medicaid Managed Care Rate Development Guide

form_number: CMS-10516

subject: Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014; Final Rule II

form_number: CMS-10769

subject: Satisfaction of Nursing Homes, Hospitals, and Outpatient Clinicians Working with the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC)

form_number: CMS-10147

subject: Medicare Drug Coverage and Your Rights

form_number: CMS-10765

subject: Review Choice Demonstration for Inpatient Rehabilitation Facility (IRF) Services

form_number: cms-10744

subject: Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program – Contracting Forms

form_number: CMS-2552-10

subject: Hospital and Hospital Health Care Complex Cost Report

form_number: cms-10749

subject: National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection

form_number: CMS-10752

subject: Submissions of 1135 Waiver Request Automated Process

form_number: CMS-R-148

subject: Limitations on Provider Related Donations and Health Care Related Taxes, Medicaid

form_number: CMS-10437

subject: Generic Social Marketing & Consumer Testing Research

form_number: CMS-10320

subject: Health Care Reform Insurance Web Portal

form_number: CMS-855A

subject: Medicare Enrollment Application for Institutional Providers

form_number: CMS-10390

subject: Hospice Outcomes and Patient Evaluation (HOPE) for the Collection of Data Pertaining to the Hospice Quality Reporting Program

form_number: CMS-116

subject: Clinical Laboratory Improvement Amendments (CLIA) Application Form (CMS -116) and Supporting Regulations

form_number: CMS-359 and 360

subject: Comprehensive Outpatient Rehabilitation Facility (CORF) Certification and Survey Forms

form_number: CMS-10706

subject: Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams

form_number: CMS-10287

subject: Medicare Quality of Care Complaint Form

form_number: CMS-10722

subject: Annual State Report on CMS Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements

form_number: CMS-R-26

subject: Clinical Laboratory Improvement Amendments and ICRs contained in Supporting Regs

form_number: CMS-R-21

subject: Withholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31

form_number: CMS-R-52

subject: End Stage Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations

form_number: CMS-10114

subject: National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406

form_number: CMS-10170

subject: Retiree Drug Subsidy Payment Request and Instructions

form_number: CMS-319

subject: State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations

form_number: CMS-10728

subject: Value in Opioid Use Disorder Treatment Demonstration

form_number: CMS-10156

subject: Retiree Drug Subsidy (RDS) Application and Instructions

form_number: CMS-R-290

subject: Medicare Program Procedures for Making National Coverage Determinations

form_number: CMS-10695

subject: Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections

form_number: CMS-10468

subject: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment

form_number: CMS-10418

subject: Annual MLR and Rebate Calculation Report and MLR Rebate Notices

form_number: CMS-2744

subject: End Stage Renal Disease (ESRD) Annual Facility Survey Form

form_number: CMS-10537

subject: CAHPS Hospice Survey

form_number: CMS-304 and 304a

subject: Reconciliation of State Invoice (ROSI) (CMS-304) and Prior Quarter Adjustment Statement (PQAS) (CMS-304a)

form_number: CMS-1771

subject: Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR Section 424.103

form_number: CMS-368 and R-144

subject: State Agency Contact Form (CMS-368) and Quarterly State Invoice (CMS-R-144)

form_number: CMS-10717

subject: Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols

form_number: CMS-10718

subject: Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form

form_number: CMS-10146

subject: Notice of Denial of Medicare Prescription Drug Coverage

form_number: CMS-10662

subject: Administrative Simplification Compliance Review (CMS-10662)

form_number: CMS-855B

subject: Medicare Enrollment Application – Clinics/Group Practices and Other Suppliers

form_number: CMS-10707

subject: Requirements for Hospitals to Make Public a List of Their Standard Charges (CMS-10707) (CMS-1834-FC)

form_number: CMS-10716

subject: Applicable Integrated Plan Coverage Decision Letter

form_number: CMS-10609

subject: Medicaid Program Face-to-Face Requirements for Home Health Services

form_number: CMS-1500 and 1490S

subject: Health Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424, Subpart C

form_number: CMS-2567

subject: Statement of Deficiencies and Plan of Correction

form_number: CMS-10638

subject: Add-On Payments for New Medical Services and Technologies Paid Under the Inpatient Prospective Payment System (IPPS)

form_number: CMS-10003

subject: Notice of Denial of Medical Coverage (or Payment) (NDMCP)

form_number: CMS-10697

subject: Medicare Coverage of Items and Services for Coverage with Evidence Development

form_number: CMS-10701

subject: Medicare Beneficiary Experiences with Care Survey (MBECS) System

form_number: CMS-10052

subject: Recognition of pass-through payment for additional (new) categories of devices under the Outpatient Prospective Payment System and Supporting Regulations

form_number: CMS-10065 and 10066

subject: Hospital Notices: IM/DND

form_number: CMS-2746

subject: End Stage Renal Disease (ESRD) Death Notification Form

form_number: CMS-2728

subject: End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration

form_number: CMS-276

subject: Prepaid Health Plan Cost Report

form_number: CMS-10692

subject: Home and Community Based Services (HCBS) Incident Management Survey

form_number: CMS-10691

subject: Data Request and Attestation for PDP Sponsors

form_number: CMS-10511

subject: Medicare Coverage of Items and Services in FDA Investigational Device Exemption Clinical Studies-Revision of Medicare Coverage (CMS-1600-F)

form_number: CMS-10524

subject: Medicare Program; Prior Authorization Process for Certain Durable Medical Equipment, Prosthetic, Orthotics, and Supplies (DMEPOS)

form_number: CMS-10680

subject: Electronic Visit Verification Compliance Survey

form_number: CMS-10391

subject: Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204

form_number: CMS-10008

subject: Transitional Pass through payments related to Drugs, Biologicals, and Radiopharmaceuticals to determine eligibility under the Outpatient Prospective Payment System

form_number: CMS-10668

subject: Hospital Acquired Condition Reduction Program

form_number: CMS-10394

subject: Application To Be a Qualified Entity to Receive Medicare Data for Performance Measurement / Reapplication / Annual Report Worksheet

form_number: CMS-10637

subject: Marketplace Operations

form_number: CMS-R-267

subject: Medicare Advantage Program and Supporting Regulations

form_number: CMS-10653

subject: Coverage of Certain Preventive Services Under the Affordable Care Act

form_number: CMS-216-94

subject: Organ Procurement Organization/Histocompatibility Laboratory Cost Report

form_number: CMS-10224

subject: CMS HCPCS Modification to Code Set Form

form_number: CMS-10239

subject: Critical Access Hospital (CAH) Conditions of Participation (CoPs) and Supporting Regulations

form_number: CMS-10036

subject: IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program

form_number: CMS-10454

subject: Disclosure of State Rating Requirements

form_number: CMS-10650

subject: State Permissions for Enrollment in Qualified Health Plans in the Federally Facilitated Exchange & Non-Exchange Entities (CMS-10650)

form_number: CMS-10210

subject: Quality Measures and Procedures for the Hospital Inpatient Quality Reporting Program for the FY 2026 IPPS Annual Payment Updates FY 2024 IPPS/LTCH PPS Proposed Rule

form_number: CMS-1763

subject: Request for Termination of Medicare Premium Part A, Part B, or Part B Immunosuppressive Drug Coverage (Part B-ID) and Supporting Statute and Regulations

form_number: CMS-10326

subject: Electronic Submission of Medicare Graduate Medical Education (GME) Affiliation Agreements

form_number: CMS-43

subject: Application for Part A (Hospital Insurance) and Part B (Medical Insurance) for People with End-Stage Renal Disease

form_number: CMS-R-285

subject: Medicare Request for Retirement Benefit Information

form_number: CMS-10215

subject: Identifying Medicaid Payment for Physician Administered Drugs

form_number: CMS-10174

subject: Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments

form_number: CMS-1984-14

subject: Hospice Facility Cost Report

form_number: CMS-10175

subject: Certification Statement for Electronic File Interchange Organizations (EIFOs)

form_number: CMS-2088-17

subject: The Community Mental Health Center Cost Report

form_number: CMS-10171

subject: Medicare Drug Coverage and Your Rights

form_number: CMS-10275

subject: CAHPS Home Health Care Survey

form_number: CMS-10198

subject: Creditable Coverage Disclosure to CMS On-Line Form and Instructions

form_number: CMS-R-266

subject: Medicaid Disproportionate Share Hospital (DSH) Annual Reporting Requirements

form_number: CMS-10344

subject: Elimination of Cost Sharing for Full Benefit Dual Eligible Individuals Receiving Home and Community-Based Services

form_number: CMS-10227

subject: PACE State Plan Amendment Preprint

form_number: CMS-4040

subject: Request for Enrollment in Supplementary Medical Insurance

form_number: CMS-10219

subject: HEDIS® Data Collection for Medicare Advantage

form_number: CMS-10636

subject: Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans

form_number: CMS-10639

subject: National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP)

form_number: CMS-10450

subject: Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment System (MIPS)

form_number: CMS-10621

subject: Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS)

form_number: CMS-416

subject: Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report

form_number: CMS-8003

subject: 1915(c) Home and Community Based Services (HCBS) Waiver Application

form_number: CMS-10396

subject: Medication Therapy Management Program – Standardized Format

form_number: CMS-R-138

subject: Medicare Geographic Classification Review Board Procedures and Criteria

form_number: CMS-10633

subject: QIC Demonstration Evaluation Contractor (QDEC): Analyze Medicare Appeals to Conduct Formal Discussions and Re-openings with Suppliers Appeals to Conduct Formal Discussions and Re-openings With Suppliers

form_number: CMS-10631

subject: The PACE Organization Application Process in 42 CFR Part 460

form_number: CMS-10476

subject: Medical Loss Ratio (MLR) Report for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP)

form_number: CMS-10340

subject: Collection of Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs, MMPs, and PACE Organizations

form_number: CMS-10630

subject: The PACE Organization (PO) Monitoring and Audit Process in Part 460 of 42 CFR

form_number: CMS-R-64

subject: Indirect Medical Education and Direct Graduate Medical Education

form_number: CMS-R-5

subject: Physician Certifications/Recertifications in Skilled Nursing Facilities Manual Instructions

form_number: CMS-10242

subject: Emergency Ambulance Transports and Beneficiary Signature

form_number: CMS-460

subject: Medicare Participation Agreement for Physicians and Suppliers

form_number: CMS-10062

subject: Collection of Diagnostic Data in the Abbreviated RAPS Format from Medicare Advantage Organizations for Risk Adjusted Payments

form_number: CMS-379

subject: Financial Statement of Debtor

form_number: CMS-10157

subject: The HIPAA Eligibility Transaction System (HETS)

form_number: CMS-10105

subject: National Implementation of the In-Center Hemodialysis CAHPS Survey

form_number: CMS-10328

subject: Medicare Self-Referral Disclosure Protocol

form_number: CMS-10243

subject: Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool

form_number: CMS-10611

subject: Medicare Outpatient Observation Notice (MOON)

form_number: CMS-10316

subject: Implementation of the Medicare Prescription Drug Plan (PDP) and Medicare Advantage (MA) Plan Disenrollment Reasons Survey

form_number: CMS-10465

subject: Minimum Essential Coverage

form_number: CMS-10377

subject: Student Health Insurance Coverage

form_number: CMS-3427

subject: End Stage Renal Disease Application and Survey and Certification Report

form_number: CMS-576A

subject: Organ Procurement Organization Request for Designation as an OPO Under §1138 of the Social Security Act; and Health Insurance Benefits Agreement

form_number: CMS-P-0015A

subject: Medicare Current Beneficiary Survey (MCBS)

form_number: CMS-10599

subject: Pre-Claim Review Demonstration For Home Health Services

form_number: CMS-R-284

subject: Transformed – Medicaid Statistical Information System (T-MSIS)

form_number: CMS-855S

subject: Medicare Enrollment Application - Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers

form_number: CMS-R-282

subject: Medicare Advantage Appeals and Grievance Data Form

form_number: CMS-10430

subject: Information Collection Requirements for Compliance with Individual and Group Market Reforms under Title XXVII of the Public Health Service Act

form_number: CMS-10434

subject: Medicaid and CHIP Program (MACPro)

form_number: CMS-R-244

subject: Programs of All-Inclusive Care for the Elderly (PACE) and Supporting Regulations

form_number: CMS-10400

subject: Establishment of Qualified Health Plans and American Health Benefit Exchanges

form_number: CMS-10594

subject: Provider Network Coverage Data Collection

form_number: CMS-10338

subject: Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers.

form_number: CMS-R-131

subject: Advance Beneficiary Notice of Non-coverage (ABN)

form_number: CMS-1450

subject: Medicare Uniform Institutional Provider Bill

form_number: CMS-10280

subject: Home Health Change of Care Notice

form_number: CMS-10565

subject: Medicare Advantage Model of Care Submission Requirements

form_number: CMS-10079

subject: Hospital Wage Index Occupational Mix Survey

form_number: CMS-906

subject: Fiscal Soundness Reporting Requirements (FSRR)

form_number: CMS-10526

subject: Cost-sharing Reduction Reconciliation

form_number: CMS-10143

subject: State Data for the Medicare Modernization Act (MMA)

form_number: CMS-10387

subject: Minimum Data Set 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) for the Collection of Data Related to the Patient Driven Payment Model and the Skilled Nursing Facility Quality Reporting Program (QRP)

form_number: CMS-10110

subject: Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biologicals and Supporting

form_number: CMS-10575

subject: Generic Clearance for the Heath Care Payment Learning and Action Network

form_number: CMS-10569

subject: Data Collection for Quality Measures Using the End-Stage Renal Disease Quality Reporting System (EQRS)

form_number: CMS-R-234

subject: Subpart D-Private Contracts and Supporting Regulations in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455

form_number: CMS-10108

subject: Medicaid Managed Care and Supporting Regulations

form_number: CMS-10554

subject: Children?s Health Insurance Program Managed Care and Supporting Regulations

form_number: CMS-10553

subject: Medicaid Managed Care Quality including Supporting Regulations

form_number: CMS-10431

subject: Submission of Information for the PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program: FY 2025 IPPS/LTCH PPS Proposed Rule

form_number: CMS-10261

subject: Part C Medicare Advantage Reporting

form_number: CMS-10185

subject: Medicare Part C and D Reporting Requirements

form_number: CMS-179

subject: Medicaid State Plan Base Plan Pages

form_number: CMS-10552

subject: Implementation of Medicare Programs; - Medicare Promoting Interoperability Program

form_number: CMS-10556

subject: Medicaid Managed Care and Supporting Regulations

form_number: CMS-10102

subject: National Implementation of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey

form_number: CMS-10417

subject: Medicare Fee-for-Service Prepayment Medical Review

form_number: CMS-10464

subject: Agent/Broker Data Collection in Federally - Facilitated Health Insurance Exchanges

form_number: CMS-10544

subject: Good Cause Processes

form_number: CMS-1696

subject: Appointment of Representative

form_number: CMS-R-74

subject: Income and Eligibility Verification System

form_number: CMS-10410

subject: Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010

form_number: CMS-R-306

subject: Conditions of Participation for Psychiatric Residential Treatment Facilities’ (PRTFs) Use of Restraint & Seclusion

form_number: CMS-10549

subject: Generic Clearance: Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS)

form_number: CMS-10545

subject: Outcome and Assessment Information Set (OASIS-E2)

form_number: CMS-10341

subject: Section 1115 Demonstration Projects Regulations

form_number: CMS-10241

subject: Survey of Retail Prices

form_number: CMS-224-14

subject: Federally Qualified Health Center Cost Report

form_number: CMS-10529

subject: Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP

form_number: CMS-10536

subject: Medicaid Eligibility and Enrollment (EE) Implementation Advanced Planning Document (IAPD) Template

form_number: CMS-R-235

subject: Use Agreement (DUA) Limited Data Set (LDS) Forms Research Identifiable Files (FIF) Forms

form_number: CMS-10527

subject: Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices

form_number: CMS-10525

subject: Programs of All-Inclusive Care for the Elderly (PACE) PACE Quality Data Monitoring and Reporting

form_number: CMS-10332

subject: Disclosure Requirement for the In-Office Ancillary Services Exception

form_number: CMS-10520

subject: Marketplace Quality Standards

form_number: CMS-10518

subject: Application for Participation in the Intravenous Immune Globulin (IVIG) Demonstration

form_number: CMS-102 & 105

subject: CLIA Budget Workload Reports

form_number: CMS-10510

subject: Basic Health Program Supporting Regulations

form_number: CMS-40B

subject: Application for Enrollment in Medicare the Medical Insurance Program

form_number: CMS-10500

subject: National Implementation of the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey”

form_number: CMS-10495

subject: Data Collection and Submission, Registration, Attestation, Dispute and Resolution, Record Retention, and Assumptions Document Submission, for Open Payments

form_number: CMS-10371

subject: Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges

form_number: CMS-10432

subject: Submission of Information for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program

form_number: CMS-10169

subject: Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program

form_number: CMS-R-246

subject: Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey

form_number: CMS-10398

subject: Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions

form_number: CMS-10416

subject: Blueprint for Approval of State-based Health Insurance Exchanges

form_number: CMS-R-308

subject: State Children's Health Insurance Program and Supporting Regulations

form_number: CMS-R-262

subject: CMS Plan Benefit Package (PBP) and Formulary CY 2027

form_number: CMS-372(S)

subject: Annual Report on Section 1915(c) Home and Community-Based Services Waivers and Supporting Regulations

form_number: CMS-265-11

subject: Independent Renal Dialysis Facility Cost Report

form_number: CMS-R-263

subject: On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57

form_number: CMS-R-153

subject: Medicaid Drug Use Review (DUR) Program

form_number: CMS-10305

subject: Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(j)

form_number: CMS-10249

subject: Administrative Requirements for Section 6071 of the Deficit Reduction Act

form_number: CMS-10291

subject: State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Web site and Hotline

form_number: CMS-10221

subject: Independent Diagnostic Testing Facilities (IDTFs) Site Investigation Form Revisions

form_number: CMS-R-185

subject: Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and CLIA Exemption Under State Laboratory

form_number: CMS-10237

subject: Applications for Part C Medicare Advantage, 1876 Cost Plans, and Employer Group Waiver Plans to Provide Part C Benefits

form_number: CMS-10346

subject: Quality Bonus Payment Appeals

form_number: CMS-18F5

subject: Application for Enrollment in Medicare Part A Internet Claim (iClaim) Application Screen Modernized Claims System and Consolidated Claim Experience Screens

form_number: CMS-R-305

subject: External Quality Review (EQR) of Medicaid and Children’s Health Insurance Program (CHIP) Managed Care, EQR Protocols, and Supporting Regulations

form_number: CMS-10203

subject: Medicare Health Outcomes Survey

form_number: CMS-10054

subject: New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System