Information Collection

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

IC 231136 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.