GenIC #37 (Rev): Managed Care Rate Setting Guidance

Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
MMC Rate Development Guide Effective 7.1.17 to 6.30.18...508.pdf Other-2017-2018 Medicaid Managed Car
37 - Medicaid Managed Care Rate Development Guide Effective 7.1.18 to 6.30.19 12.06.2017 - clean.docx Other-2018-2019 Medicaid Managed Car
37 - 2017 Managed Care Rates Supporting Statement Final 3-22 rev 04-10-2018 by OSORA PRA Track Changes - RBM CLEAN.docx Supporting Statement IC Document
37 - Crosswalk for 2018-2019 Rate Guide.xlsx Crosswalk IC Document

Information Collection (IC) Details

IC Title:	GenIC #37 (Rev): Managed Care Rate Setting Guidance	Agency IC Tracking Number:	CMCS

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-2017-2018 Medicaid Managed Care Rate Development Guide			MMC Rate Development Guide Effective 7.1.17 to 6.30.18...508.pdf		Yes	Yes	Printable Only
Other-2018-2019 Medicaid Managed Care Rate Development Guide			37 - Medicaid Managed Care Rate Development Guide Effective 7.1.18 to 6.30.19 12.06.2017 - 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: 46	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	74	74
Annual IC Time Burden (Hours)	296	296
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	37 - 2017 Managed Care Rates Supporting Statement Final 3-22 rev 04-10-2018 by OSORA PRA Track Changes - RBM CLEAN.docx	04/19/2018
Crosswalk	37 - Crosswalk for 2018-2019 Rate Guide.xlsx	04/19/2018

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