Information Collection

GenIC #37 (Extension w/o change): Managed Care Rate Setting Guidance

IC 229711 under ICR 201712-0938-019 · OMB 0938-1148.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1148 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
37 - Medicaid Rate Guide Effective 7.1.17 to 6.30.18 - 03.29.2017 - clean.docx	Instruction
37 - Managed Care Rates Supporting Statement Final 1-10 [rev 01-25-2017 by OSORA PRA].docx #37 - Supporting Statement	IC Document

IC Title:

GenIC #37 (Extension w/o change): Managed Care Rate Setting Guidance

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			37 - Medicaid Rate Guide Effective 7.1.17 to 6.30.18 - 03.29.2017 - clean.docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 42

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	280	280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
#37 - Supporting Statement	37 - Managed Care Rates Supporting Statement Final 1-10 [rev 01-25-2017 by OSORA PRA].docx	01/11/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.