This information
collection is approved through 9-91 under the following conditions:
HCFA will modify the eligibility categories in the HCFA 2082 to
reflect the individualized categories of Medicaid eligibility
status under present law. The form should be broken down into two
broad sections: "Mandatory" and "Optional". The Mandatory section
should separately include: AFDC recipeients; Title IV-E recipients;
Children under age 6 and pregnant women who meet the State's AFDC
financial requirements or whose family income is below 133% of the
poverty level; SSI recipients; Special protected groups, i.e.
persons who lose AFDC or SSI due to earnings from work or increas
benefits, QMB's; additional mandatory categories from OBRA 1990.
Optional categories should include: infants up to age 1 and
pregnant women not covered under mandatory rules with incomes below
185% of the poverty level; certain children plus aged, blind or
disabled whose incomes are above those requiring mandatory
coverage, but below the poverty level; children under age 21 who
meet the income and resources requirements for AFDC, but who
otherwise are not eligible; Sta supplementary payment recipients;
institutionalized persons with and resources below specified
limits; persons receiving care und and community-based waivers; and
"medically needy" persons. Th changes must be in effect by Fiscal
Year 1992.
Inventory as of this Action
Requested
Previously Approved
09/30/1991
09/30/1991
51
0
0
21,937
0
0
0
0
0
THE DATA REPORTED IN THE HCFA2082 ARE
THE BASIS OF ACTUARIAL FORECASTS FOR MEDICAID SERVICE UTILIZATION
AND COSTS, OF ANALYSIS AND COST OF MEDICAID, AND FOR RESPONDING TO
REQUESTS FOR INFORMATION FROM HCFA COMPONENTS, THE DEPARTMENT, THE
PUBLIC, THE PRESS, AND THE CONGRESS.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
STATISTICAL REPORT ON MEDICAL CARE: ELIGIBLES, RECIPIENTS, PAYMENTS AND SERVICES