PRA Listing

Tue, 11 Oct 2005 10:13:00 EST

Tue, 11 Oct 2005 10:59:00 EST

Wed, 07 Dec 2005 06:51:00 EST

CMS-R-64

Tue, 15 Aug 2006 08:11:00 EST

CMS Form Number: CMS-R-64
Date: 08/16/2006
Subject: Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105; Direct Graduate Medical Education (GME) and Supporting Regulations 42 CFR 413.75 through 83

CMS-10069

Thu, 22 Mar 2007 20:00:00 EST

CMS Form Number: CMS-10069
Date: 03/23/2007
Subject: Medicare Waiver Demonstration Application

CMS-10217

Thu, 19 Apr 2007 18:00:00 EST

CMS Form Number: CMS-10217
Date: 04/20/2007
Subject: Physician Survey for the 2006 Medicare Oncology Demonstration Program

CMS-10223

Thu, 19 Apr 2007 18:00:00 EST

CMS Form Number: CMS-10223
Date: 04/20/2007
Subject: Medicare Competitive Acquisition Program (CAP) for Part B Drugs Evaluation: CAP Physician Survey

CMS-R-39

Tue, 29 May 2007 09:39:00 EST

CMS Form Number: CMS-R-39
Date: 05/30/2007
Subject: Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies and Supporting Regulations in 42 CFR 484.10, 484.12, 484.14, 484.16, 484.18, 484.36, 484.48, and 484.52

CMS-10102

Tue, 17 Jul 2007 08:53:00 EST

CMS Form Number: CMS-10102
Date: 07/13/2007
Subject: National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS)

CMS-379

Tue, 17 Jul 2007 08:59:00 EST

CMS Form Number: CMS-379
Date: 07/13/2007
Subject: Financial Statement of Debtor and Supporting Regulations in 42 CFR, Section 405.376

CMS-10285

Thu, 25 Jun 2009 18:00:00 EST

CMS Form Number: CMS-10285
Date: 06/26/2009
Subject: Request for Review if You Have Been Denied Premium Assistance

CMS-2552-10

Wed, 01 Jul 2009 10:00:00 EST

CMS Form Number: CMS-2552-10
Date: 07/02/2009
Subject: Hospital and Health Care Complexes Cost Report and supporting Regulations in 42 CFR 413.20 and 413.24

CMS-10062

Wed, 01 Jul 2009 13:52:00 EST

CMS Form Number: CMS-10062
Date: 01/09/2009
Subject: Collection of Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted Payments

CMS-10097

Wed, 01 Jul 2009 18:00:00 EST

CMS Form Number: CMS-10097
Date: 07/02/2009
Subject: The Medicare Contractor Provider Satisfaction Survey (MCPSS)

CMS-10289

Thu, 02 Jul 2009 14:50:00 EST

CMS Form Number: CMS-10289
Date: 06/12/2009
Subject: CHIPRA 2009 Dental Benefits: Implementation of Optional Dental-only Supplemental Coverage

CMS-10288

Thu, 02 Jul 2009 15:00:00 EST

CMS Form Number: CMS-10288
Date: 06/12/2009
Subject: State Plan Preprint to Implement Required Dental Benefits Pursuant of CHIPRA 2009

CMS-10191

Thu, 30 Jul 2009 18:00:00 EST

CMS Form Number: CMS-10191
Date: 07/31/2009
Subject: Medicare Parts C and D Universal Audit Guide

CMS-416

Tue, 04 Aug 2009 13:59:00 EST

CMS Form Number: CMS-416
Date: 08/04/2009
Subject: Annual Early and Periodic Screening, Diagnostic and Treatment Report

CMS-10260

Wed, 12 Aug 2009 15:18:00 EST

CMS Form Number: CMS-10260
Date: 07/17/2009
Subject: Medicare Advantage and Prescription Drug Program: Final Marketing Provisions CFR 422.111(a)(3) and 423.128 (a)(3)

CMS-10190

Mon, 17 Aug 2009 13:51:00 EST

CMS Form Number: CMS-10190
Date: 08/14/2009
Subject: State Plan Preprints to Implement Section 6043 of the Deficit Reduction Act of 2006 and Third-party Disclosure for Non-Emergencies

CMS-R-284

Mon, 17 Aug 2009 13:51:00 EST

CMS Form Number: CMS-R-284
Date: 08/14/2009
Subject: Medicaid Statistical Information System

CMS-R-257

Thu, 20 Aug 2009 10:06:00 EST

CMS Form Number: CMS-R-257
Date: 08/15/2008
Subject: Medicare Advantage & Part D Disenrollment Requests Collected Through 1-800-MEDICARE

CMS-855 (A, B, I, R)

Thu, 20 Aug 2009 10:12:00 EST

CMS Form Number: CMS-855 (A, B, I, R)
Date: 07/03/2008
Subject: Medicare Enrollment Applications

CMS-216

Thu, 20 Aug 2009 10:46:00 EST

CMS Form Number: CMS-216
Date: 02/29/2008
Subject: Organ Procurement Organization/Histocompatibility Laboratory Statement of Reimbursable Costs, manual instructions and supporting regulations contained in 42 CFR 413.20 and 413.24

CMS-10152

Thu, 20 Aug 2009 10:46:00 EST

CMS Form Number: CMS-10152
Date: 09/05/2008
Subject: Collection for Medicare Beneficiaries Receiving FDG Positron Emissions Tomography for Brain, Cervical, Ovarian, Small Cell Lung, Testicular, and all other Cancers

CMS-10198

Thu, 27 Aug 2009 09:23:00 EST

CMS Form Number: CMS-10198
Date: 08/21/2009
Subject: Creditable Coverage Disclosure to CMS Online Form and Instructions

CMS-10171

Fri, 28 Aug 2009 12:07:00 EST

CMS Form Number: CMS-10171
Date: 02/27/2009
Subject: Coordination of Benefits between Part D Plans and Other Prescription Coverage

CMS-9042

Fri, 28 Aug 2009 14:26:00 EST

CMS Form Number: CMS-9042
Date: 09/12/2008
Subject: Request for Accelerated Payments and supporting regulations 42 CFR, Section 412.116(f), 412.632(e), 413.64(g), 413.350(d), and 484.245

CMS-10165

Fri, 28 Aug 2009 14:37:00 EST

CMS Form Number: CMS-10165
Date: 03/06/2009
Subject: Electronic Health Records (EHR) Demonstration web enabled application for Phase 2

CMS-R-5

Wed, 02 Sep 2009 14:31:00 EST

CMS Form Number: CMS-R-5
Date: 03/20/2009
Subject: Physician Certification/Recertification in Skilled Nursing Facilities (SNFs) Manual Instructions

CMS-10133

Wed, 02 Sep 2009 14:32:00 EST

CMS Form Number: CMS-10133
Date: 03/20/2009
Subject: Competitive Acquisition Program for Medicare Part B Drugs: Vendor Application and Bid Form

CMS-906

Wed, 02 Sep 2009 14:37:00 EST

CMS Form Number: CMS-906
Date: 04/02/2008
Subject: The Fiscal Soundness Reporting Requirements

CMS-10001

Wed, 02 Sep 2009 14:39:00 EST

CMS Form Number: CMS-10001
Date: 10/03/2008
Subject: Health Insurance Portability and Accountability Act (HIPAA) Nondiscrimination Provisions and Supporting Regulations in 45 CFR 146.121(h) and 121(i)(2)(i)

CMS-10009

Wed, 02 Sep 2009 14:40:00 EST

CMS Form Number: CMS-10009
Date: 10/03/2008
Subject: HIPAA Nondiscrimination Provisions and Supporting Regulations in 45 CFR 146.121 (f)(2)(v)(A)

CMS-10079

Fri, 04 Sep 2009 00:01:00 EST

CMS Form Number: CMS-10079
Date: 09/04/2009
Subject: Hospital Wage Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64

CMS-10151

Tue, 08 Sep 2009 08:39:00 EST

CMS Form Number: CMS-10151
Date: 09/05/2008
Subject: Data Collection for Medicare Beneficiaries Receiving Implantable Cardioverter-defibrillators for Primary Prevention of Sudden Cardiac Death

CMS-10295

Thu, 10 Sep 2009 14:57:00 EST

CMS Form Number: CMS-10295
Date: 09/09/2009
Subject: Recovery Act: Reporting Requirements for States Under FMAP Increase and TMA Provisions

CMS-10292

Fri, 11 Sep 2009 16:40:00 EST

CMS Form Number: CMS-10292
Date: 09/11/2009
Subject: State Medicaid HIT Plan and Templates for Implementation of Section 4201 of ARRA

CMS-10206

Wed, 16 Sep 2009 08:46:00 EST

CMS Form Number: CMS-10206
Date: 08/04/2006
Subject: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Accreditation Proposals from Independent Accrediting Bodies

CMS-10246

Wed, 16 Sep 2009 08:47:00 EST

CMS Form Number: CMS-10246
Date: 08/24/2007
Subject: COST AND RESOURCE UTILIZATION (CRU) DATA COLLECTION FOR THE MEDICARE POST ACUTE CARE PAYMENT REFORM DEMONSTRATION

CMS-10195

Wed, 16 Sep 2009 08:48:00 EST

CMS Form Number: CMS-10195
Date: 06/09/2006
Subject: Evaluation of the Medicare Recovery Audit Contractor Demonstration RAC Provider Satisfaction Survey

CMS-10116

Wed, 16 Sep 2009 08:54:00 EST

CMS Form Number: CMS-10116
Date: 04/27/2007
Subject: Medicare Program; Conditions for Payment of Power Mobility Devices, including Power Wheelchairs and Power-Operated Vehicles (CMS-3017-IFC)

CMS-10088

Wed, 16 Sep 2009 08:55:00 EST

CMS Form Number: CMS-10088
Date: 09/01/2006
Subject: Notification of FIs and CMS of co-located Medicare providers and Supporting Regulations in 42 CFR 22 and 412.533

CMS-10148

Wed, 16 Sep 2009 08:55:00 EST

CMS Form Number: CMS-10148
Date: 01/08/2007
Subject: HIPAA Administrative Simplification Non-Privacy Enforcement

CMS-10140

Wed, 16 Sep 2009 08:56:00 EST

CMS Form Number: CMS-10140
Date: 04/04/2005
Subject: Claims Error Rate Testing (CERT) / Electronic Records Exploratory Survey

CMS-10168

Wed, 16 Sep 2009 08:57:00 EST

CMS Form Number: CMS-10168
Date: 09/13/2006
Subject: Medicare Program: Complex Medical Review

CMS-10106

Wed, 16 Sep 2009 08:57:00 EST

CMS Form Number: CMS-10106
Date: 05/18/2007
Subject: Medicare Authorization to Disclose Personal Health Information

CMS-10207

Wed, 16 Sep 2009 08:57:00 EST

CMS Form Number: CMS-10207
Date: 05/30/2007
Subject: Physician Self-Referral Exceptions for Electronic Prescribing and Electronic Health Records (CMS-1303-F)

CMS-10210

Wed, 16 Sep 2009 08:58:00 EST

CMS Form Number: CMS-10210
Date: 10/18/2006
Subject: Additional Quality Measures and Procedures for Hospital Reporting of Quality Data for the FY 2008 IPP Annual Payment Update (Surgical Care Improvement Project & Mortality Measures)

CMS-10201

Wed, 16 Sep 2009 08:58:00 EST

CMS Form Number: CMS-10201
Date: 08/16/2006
Subject: Evaluation of the Home Health Independence Demonstration: Survey of Home Health Agencies

CMS-10184

Wed, 16 Sep 2009 08:58:00 EST

CMS Form Number: CMS-10184
Date: 05/26/2006
Subject: Payment Error Rate Measurement of Eligibility in Medicaid and the State Children';s Health Insurance Program (SCHIP)

CMS-10225

Wed, 16 Sep 2009 08:58:00 EST

CMS Form Number: CMS-10225
Date: 05/08/2007
Subject: Disclosures to Patients by Certain Hospitals & Critical Access Hospitals

CMS-10219

Wed, 16 Sep 2009 08:59:00 EST

CMS Form Number: CMS-10219
Date: 02/23/2007
Subject: Health Plan Employer Data and Information Set (HEDIS)

CMS-255

Wed, 16 Sep 2009 08:59:00 EST

CMS Form Number: CMS-255
Date: 02/23/2007
Subject: Municipal Health Services Cost Report Form and supporting Regulations 42CFR 405.2470

CMS-10291

Thu, 17 Sep 2009 08:39:00 EST

CMS Form Number: CMS-10291
Date: 09/11/2009
Subject: State Collection and Reporting of Dental Provider and Benefit Package Information

CMS-10247

Fri, 18 Sep 2009 13:09:00 EST

CMS Form Number: CMS-10247
Date: 08/24/2007
Subject: Sponsor application for CMS coverage under the Medicare Clinical Trial/Research Policy

CMS-10243

Fri, 18 Sep 2009 13:11:00 EST

CMS Form Number: CMS-10243
Date: 07/27/2007
Subject: Data Collection for Administering the Medicare Continuity Assessment Record and Evaluation (CARE)Instrument

CMS-10238

Fri, 18 Sep 2009 13:12:00 EST

CMS Form Number: CMS-10238
Date: 07/27/2007
Subject: Testing of Revised OASIS Instrument for Home Health Quality Measures and Data Analysis

CMS-18F5

Fri, 18 Sep 2009 13:13:00 EST

CMS Form Number: CMS-18F5
Date: 05/04/2007
Subject: Application For Hospital Insurance Benefits

CMS-10224

Fri, 18 Sep 2009 13:14:00 EST

CMS Form Number: CMS-10224
Date: 07/20/2007
Subject: Healthcare Common Procedure Coding System (HCPCS) Level II Code Modification Request Process

CMS-588

Fri, 18 Sep 2009 13:15:00 EST

CMS Form Number: CMS-588
Date: 04/28/2006
Subject: Electronic Funds Transfer Authorization Agreement

CMS-10233

Fri, 18 Sep 2009 13:16:00 EST

CMS Form Number: CMS-10233
Date: 05/23/2007
Subject: Regional Preferred Provider Organization (RPPO) Reconciliation Cost Report

CMS-10220

Fri, 18 Sep 2009 13:17:00 EST

CMS Form Number: CMS-10220
Date: 03/26/2007
Subject: Provider Enrollment Chain and Ownership System (PECOS) Web Security Consent Form

CMS-460

Fri, 18 Sep 2009 13:17:00 EST

CMS Form Number: CMS-460
Date: 03/15/2007
Subject: Medicare Participating Physician or Supplier Agreement

CMS-R-244

Fri, 18 Sep 2009 13:18:00 EST

CMS Form Number: CMS-R-244
Date: 05/04/2007
Subject: MEDICARE AND MEDICAID: PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE; Final) CONTAINED IN 42 CFR 460.12-460.210

CMS-R-50

Fri, 18 Sep 2009 13:19:00 EST

CMS Form Number: CMS-R-50
Date: 04/14/2008
Subject: Medical Records Review Under the Prospective Payment System (PPS) and Supporting Regulations in 42 CFR 412.40- 412.52

CMS-R-297

Fri, 18 Sep 2009 13:19:00 EST

CMS Form Number: CMS-R-297
Date: 04/20/2007
Subject: Request for Employment Information

CMS-R-137

Fri, 18 Sep 2009 13:20:00 EST

CMS Form Number: CMS-R-137
Date: 08/19/2005
Subject: Internal Revenue Service/Social Security Administration/Centers for Medicare and Medicaid Services Data Match and Supporting Regulations in 42 CFR Sections 411.20-411.206

CMS-R-305

Fri, 18 Sep 2009 13:26:00 EST

CMS Form Number: CMS-R-305
Date: 03/13/2009
Subject: External Quality Review Protocols

CMS-10279

Fri, 18 Sep 2009 13:27:00 EST

CMS Form Number: CMS-10279
Date: 03/20/2009
Subject: Ambulatory Surgical Center Conditions for Coverage

CMS-10293

Mon, 21 Sep 2009 13:31:00 EST

CMS Form Number: CMS-10293
Date: 09/04/2009
Subject: Tribal Consultation State Plan Amendment Template

CMS-10141

Thu, 24 Sep 2009 10:02:00 EST

CMS Form Number: CMS-10141
Date: 03/30/2009
Subject: Medicare Prescription Drug Benefit Plan

CMS-R-206

Fri, 25 Sep 2009 14:58:00 EST

CMS Form Number: CMS-R-206
Date: 04/10/2009
Subject: Information Collection Requirements Referenced in HIPAA title I for the Group Market

CMS-R-205

Fri, 25 Sep 2009 15:00:00 EST

CMS Form Number: CMS-R-205
Date: 04/10/2009
Subject: Information Collection Requirements Referenced in HIPAA title I for the Individual Market

CMS-10296

Wed, 30 Sep 2009 15:32:00 EST

CMS Form Number: CMS-10296
Date: 08/28/2009
Subject: Electronic Health Record (EHR)Testing

CMS-10079

Wed, 30 Sep 2009 09:41:00 EST

CMS Form Number: CMS-10079
Date: 09/04/2009
Subject: Hospital Wage Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64

CMS-10237

Fri, 02 Oct 2009 00:42:00 EST

CMS Form Number: CMS-10237
Date: 10/02/2009
Subject: Medicare Advantage Applications-Part C

CMS-10137

Fri, 02 Oct 2009 09:45:00 EST

CMS Form Number: CMS-10137
Date: 10/02/2009
Subject: Application for Prescription Drug Plans (PDP); Application for Medicare Advantage Prescription Drug (MA-PD); Application for Cost Plans to Offer Qualified Prescription Drug Coverage; Application for Employer Group Waiver Plans to Offer Prescription Drug Coverage; Service Area Expansion Application for Prescription Drug Coverage

CMS-10239

Wed, 07 Oct 2009 08:30:00 EST

CMS Form Number: CMS-10239
Date: 11/15/2007
Subject: Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.65, 485.23, 485.618, 485.631, 485.635, 485.641, 485.643

CMS-10221

Wed, 07 Oct 2009 08:31:00 EST

CMS Form Number: CMS-10221
Date: 06/26/2007
Subject: Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs)

CMS-R-247

Wed, 07 Oct 2009 08:32:00 EST

CMS Form Number: CMS-R-247
Date: 06/23/2006
Subject: Expanded Coverage for Diabetes Outpatient Self-Management Training Services and Supporting Regulations Contained in 42 CFR 410.141, 410.142, 410.143, 410.144, 410.145, 410.146, and and 414.63

CMS-R-48

Wed, 07 Oct 2009 08:33:00 EST

CMS Form Number: CMS-R-48
Date: 11/15/2007
Subject: Conditions of Participation for Hospitals and Supporting Regulations in 482.12, 482.13, 482.21, 482.22, 482.23, 482.24, 482.27, 482.30, 482.41, 482.43, 482.45, 482.53, 482.56, 482.57, 482.60, 482.61, 482.62, and 485.616 and 485.631

CMS-10230

Wed, 07 Oct 2009 08:34:00 EST

CMS Form Number: CMS-10230
Date: 11/16/2007
Subject: PACE Audit Guide Version 1

CMS-R-131

Wed, 07 Oct 2009 08:35:00 EST

CMS Form Number: CMS-R-131
Date: 05/25/2007
Subject: Advance Beneficiary Notice of Noncoverage (ABN)

CMS-10286

Wed, 07 Oct 2009 11:46:00 EST

CMS Form Number: CMS-10286
Date: 10/07/2009
Subject: Notice of Research Exception under the Genetic Information Nondiscrimination Act

CMS-10298

Fri, 09 Oct 2009 00:13:00 EST

CMS Form Number: CMS-10298
Date: 10/09/2009
Subject: Data Collection For Developing Outpatient Therapy Payment Alternatives (DOTPA)

CMS-R-262

Tue, 13 Oct 2009 08:14:00 EST

CMS Form Number: CMS-R-262
Date: 10/09/2009
Subject: CY 2011 Plan Benefit Package (PBP) Software and Formulary Submission

CMS-10036

Wed, 14 Oct 2009 08:13:00 EST

CMS Form Number: CMS-10036
Date: 10/24/2008
Subject: Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data and Supporting Regulations in 42 CFR 412 Subpart P

CMS-10161

Wed, 14 Oct 2009 08:14:00 EST

CMS Form Number: CMS-10161
Date: 10/24/2008
Subject: New Freedom Initiative - Web-based Reporting System for Grantees

CMS-10300

Thu, 15 Oct 2009 08:20:00 EST

CMS Form Number: CMS-10300
Date: 10/09/2009
Subject: Additional State Plan Option for Providing Premium Assistance State Plan Templates Under Title XIX and XXI

CMS-10287

Thu, 15 Oct 2009 11:24:00 EST

CMS Form Number: CMS-10287
Date: 10/09/2009
Subject: Medicare Quality of Care Complaint Form

CMS-10142

Thu, 15 Oct 2009 14:59:00 EST

CMS Form Number: CMS-10142
Date: 10/09/2009
Subject: Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP)

CMS-10179

Fri, 16 Oct 2009 10:27:00 EST

CMS Form Number: CMS-10179
Date: 01/11/2007
Subject: Information Collection Requirements for Requests by Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital Prospective Payment System (LTCH PPS) for an Alternative Cost-to-Charge Ratio and Supporting Regulations in 42 CFR 412.84(i)(2), 412.525(a)(4)(ii), 412.525(a)(4)(iv)(A), 412.529(c)(3)(ii) and 412.529(c)(3)(iv)(A)

CMS-10158

Fri, 16 Oct 2009 10:28:00 EST

CMS Form Number: CMS-10158
Date: 05/31/2005
Subject: Beneficiary Survey on the Medicare Home Health Independence Demonstration

CMS-R-71

Fri, 16 Oct 2009 10:30:00 EST

CMS Form Number: CMS-R-71
Date: 01/19/2005
Subject: Quality Improvement Organizations (QIO) Assumption of Responsibilities and Supporting Regulations in 42 C.F.R. Sections 412.44, 412.46, 431.630, 476.71, 476.73, 476.74, and 476.78

CMS-R-235

Fri, 16 Oct 2009 10:30:00 EST

CMS Form Number: CMS-R-235
Date: 11/20/2006
Subject: Data Use Agreement Information Collection Requirements, model language, and supporting regulations in 45 CFR Section 5b

CMS-1856 and CMS-1893

Fri, 16 Oct 2009 10:39:00 EST

CMS Form Number: CMS-1856 and CMS-1893
Date: 06/06/2008
Subject: Outpatient Physical Therapy Speech Pathology Survey Report and Supporting Regulations in 42 CFR 485.701-485.729

CMS-R-107

Fri, 16 Oct 2009 10:44:00 EST

CMS Form Number: CMS-R-107
Date: 11/14/2008
Subject: Medicaid-Determining Third Party Liability (TPL) State Plan Preprint

CMS-R-249

Fri, 16 Oct 2009 10:53:00 EST

CMS Form Number: CMS-R-249
Date: 07/27/2007
Subject: Hospice Cost and Data Report and supporting regulations 42 CFR 413.20 and 42 CFR 413.24

CMS-10270

Fri, 16 Oct 2009 10:54:00 EST

CMS Form Number: CMS-10270
Date: 06/27/2008
Subject: Evaluation of the Home Health Pay for Performance Demonstration: Survey instrument

CMS-855S

Fri, 16 Oct 2009 10:55:00 EST

CMS Form Number: CMS-855S
Date: 05/30/2008
Subject: Medicare Enrollment Application - Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers

CMS-10170

Fri, 16 Oct 2009 10:55:00 EST

CMS Form Number: CMS-10170
Date: 11/28/2008
Subject: Retiree Drug Subsidy (RDS) Payment Request and Instructions

CMS-10110

Mon, 19 Oct 2009 13:46:00 EST

CMS Form Number: CMS-10110
Date: 12/12/2008
Subject: Manufacturer Submission of Average Sales Price (ASP) data for Medicare Part B Drugs and Biologicals

CMS-R-296

Mon, 19 Oct 2009 13:48:00 EST

CMS Form Number: CMS-R-296
Date: 05/15/2009
Subject: Home Health Advance Beneficiary Notice (HHABN)

CMS-1763

Mon, 19 Oct 2009 13:50:00 EST

CMS Form Number: CMS-1763
Date: 05/15/2009
Subject: REQUEST FOR TERMINATION OF PREMIUM HOSPITAL AND/OR SUPPLEMENTARY MEDICAL INSURANCE

CMS-R-267

Tue, 20 Oct 2009 09:34:00 EST

CMS Form Number: CMS-R-267
Date: 05/16/2008
Subject: Medicare Advantage Program: Application and Contract Requirements Referenced in 42 CFR Part 422

CMS-10299

Wed, 21 Oct 2009 10:21:00 EST

CMS Form Number: CMS-10299
Date: 10/02/2009
Subject: State Plan Amendment Template for Option to Cover Certain Children and Pregnant Women Lawfully Residing in U.S.

CMS-R-194

Wed, 21 Oct 2009 15:09:00 EST

CMS Form Number: CMS-R-194
Date: 05/15/2009
Subject: Medicare Disproportionate Share Adjustment Procedures and Criteria and Supporting Regulations in 42 CFR 412.106

CMS-43

Wed, 21 Oct 2009 15:09:00 EST

CMS Form Number: CMS-43
Date: 05/15/2009
Subject: APPLICATION FOR HOSPITAL INSURANCE BENEFITS FOR INDIVIDUALS WITH END STAGE RENAL DISEASE

CMS-10191

Wed, 28 Oct 2009 09:08:00 EST

CMS Form Number: CMS-10191
Date: 10/28/2009
Subject: Medicare Parts C and D Universal Audit Guide

CMS-10185

Mon, 02 Nov 2009 13:38:00 EST

CMS Form Number: CMS-10185
Date: 05/22/2009
Subject: Medicare Part D Reporting Requirements and Supporting Regulations under 42 CFR section 423.505

CMS-10169

Mon, 02 Nov 2009 13:39:00 EST

CMS Form Number: CMS-10169
Date: 05/19/2009
Subject: Round 1 Rebid and the Disclosure of Subcontracting Relationships for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding

CMS-10078

Fri, 06 Nov 2009 11:07:00 EST

CMS Form Number: CMS-10078
Date: 05/29/2009
Subject: Matching Grants to States for the Operation of High Risk Pools

CMS-R-0282

Mon, 09 Nov 2009 13:37:00 EST

CMS Form Number: CMS-R-0282
Date: 11/06/2009
Subject: Medicare Advantage Appeals and Grievance Data Disclosure Requirements (42 CFR section 422.111)

CMS-10236

Mon, 09 Nov 2009 17:04:00 EST

CMS Form Number: CMS-10236
Date: 12/12/2008
Subject: Disclosure of Financial Relationships Report (DFRR)

CMS-10053

Fri, 13 Nov 2009 09:13:00 EST

CMS Form Number: CMS-10053
Date: 11/13/2009
Subject: Paid Feeding Assistants in Long Term Care Facilities and Supporting Regulations at CFR 42 Section 483.160

CMS-10273

Wed, 18 Nov 2009 14:28:00 EST

CMS Form Number: CMS-10273
Date: 06/05/2009
Subject: Evaluation of the Medicare Care Management Performance Demonstration and the Electronic Health Records Demonstration

CMS-10174

Wed, 18 Nov 2009 14:31:00 EST

CMS Form Number: CMS-10174
Date: 06/05/2009
Subject: COLLECTION OF DRUG EVENT DATA FROM CONTRACTED PART D PROVIDERS FOR PAYMENT

CMS-10265

Wed, 18 Nov 2009 14:33:00 EST

CMS Form Number: CMS-10265
Date: 08/01/2008
Subject: Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007 (MMSEA) (P.L.110-173)

CMS-R-10

Wed, 18 Nov 2009 14:34:00 EST

CMS Form Number: CMS-R-10
Date: 08/15/2008
Subject: BPD-718: Advance Directives (Medicare and Medicaid)