CMS-116 Form 2015-2024

CMS-116 Form: What You Should Know

III., select the category(s) in which you are a laboratory operator with your CIA certificate and indicate the appropriate classification of information in the form. This information can be used to establish your fees (i.e., for certification,  section IV.): Classification; Classification Authority; Classification Criteria (i.e., if applicable), if you are interested in using those factors; Information Technology Equipment/Technology; and, Information Technology (IT). How do I determine if a test is not counted? Section II. C.a. of this Form CMS-116 explains that to be included in fee calculations, a test results must meet the criteria required by these regulations. Section III. In proceeding to section IV., use the information on section V. of this Form CMS-116 to determine if the test listed in section 6. A. of the CMS-116 is a “qualified test.” If section 6. A applies to the test, then test section will be marked “Certified”. All tests marked “Certified” as a qualified test may be included in the fee calculations, but the determination is the exclusive responsibility of the applicant.  Section V. of this CMS-116 states: “Certified Tests That Will Not Result in Fees Payable” means the following: (a) The Qualified Test (i) meets (1) the requirements of sections I. a. and a. b. and includes (2) an analysis of the results of a specified test; and, (ii) is conducted by an individual who is a registered laboratory operator or by an entity licensed by the State of California or a political subdivision thereof who is a registered laboratory operator who is in compliance with section 1702.7.1. In determining whether a test is a qualified test, the following factors should be considered in conjunction with CMS- 116 : If both the section and the results of a test must be shown to be appropriate to the purpose for which the test is designed, then a qualified test may be calculated for that purpose. In this case, a test may not be counted unless the test is designated as a qualified test. For example, if you are an individual, you have already done the following: 1. You've received a test result. You have made a note of the information in the CMS-116 form indicating the results. 2. Furthermore, you've received a payment for the test.

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