The Medicaid State base plan pages and attachments are documents utilized by State and territorial agencies which have the responsibility for administering the Medicaid program. The Medicaid State plan is comprised of "pages" and organized by subject matter which include Medicaid eligibility (Section 2), services (Section 3), payment for services (Section 4), and general, financial and personnel administration (Sections 1, 5, 6, 7). When States or territories seek to change selected pages of their State plans, the page(s) are transmitted to the Centers for Medicare & Medicaid Services (CMS) for review and approval by the CMS Central and Regional Offices prior to amending its State plan.
Associated with the "CMS-179", a one page cover page that is included in every State plan amendment, the base State plan pages contain approximately 150 documents, and the Attachments and Supplements contain approximately 500 documents that correspond to implementing regulations in the CFR and statutes in the Social Security Act. The base and plan page documents have the same OMB approval number as the CMS-179.
The present revision of the current collection is to revise and update selected pages to comply with Federal laws and regulations.
US Code:
42 USC 1936
Name of Law: Social Security Act
The Supporting Statement associated with the prior PRA approval indicated that States submit on average 84 SPAs per year (4,681 responses / 56 States). We are revising this estimate to indicate that each State submits on average 20 SPAs per year. The prior Supporting Statement also indicated that States required approximately 1 hour "per page" to complete a SPA submission. We are revising this estimate to indicate that States require approximately 20 hours "per SPA submission" to complete the template, receive necessary State clearance, and submit the template to CMS. Within this package, templates corresponding with sections 4.19(c), 4.19-D, and 4.19.B have been revised while templates corresponding with sections 4.19(e), 4.19(f), 4.19(g), 4.19(h), 4.19(i), and 4.19(k)(1) are added.
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.
Form CMS-179 State Plan Under Title XIX of the Social Security Act (Base plan pages)
Responses to Comments Received CMS-179 PRA.doc
CMS-179 Exhibit 1 [rev CMCS 03-27-12 and OSORA 03-29-12].docx
State Plan Under Title XIX of the Social Security Act (Base plan pages)