PRA Listing

PRA Listing

Information collections available for public comment.

CMS Form Number Date Subject
CMS-R-52
2024-12-25
End Stage Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations
CMS-10913
2024-12-23
Medicare Part C Utilization Management Annual Data Submission and Audit Protocol Data Request
CMS-10630
2024-12-23
The PACE Organization (PO) Monitoring and Audit Process in Part 460 of 42 CFR
CMS-10798
2024-12-23
Application for Part B Immunosuppressive Drug Coverage (Part B-ID)
CMS-10142
2024-12-20
Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP)
CMS-10765
2024-12-17
Review Choice Demonstration for Inpatient Rehabilitation Facility (IRF) Services
CMS-10538
2024-12-16
Hospice Information for Medicare Part D Plans (CMS-10538)
CMS-10105
2024-12-13
National Implementation of the In-Center Hemodialysis CAHPS Survey
CMS-10636
2024-12-13
Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans
CMS-10398 #83
2024-12-13
PACE SPA Preprint
CMS-10515
2024-12-11
Payment Collections Operations Contingency Plan: Enrollment and Payment Data Template
CMS-10825
2024-12-10
List of Screening Instruments for Housing Stability, Food Security, and Transportation Questions on Health Risk Assessments (HRAs) and Requirements for Integrated HRAs
CMS-319
2024-12-09
State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations
CMS-R-297
2024-12-09
Medicare Request for Employment Information
CMS-224-14
2024-12-09
Health Center Cost Report Form
CMS-2088-17
2024-12-09
The Community Mental Health Center Cost Report
CMS-10398 #84
2024-12-06
PACE Medicaid Capitation Rate Setting Guide
CMS-906
2024-12-05
Fiscal Soundness Reporting Requirements (FSRR)
CMS-10141
2024-12-03
Medicare Prescription Drug Benefit Program
CMS-10371
2024-12-02
Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges
CMS-10891
2024-11-27
Medicaid Program; Medicare Savings Program Application and Eligibility Determinations
2024-11-26
Disclosure of Eligibility Criteria for Supplemental Benefits for the Chronically Ill (SSBCI)
CMS-10396
2024-11-26
Medication Therapy Management Program – Standardized Format
CMS-R-153
2024-11-26
Medicaid Drug Use Review (DUR) Program
CMS-10849
2024-11-25
Negotiation Data Elements and Drug Price Negotiation Process for Initial Price Applicability Year 2027 under Sections 11001 and 11002
CMS-10387
2024-11-25
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)
CMS-10902
2024-11-22
Environmental Health Hazards Checklist Medicare Coverage for Individuals Exposed to Environmental Health Hazards
CMS-10796
2024-11-22
Dual Eligible Special Needs Plan Contract with the State Medicaid Agency
CMS-10320
2024-11-20
Health Care Reform Insurance Web Portal
CMS-10398 #85
2024-11-18
3.1-M State Plan Amendment (SPA) Templates for Eligible Juveniles Who are Inmates of a Public Institution
CMS-10237
2024-11-08
Applications for Part C Medicare Advantage, 1876 Cost Plans, and Employer Group Waiver Plans to Provide Part C Benefits
CMS-10631
2024-11-08
The PACE Organization Application Process in 42 CFR Part 460
CMS-10829
2024-11-06
Improper Payment Pre-Testing and Assessment (IPPTA) Data Request Form
CMS-R-308
2024-11-06
State Children's Health Insurance Program and Supporting Regulations
CMS-R-262
2024-11-06
CMS Plan Benefit Package (PBP) and Formulary CY 2026 (CMS-R-262)
CMS-10398 #88
2024-11-05
Medicaid/CHIP School-Based Services (SBS) Grants
CMS-10520
2024-11-01
Marketplace Quality Standards
CMS-10398 #86
2024-11-01
Section 1115 Reentry Demonstration Initiative
CMS-379
2024-10-31
Financial Statement of Debtor
CMS-10137
2024-10-31
Solicitation for Applications for Medicare prescription Drug Plan 2026 Contracts
CMS-40B
2024-10-30
Application for Enrollment in Medicare the Medical Insurance Program
CMS-10341
2024-10-30
Section 1115 Demonstration Projects Regulations
CMS-4040
2024-10-30
Request for Enrollment in Supplementary Medical Insurance
CMS-10875
2024-10-30
Reporting Requirements and Corrective Action Plans Under Section 1902(tt) of the Social Security Act
CMS-10261
2024-10-28
Part C Medicare Advantage Reporting
CMS-10912
2024-10-28
Medicare Transaction Facilitator for 2026 and 2027 under Sections 11001 and 11002 of the Inflation Reduction Act (IRA)
CMS-10114
2024-10-21
National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406
CMS-10171
2024-10-21
Part D Coordination of Benefits Data
CMS-10147
2024-10-21
Medicare Drug Coverage and Your Rights
CMS-855B
2024-10-15
Medicare Enrollment Application – Clinics/Group Practices and Other Suppliers
CMS-10868
2024-10-15
Medicare Change of Status Notice (MCSN)
CMS-10885
2024-10-15
Retrospective Appeal Requests
CMS-10780
2024-10-11
Requirements Related to Surprise Billing: Qualifying Payment Amount, Notice and Consent, Disclosure on Patient Protections Against Balance Billing, and State Law Opt-in
CMS-10840
2024-10-10
Supporting Statement for Agent/Broker Consent Information Collection
CMS-10203
2024-10-09
Medicare Health Outcomes Survey
CMS-10157
2024-10-02
The HIPAA Eligibility Transaction System (HETS)
CMS-10844
2024-10-02
Small Biotech Exception and Biosimilar Delay
CMS-10539
2024-10-01
Medicare and Medicaid Programs: Home Health Facilities (HHAs) and Supporting Regulations
CMS-10856
2024-09-26
Medicaid Managed Care and Supporting Regulations
CMS-2744
2024-09-26
End Stage Renal Disease (ESRD) Annual Facility Survey Form
CMS-10516
2024-09-24
Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards
CMS-10156
2024-09-23
Retiree Drug Subsidy (RDS) Application and Instructions
CMS-10170
2024-09-23
Retiree Drug Subsidy Payment Request and Instructions
CMS-372(S)
2024-09-19
Annual Report on Section 1915(c) Home and Community-Based Services Waivers and Supporting Regulations
CMS-R-284
2024-09-19
Transformed – Medicaid Statistical Information System (T-MSIS)
CMS-216-94
2024-09-19
Organ Procurement Organization/Histocompatibility Laboratory Cost Report
CMS-10003
2024-09-17
Notice of Denial of Medical Coverage (or Payment) (NDMCP)
CMS-10146
2024-09-17
Notice of Denial of Medicare Prescription Drug Coverage
CMS-10326
2024-09-11
Electronic Submission of Medicare Graduate Medical Education (GME) Affiliation Agreements
CMS-10443
2024-09-10
The TVT Registry
CMS-R-290
2024-09-10
Medicare Program Procedures for Making National Coverage Determinations
CMS-R-234
2024-09-09
Subpart D-Private Contracts and Supporting Regulations in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455
CMS-10430
2024-09-09
Information Collection Requirements for Compliance with Individual and Group Market Reforms under Title XXVII of the Public Health Service Act
CMS-1984-14
2024-09-09
Hospice Facility Cost Report
CMS-10773
2024-09-09
Nonquantitative Treatment Limitation Analyses and Compliance Under MHPAEA
CMS-10280
2024-09-05
Home Health Change of Care Notice
CMS-10536
2024-09-03
Medicaid Eligibility and Enrollment (EE) Implementation Advanced Planning Document (IAPD) Template
CMS-179
2024-09-03
Medicaid State Plan Base Plan Pages
CMS-10650
2024-08-30
State Permissions for Enrollment in Qualified Health Plans in the Federally Facilitated Exchange & Non-Exchange Entities (CMS-10650)
CMS-18F5
2024-08-29
Application for Enrollment in Medicare Part A Internet Claim (iClaim) Application Screen Modernized Claims System and Consolidated Claim Experience Screens
CMS-287-22
2024-08-29
Home Office Cost Statement
CMS-10897
2024-08-28
Supplemental to Form CMS-2552-10 Payment Adjustment for Establishing and Maintaining Access to Buffer Stock of Essential Medicines
CMS-R-240
2024-08-24
Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 413.65
CMS-10653
2024-08-22
Coverage of Certain Preventive Services Under the Affordable Care Act (CMS-10653)
CMS-R-263
2024-08-21
On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57
CMS-10239
2024-08-13
Critical Access Hospital (CAH) Conditions of Participation (CoPs) and Supporting Regulations
CMS-222-17
2024-08-10
Rural Health Clinic Cost Report 
CMS-10905
2024-08-09
Service Level Data Collection for Initial Determinations and Appeals
CMS-R-285
2024-08-07
Medicare Request for Retirement Benefit Information
CMS-10874
2024-08-07
Part D Drug Management Program
CMS-10831
2024-08-06
Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program
CMS-10621
2024-07-31
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS)
CMS-10434 #82
2024-07-30
Quality Improvement Affinity Group Expression of Interest Form
CMS-10437
2024-07-30
Generic Social Marketing & Consumer Testing Research
CMS-10434 #66(BN)
2024-07-24
Medicaid and Children’s Health Insurance Program Renewal Compliance Template
CMS-10530
2024-07-22
Ambulatory Surgical Center Quality Reporting Program
CMS-10250
2024-07-22
Hospital Outpatient Quality Reporting (OQR) Program
CMS-10870
2024-07-22
Rural Emergency Hospital Quality Reporting (REHQR)
CMS-10434 #66
2024-07-19
Medicaid and Children’s Health Insurance Program Eligibility Processing Data Report
CMS-10054
2024-07-16
New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System
CMS-P-0015A
2024-07-16
Medicare Current Beneficiary Survey (MCBS)
CMS-10316
2024-07-16
Implementation of the Medicare Prescription Drug Plan (PDP) and Medicare Advantage (MA) Plan Disenrollment Reasons Survey
CMS-10440
2024-07-15
Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Health Benefits Exchanges, Medicaid and CHIP Agencies
CMS-43
2024-07-09
Application for Part A (Hospital Insurance) and Part B (Medical Insurance) for People with End-Stage Renal Disease
CMS-1500 and 1490S
2024-07-09
Health Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424, Subpart C
CMS-10537
2024-07-09
CAHPS Hospice Survey
CMS-855A
2024-07-03
Medicare Enrollment Application for Institutional Providers
CMS-10516
2024-07-02
Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014; Final Rule II
CMS-R-246
2024-06-25
Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey
CMS-1696
2024-06-25
Appointment of Representative and Supporting Regulations in 42 CFR
CMS-10332
2024-06-14
Disclosure Requirement for the In-Office Ancillary Services Exception
CMS-10400
2024-06-14
Establishment of Qualified Health Plans and American Health Benefit Exchanges
CMS-10774
2024-06-10
The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD–10–PCS)
CMS-10858
2024-06-03
Rebate Reduction Requests under Sections 11101 and 11102 of the Inflation Reduction Act
CMS-10454
2024-06-03
Disclosure of State Rating Requirements
CMS-2540-24
2024-05-29
Skilled Nursing Facility and Skilled Nursing Facility Complex Cost Report
CMS-10882
2024-05-28
The Medicare Advantage and Prescription Drug Programs: Part C and Part D Medicare Prescription Payment Plan Model Documents
CMS-10185
2024-05-24
Medicare Part D Reporting Requirements
CMS-10008
2024-05-24
Transitional Pass through payments related to Drugs, Biologicals, and Radiopharmaceuticals to determine eligibility under the Outpatient Prospective Payment System
CMS-10526
2024-05-23
Cost-sharing Reduction Reconciliation
CMS-10391
2024-05-21
Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204
CMS-10695
2024-05-21
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections
CMS-10110
2024-05-14
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biologicals
CMS-10767
2024-05-10
Patient Access through Application Programming Interfaces (API)
CMS-10164 A&B
2024-05-10
Medicare EDI Enrollment Form and EDI Registration
CMS-10166
2024-05-02
Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program
CMS-10178
2024-05-02
Medicaid and Children’s Health Insurance (CHIP) Managed Care Payments and Related Information
cms-10184
2024-05-02
Payment Error Rate Measurement – State Medicaid and CHIP Eligibility
CMS-10102
2024-05-02
National Implementation of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey
CMS-10431
2024-05-02
Submission of Information for the PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program: FY 2025 IPPS/LTCH PPS Proposed Rule
CMS-10668
2024-05-02
Submission of Information for the Hospital-Acquired Condition (HAC) Reduction Program
CMS-10790
2024-05-02
Distribution of GME Residency Positions Under Section 126 of the Consolidated Appropriations Act (CAA), 2021, and Section 4122 of the CAA, 2023
CMS-R-148
2024-04-25
Limitations on Provider Related Donations and Health Care Related Taxes, Medicaid and Supporting Regulations in 42 CFR 433.68 through 433.74
CMS-10722
2024-04-25
Annual State Report on CMS Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements
CMS-10291
2024-04-25
State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Web site and Hotline
CMS-10529
2024-04-25
Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP
CMS-10573
2024-04-16
Reform of Requirements for Long-Term Care Facilities
CMS-10877
2024-04-15
Supporting Statement for Direct Enrollment Entities
CMS-10878
2024-04-15
Information Collection Requirements for Non-Standardized Plan Option Limit Exceptions
CMS-10887
2024-04-08
The Medicare Advantage and Prescription Drug Programs: Part C and Part D Medicare Advantage Prescription Drug (MARx) system
CMS-10215
2024-04-08
Identifying Medicaid Payment for Physician Administered Drugs
CMS-10394
2024-04-08
Application To Be a Qualified Entity to Receive Medicare Data for Performance Measurement / Reapplication / Annual Report Worksheet
CMS-368 and R-144
2024-04-08
State Agency Contact Form (CMS-368) and Quarterly State Invoice (CMS-R-144)
CMS-10549
2024-04-08
Generic Clearance: Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS)
CMS-10545
2024-04-05
Outcome and Assessment Information Set OASIS-E1
CMS-10432
2024-04-03
Inpatient Psychiatric Facility Quality Reporting Program
CMS-10390
2024-03-28
Hospice Outcomes and Patient Evaluation (HOPE) for the Collection of Data Pertaining to the Hospice Quality Reporting Program
CMS-R-38
2024-03-28
Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR 4
CMS-10558
2024-03-27
Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs
CMS-10752
2024-03-25
Submissions of 1135 Waiver Request Automated Process
CMS-10340
2024-03-18
Collection of Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs, MMPs, and PACE Organizations
CMS-8003
2024-03-18
1915(c) Home and Community Based Services (HCBS) Waiver Application
CMS-10398 #81
2024-03-18
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)
CMS-10279
2024-03-13
Medicare and Medicaid Programs: Conditions for Coverage for Ambulatory Surgical Centers
CMS-304 and 304a
2024-03-05
Reconciliation of State Invoice (ROSI) (CMS-304) and Prior Quarter Adjustment Statement (PQAS) (CMS-304a)
CMS-R-64
2024-03-01
Indirect Medical Education and Direct Graduate Medical Education
CMS-10174
2024-03-01
Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments
CMS-10706
2024-02-29
Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams
CMS-10500
2024-02-26
National Implementation of the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey
CMS-10249
2024-02-21
Administrative Requirements for Section 6071 of the Deficit Reduction Act
CMS-10219
2024-02-20
HEDIS® Data Collection for Medicare Advantage
CMS-10662
2024-02-20
Administrative Simplification HIPAA Compliance Review
CMS-10843
2024-02-08
Advancing Interoperability and Improving Prior Authorization Processes
CMS-10346
2024-01-18
Quality Bonus Payment Appeals
CMS-10718
2024-01-11
Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request
CMS-10398 #45
2024-01-09
Certified Community Behavioral Health Clinic (CCBHC) 2024 State Proposal Demonstration Application
CMS-10398 #48
2024-01-09
Behavioral Health Clinic Quality Data Reporting
CMS-10398 #43
2024-01-09
Certified Community Behavioral Health Clinic (CCBHC) Cost Report
CMS-10883
2023-12-22
ADA Dental Form
CMS-10453
2023-12-08
Medicare Advantage and Prescription Drug Programs: Part C and Part D Explanation of Benefits
CMS-10525
2023-12-01
Programs of All-Inclusive Care for the Elderly (PACE) PACE Quality Data Monitoring and Reporting
CMS-102 & 105
2023-11-28
CLIA Budget Workload Reports
CMS-10866
2023-11-24
CMS Health Equity Award – Call for Nominations
CMS-10418
2023-11-22
Annual MLR and Rebate Calculation Report and MLR Rebate Notices
CMS-10398 #37
2023-11-20
Managed Care Rate Setting Guidance
CMS-10510
2023-11-16
Basic Health Program Supporting Regulations
CMS-10552
2023-11-14
Implementation of Medicare Programs; - Medicare Promoting Interoperability Program
CMS-10652
2023-10-31
Virtual Groups for Merit-Based Incentive Payment System (MIPS)
CMS-10434 #77
2023-10-30
Medicaid and Continuous Eligibility for Children
CMS-10861
2023-10-27
Medicare Health Outcomes Survey Field Test
CMS-10398 #17
2023-10-27
CHIP State Plan Eligibility
CMS-10143
2023-10-27
State Data for the Medicare Modernization Act (MMA)
CMS-10450
2023-10-17
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment System (MIPS)
CMS-10241
2023-10-16
Survey of Retail Prices
CMS-10717
2023-10-16
Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols
CMS-10692
2023-10-04
Home and Community Based Services (HCBS) Incident Management Survey
CMS-1561 & 1561A
2023-09-29
Health Insurance Benefit Agreement and Supporting Regulations
CMS-10398 #34
2023-09-27
Model Application Template and Instructions for State Child Health Plan Under Title XXI of the Social Security Act, State Children’s Health Insurance Program
CMS-10638
2023-09-15
Add-On Payments for New Medical Services and Technologies Paid Under the Inpatient Prospective Payment System (IPPS)
CMS-R-266
2023-09-13
Medicaid Disproportionate Share Hospital (DSH) Annual Reporting Requirements
CMS-10769
2023-09-12
Satisfaction of Nursing Homes, Hospitals, and Outpatient Clinicians Working with the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC)
CMS-R-21
2023-09-11
Withholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31
CMS-855S
2023-09-08
Medicare Enrollment Application - Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers
CMS-10865
2023-09-07
Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease
CMS-10809
2023-08-23
Ambulatory Surgical Center (ASC) Covered Procedure List (CPL) Pre-Proposed Rule Recommendation Request
CMS-10305
2023-08-11
Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(j)
CMS-1728-20
2023-07-21
Home Health Agency Cost Report
CMS-116
2023-07-14
Clinical Laboratory Improvement Amendments (CLIA) Application Form and Supporting Regulations
CMS-2746
2023-07-14
End Stage Renal Disease (ESRD) Death Notification Form
CMS-10835
2023-07-13
Dispute Resolution for Discarded Drug Refunds
CMS-R-26
2023-07-11
Clinical Laboratory Improvement Amendments and ICRs contained in Supporting Regs
CMS-R-185
2023-07-11
Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and CLIA Exemption Under State Laboratory
CMS-10846
2023-07-06
Medicare Part D Manufacturer Discount Program Agreement
CMS-10569
2023-06-30
Data Collection for Quality Measures Using the End-Stage Renal Disease Quality Reporting System (EQRS)
CMS-10639
2023-06-30
National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP)
CMS-10398 #64
2023-06-20
Medicaid Section 1115 Substance Use Disorder (SUD) Demonstrations: Federal Meta-Analysis Support
CMS-576A
2023-06-13
Organ Procurement Organization Request for Designation as an OPO Under §1138 of the Social Security Act; and Health Insurance Benefits Agreement
CMS-10716
2023-06-06
Applicable Integrated Plan Coverage Decision Letter
CMS-1450
2023-06-06
Medicare Uniform Institutional Provider Bill
CMS-2728
2023-06-02
End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration
CMS-10728
2023-05-30
Value in Opioid Use Disorder Treatment Demonstration
CMS-10224
2023-05-11
CMS HCPCS Modification to Code Set Form
CMS-10398 #59
2023-05-04
Medicaid Section 1115 Severe Mental Illness and Children with Serious Emotional Disturbance Demonstrations
CMS-10853
2023-05-02
Patient Provider Dispute Resolution Requirements Related to Surprise Billing: Part II
CMS-10857
2023-05-01
Payment Adjustment for Low-Volume Hospitals Under the Hospital Inpatient Prospective Payment System (IPPS)
CMS-10409
2023-05-01
LTCH CARE Data Set For the Collection of Data Pertaining to the Long-Term Care Hospital Quality Reporting Program
CMS-10210
2023-05-01
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
CMS-10243
2023-04-28
Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool
CMS-10260
2023-04-28
Medicare Advantage and Prescription Drug Program: Final Marketing Provisions in 42 CFR 422.111(a)(3) and 423.128(a)(3)
CMS-367A & E
2023-04-28
Medicaid Drug Rebate Program Labeler Reporting Format
CMS-10410
2023-04-26
Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010
CMS-10302
2023-04-21
Collection Requirements for Compendia for Determination of Medically-accepted Indications for Off-label Uses of Drugs and Biologicals in an Anti-cancer Chemotherapeutic Regimen
CMS-10344
2023-04-17
Elimination of Cost Sharing for Full Benefit Dual Eligible Individuals Receiving Home and Community-Based Services
CMS-10242
2023-04-11
Emergency Ambulance Transports and Beneficiary Signature
CMS-10036
2023-04-07
IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program
CMS-10852
2023-04-04
CoreQ: Short Stay Discharge Survey
CMS-10108
2023-04-04
Medicaid Managed Care and Supporting Regulations
CMS-10062
2023-03-30
Collection of Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted Payments
CMS-10275
2023-03-30
CAHPS Home Helath Care Survey
CMS-10221
2023-03-27
Independent Diagnostic Testing Facilities (IDTFs) Site Investigation Form Revisions
CMS-437A & 437B
2023-03-10
Rehabilitation Unit & Hospital Criteria Worksheet
CMS-10834
2023-03-10
Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA–PD Plan
CMS-10836
2023-03-10
Medicare Plan Performance Warning Information
CMS-416
2023-03-10
Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report
CMS-10398 #79
2023-02-10
COVID–19 Risk Corridor Reconciliation Reporting Template
CMS-10731
2023-02-07
Generic Clearance for CMS and Medicare Administrative Contractor (MAC) Generic Customer Experience
CMS-R-282
2023-02-07
Medicare Advantage Appeals and Grievance Data Form
CMS-10609
2023-02-07
Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations
CMS-10227
2023-02-07
PACE State Plan Amendment Preprint
CMS-10824
2023-02-03
Annual Notice of Chance and Evidence of Coverage For Applicable Integrated Plans in States that Require Integrated Materials
CMS-10830
2023-01-27
Data Collection to Support CMS Burden Reduction and Health Informatics Efforts
CMS-10595
2023-01-11
Third Party Payment of QHP Premiums and Additional Notices for QHP Issuers Data Collection
CMS-10594
2023-01-10
Provider Network Coverage Data Collection
CMS-10823
2022-12-20
End-stage Renal Disease (ESRD) Quality Incentive Program (QIP): Study of Quality and Patient Experience
CMS-R-267
2022-12-14
Medicare Advantage Program and Supporting Regulations
CMS-R-131
2022-11-25
Advance Beneficiary Notice of Noncoverage (ABN)
CMS-10816
2022-11-25
Medicare Part C and Medicare Part D Enrollment Form Interviews
CMS-10556
2022-11-17
Medical Necessity and Contract Amendments Under Mental Health Parity
CMS-10789
2022-11-04
Customer Satisfaction Survey for Enterprise Portal Services (EPS) Users
CMS-1771
2022-11-04
Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR Section 424.103
CMS-10398 #7
2022-11-01
Connecting Kids to Coverage Outreach and Enrollment
CMS-10079
2022-10-25
Hospital Wage Index Occupational Mix Survey
CMS-R-244
2022-10-21
Programs of All-Inclusive Care for the Elderly (PACE) and Supporting Regulations
CMS-R-5
2022-09-29
Physician Certifications/Recertifications in Skilled Nursing Facilities Manual Instructions
CMS-10691
2022-09-29
Data Request and Attestation for PDP Sponsors
CMS-643
2022-09-23
Hospice Survey and Deficiencies Report Form and Supporting Regulations
CMS-10328
2022-09-07
Medicare Self-Referral Disclosure Protocol
CMS-10611
2022-08-24
Medicare Outpatient Observation Notice
CMS-10065 and 10066
2022-08-24
Hospital Notices: IM/DND
cms-10744
2022-08-05
Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program – Contracting Forms
CMS-R-305
2022-08-05
External Quality Review (EQR) of Medicaid and Children’s Health Insurance Program (CHIP) Managed Care, EQR Protocols, and Supporting Regulations
CMS-10553
2022-08-05
Medicaid Managed Care Quality including Supporting Regulations
CMS-460
2022-07-15
Medicare Participation Agreement for Physicians and Suppliers
CMS-10052
2022-07-15
Recognition of pass-through payment for additional (new) categories of devices under the Outpatient Prospective Payment System and Supporting Regulations
CMS-2552-10
2022-06-22
Hospital and Hospital Health Care Complex Cost Report
CMS-265-11
2022-05-05
Independent Renal Dialysis Facility Cost Report
CMS-10544
2022-05-05
Good Cause Processes
CMS-R-235
2022-04-25
Data Use Agreement (DUA) Form, Research Identifiable Files Request Packet, and Data Management Plan
CMS-10680
2022-04-13
Electronic Visit Verification Compliance Survey
CMS-10511
2022-04-06
Medicare Coverage of Items and Services in FDA Investigational Device Exemption Clinical Studies-Revision of Medicare Coverage (CMS-1600-F)
CMS-10398 #76
2022-03-29
Expressions of interest in the Improving Maternal Health by Reducing Low-Risk Cesarean Delivery Affinity Group
CMS-10398 #74
2022-03-29
Coverage of Routine Patient Cost for Items & Services in Qualifying Clinical Trials
CMS-10398 #57
2022-02-24
Medicaid Section 1115 Substance Use Disorder (SUD) Demonstration: Monitoring Reports Documents and Templates
CMS-R-306
2022-02-22
Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs) for Individuals Under Age 21 and Supporting Regulations
CMS-R-74
2022-02-22
Income and Eligibility Verification System
CMS-10575
2022-02-22
Generic Clearance for the Heath Care Payment Learning and Action Network
CMS-10792
2022-02-22
Patient-Reported Indicator Survey (PaRIS)
CMS-10786
2022-02-22
SUPPORT Act Section 1003 Demonstration Evaluation
CMS-3427
2022-02-16
End Stage Renal Disease Application and Survey and Certification Report
CMS-10793
2022-02-04
Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Field Test
CMS-276
2022-01-18
Prepaid Health Plan Cost Report
CMS-10398 #13
2022-01-07
Medicaid Accountability – Nursing Facility, Outpatient Hospital and Inpatient Hospital Upper Payment Limits
CMS-10398 #24
2022-01-07
Medicaid Accountability – Upper Payment Limits for Clinics, Physician Services, ICF/IID, PRTFs, and IMDs
CMS-10398 #73
2022-01-07
Supplemental Payment Reporting under the Consolidated Appropriations Act, 2021
CMS-10398 #75
2022-01-07
ARP 1135 State Plan Amendment
CMS-10476
2022-01-06
Medical Loss Ratio (MLR) Report for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP)
CMS-10802
2022-01-06
Medicare Advantage and Prescription Drug Program: Final Marketing Provisions in 42 CFR 422.111(h)(1)(iii) and 423.128(d)(1)(iii)
CMS-10799
2022-01-06
D-SNP Enrollee Advisory Committee and SNP Standardized Questions on Health Risk Assessments
CMS-10554
2022-01-05
Children?s Health Insurance Program Managed Care and Supporting Regulations
CMS-10633
2021-12-27
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
CMS-2567
2021-10-22
Statement of Deficiencies and Plan of Correction
CMS-10784
2021-10-14
The Home Health Care CAHPS® Survey (HHCAHPS) Mode Experiment
CMS-10783
2021-09-28
Generic Beneficiary & Family Centered-Care Quality Improvement Organization (BFCC-QIO) Data Collection Research
CMS-10787
2021-09-16
Agent and Broker Disclosure and Reporting Requirements
CMS-10785
2021-09-16
Reporting Requirements Regarding Air Ambulance Services
CMS-10775
2021-08-06
Medicare Severity Diagnosis Related Groups Reclassification Request (MS-DRGs)
CMS-10398 #72
2021-07-30
Expressions of Interest in the Infant Well-Child Visit Affinity Group
CMS-10701
2021-07-29
Medicare Beneficiary Experiences with Care Survey (MBECS) System
CMS-10781
2021-07-23
FOIA/Privacy Act Requests for Medicare Claims Data via CMS FOIA Public Portal
CMS-10572
2021-07-23
Transparency in Coverage Reporting by Qualified Health Plan Issuers
CMS-10398 #69
2021-05-20
Reporting Requirements for Additional Funding for Medicaid HCBS During the COVID–19 Emergency
CMS-10398 #71
2021-05-17
Reporting Requirements for State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services During the COVID–19 Emergency
CMS-10398
2021-03-19
Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions
CMS-10198
2021-03-18
Creditable Coverage Disclosure to CMS On-Line Form and Instructions
CMS-1763
2021-02-05
Request for Termination of Premium Hospital and Supplementary Medical Insurance
CMS-10518
2021-02-01
Application for Participation in the Intravenous Immune Globulin (IVIG) Demonstration
CMS-10434
2019-08-15
Medicaid and CHIP Program (MACPro)
Page Last Modified:
09/10/2024 06:18 PM