Information Collection

GenIC #37 (Revision) Managed Care Rate Setting Guidance

IC 234743 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⚠️ Notice: This information collection may be referencing outdated material.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 Managed Care Rate Development Guide Effective 7.1.18 to 6.....pdf	Instruction
37 - Medicaid Managed Care Rate Development Guide Effective 7.1.19 to 6.....docx	Instruction
37 - 2019 Managed Care Rates Supporting Statement (version 2).docx Generic Supporting Statement	IC Document
37 - Managed Care Rates Crosswalk for 2019-2020 Rate Guide v2.xlsx Crosswalk	IC Document

IC Title:

GenIC #37 (Revision) 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
Instruction			37 - Medicaid Managed Care Rate Development Guide Effective 7.1.18 to 6.....pdf		Yes	Yes	Printable Only
Instruction			37 - Medicaid Managed Care Rate Development Guide Effective 7.1.19 to 6.....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	46	46
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Supporting Statement	37 - 2019 Managed Care Rates Supporting Statement (version 2).docx	01/24/2019
Crosswalk	37 - Managed Care Rates Crosswalk for 2019-2020 Rate Guide v2.xlsx	01/24/2019

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